There are two critical factors that can reflect the quality of teaching in clinical teaching of neurosurgery. The first is the effectiveness of the teachers' teaching methods， the other is the intensity of the students' learning will. With both factors adapted to each other， the teaching quality will be greatly improved. However， in neurosurgical intensive care（NIC） practices， due to the partic-ularity of the NIC， these two factors will lead to a confliction， and result in a negative effect of clini-cal teaching. This article is based on practical experiences of the author in clinical teaching. In view of this contradiction， brief analysis should be made both for clinical teachers and medical students， and a corresponding solution should be proposed in order to raise the standards of clinical teaching.