Examination reform was explored in Introduction to clinical medicine

and a new evaluation system was constructed which included the combination of formative assessment and sum-mative assessment as well as content system

operation system and monitoring system. The feedback mechanism of formative assessment was put into a full use to improve the teaching effect in this new evaluation system. At the same time

the method of summative assessment was substituted from the traditional closed-book exam to literature translation and presentation carried out by groups. The com-bination of summative assessment and formative assessment could evaluate the teaching efficiency of introduction to clinical medicine more comprehensively and objectively. In addition

it played an ac-tive role in improving students' comprehensive ability and their learning enthusiasm.