With the reform of medical education (5+3)

the clinical mentors usually need to guide three kinds of students who are at different stages of medical education at the same time. And we summed up the core concept of clinical thinking and problems in its training

such as the imperfect teaching mode

insufficient teacher teaching awareness

students' difficulties in adapting to role changes

thinking patterns

and relying on auxiliary examinations

etc. For the training targets of three kinds of students are different

we explored and constructed a multi-level integrated training mode and the evaluation system of clinical thinking from the building of professional thinking

lectures

heuristic rounds

multi-aspect thinking mode extension

group learning and case discussions. So far

they have made effective achievements among a small part of students

which are hopefully useful for clinical training.