Competency-based medical education and personnel training isbecoming a global trend， and the United States has developed a set of competence evaluation system to evaluate a pack-age of emergency， orthopedics， thoracic surgery physicians etc. in 26 specialties. This paper introduces the development background of the evaluation system， the structure of specialist competency evaluation form， content and methodologies， and uses emergency physicians for further evaluation to illustrate this. American physician competency evaluation system provides a unified framework for the country's medical graduates after graduating from medical education training. It helps tocombine process control withthe results ofthe evaluation， self-evaluation with the evaluation of others to makethe evaluation more objective and comprehensive. It can provide new reference to the evaluation and training of physicians in our country.