The competency oriented management theory and method，which is proved to be an effective management measure，have been widely used in China's health field. This essay probed into the possibility of introducing the competency oriented management theory into the education of targeted medical students in the rural. Combining the features of clinical medicine with training requirements of general medicine， this essay elaborated on the main contents of competency for targeted medical students in the rural including the ability of the community-levelled medical health service， practical ability， general medical treatment capacity， traditional medicine knowledge and skill and humanistic quality. Meanwhile， this paper summarized the practical experiences in training such elite students.