This study aimed to investigate the judgment and implementation of middle and senior doctors on the communication knowledge and skills in their daily medical activities， and to provide effective suggestions for optimizing the quality of medical communication and medical service. The self?designed consultation questionaire was used to consult the middle and senior doctors of seven tertiary hospitals in Nanjing， and descriptive analysis and χ2 test were performed on the relevant data. The results showed that the various departments have consistent views on many elements of doctor?patient communication（P > 0.05）. The doctors in different departments had different judgments on the expression of humanities in communication（P <0.05）； The doctor’s perception of the patient’s psychological judgment was different from the implementation. 69.11% of the doctors thought that the patient’s psychological awareness was important； the doctor’s judgment and implementation of the preparation of the communication plan were different， and 67.48% of the doctors thought that it was important to prepare the communication plan. It is recommended that all doctors need to grasp the key points and difficulties of clinical doctor?patient communication. They also need to pay attention to communication of humanistic expression， and patient psychology and prepare communication programs. The hospital needs to optimize the mechanism to get patient’s feedback so that the quality of medical services can be improved and the incidence of medical disputes can be reduced.