【Abstract】Internship is an important stage that medical students utilize and develop their academic theory to inform clinical practice. In this stage

practical teaching combines the theoretical study with clinical practice to refine intern’s clinical skills and it is the only way to train qualified clinicians. The teaching during orthopaedic internship is facing the following problems

such as complex anatomy and difficult learning curve associated with orthopaedic clinical practice. In addition

interns face the employment pressure

and the clinical practice time may be occupied by job hunting or preparation for postgraduate entrance examination. For teachers

since clinical doctors are tired of clinical work and scientific research

they cannot devote more time and energy to teaching. In this study

the author summarizes the problems of orthopedic practice teaching in recent years and presents a series of solutions

such as standardizing clinical thinking

improving the students' clinical participation

standardizing teaching assessment and so on. The analysis of teaching problems and countermeasure can guide the relationship between teaching and learning in internship stage

and improve the teaching quality of orthopedic clinical practice.