Objective　To explore the teaching of medical record writing based on tutorial system. Methods　The tutors and residents in standardization training both scored the medical record. The observation indexes included the difference of scoring time between the two editions

the difference of scoring value between tutors and doctors

the distribution of deduction points in medical record writing

and the change trend of medical record score in one year. Results　The scoring value of tutors was significantly lower than that of residents undergoing standardization training (t=8.919

P<0.05); the deduction of medical records was mainly in the aspects of history of present illness

physical examination

diagnosis and analysis

and treatment plan. After one year of implementation

the score of tutors increased

while that of residents decreased. Conclusion　This method can effectively improve the teaching quality of medical record writing and the ability of residents to discerning problems in medical record writing.