Objective　To investigate the efficacy of the clinical pathway in geriatric orthope-dics clinical teaching. Methods　From March 2010 to December 2011， 80 clinical undergraduates， who practiced in the Department of Orthopedics in the Second Affiliated Hospital of Chongqing Medi-cal University， were equally randomized divided into two groups. One group was taught by the con-ventional methods and the other group was taught by the clinical pathway teaching. After the teaching， the theoretical exam and operational skill test were performed among students in both groups. SPSS 17.0 software was employed and the scores before and after the teaching and scores between two groups was analyzed by paired t-test（inspection level α=0.05）. Results　There was no significant difference in average scores between two groups before teaching（theoretical exam： P=0.81， operating skill test： P=0.65） while significant increases were observed in scores of theoretical exam and operational skill test after teaching（theoretical exam and operating skill test： P＜0.05） and clinical pathway teaching group had higher scores than conventional teaching group（theoretical exam and operating skill test： P=0.02 and P=0.01）. Conclusions　Better effects can be achieved by clinical pathway approach re-garding geriatric orthopedics teaching.