Objective　To investigate the relationship between medical students' employment intention in primary healthcare unit and their learning and psychological state through a questionnaire survey among clinical undergraduates. Methods　A cross-sectional survey was conducted among 821 graduates of a Medical University in 2017 to investigate their employment intention

learning and psychological status and employment plan. The learning and psychological status was evaluated by a self-designed questionnaire. Independent-sample t test

variance analysis and multiple linear regression analysis were used to examine the relevant factors affecting medical students' employment intention in primary healthcare by SPSS 21.0 version. Results　A total of 810 questionnaires were distributed and 753 questionnaires were included in the analysis. The employment intention of working in primary healthcare units of medical students was (4.61±2.24). Students in the advanced class had lower willingness to work in primary healthcare unit (the group of students with higher entrance examination scores) (P<0.05)

and students with higher learning pressure and greater pressure of doctor-patient relationship were more reluctant to work in primary healthcare units (P<0.05). In terms of the employment plan

students who focus on their professional counterparts are more willing to work in primary healthcare unit

while those who pay more attention to salary are less willing to work in primary healthcare unit (P<0.05). Conclusion　Improving the incentive policies for working in primary healthcare unit

actively relieving psychological pressure of medical students

and increasing the training of doctor-patient communication can have a positive effect on improving the willingness of medical students to have an employment intention in primary healthcare unit.