Objective To improve the clinical practice ability of emergency residents by using simulated clinical practice skills training combined with scenario analysis in standardized residency training. Methods 218 residents who participated in standardized residency training in Shengjing Hospital of China Medical University were randomly distributed to two groups. The experimental group (n=134) was trained with the teaching methods of simulated clinical practice skills training combined with scenario analysis; the control group (n=84) was trained with traditional teaching methods combined with teaching video. The theoretical test scores and clinical practice skills results of the two groups were compared

and a questionnaire survey was also conducted after training. Results There was no significant difference in the theoretical test scores between the experimental group (85.27±5.59) and the control group (84.11±7.43) (P>0.05). However

the clinical practice skills scores of the experimental group (89.42±6.63)were significantly higher than the control group (71.36±4.41) (P<0.05). Student’s satisfaction with teachers and teaching methods in the experimental group was 70.90% and 80.60%

respectively

extremely higher than that in the control group (23.81% and 33.33%)(P<0.05). Student’s satisfaction with self-learning in the experimental group (64.93%) was significantly higher than that in the control group (39.29%) (P<0.05). Conclusions The application of simulated clinical practice skills training combined with scenario analysis could improve the clinical practice ability of emergency residents. This teaching method is expected to be applied in standardized residency training in emergency medicine in the future.