Objective　To observe the value of tracer methodology combined case-based study (CBS) model in the standardized residency training of medical record writing. Methods　A total of 91 residents who were newly recruited from The Sixth Affiliated Hospital of Sun Yat-sen University in July 2019 were selected as the subjects and randomly divided into test group (n=47) and control group (n=44). The tracer methodology combined CBS model was used for test group while the traditional model was used for control group to compare the knowledge of medical record writing

performance of medical record writing and feedback to teaching in two groups. SPSS 21.0 was used for t test and chi-square test. Results　The correct response rate in knowledge of medical record writing

the normative scores and integrity scores after training were significantly higher than those before training (P<0.05). The normative and integrity scores were significantly increased after training

and those in the test group were significantly higher than those in the control group [(90.3±3.5) and (91.3±3.2) vs. (88.6±3.5) and (89.8±3.0)

P<0.05

respectively]. The test group was significantly superior to the control group in the autonomous learning ability [97.8% (44/45) vs. 82.9% (34/41)]

communication ability [95.6% (43/45) vs. 78.0% (32/41)] and acceptance of teaching form [97.8% (44/45) vs. 82.9% (34/41)] (P<0.05). Conclusion　The tracer methodology combined CBS model is a good way in the pre-job training of medical record writing for residents

which can mobilize the subjective initiative of the trainees and teachers

complete the teaching tasks and obtain better teaching value.