Abstract: Objective This study analyzed and summarized the advantages and disadvantages of senior students' cultivation process through the whole-course clinical tutorial teaching system jointly implemented by medical college of hebei university and affiliated hospitals.Methods Five clinical students in grade 2014 of Medical College of Hebei University were randomly divided into research group(n=60)and control group(n=60), 30 teachers were selected as the whole clinical tutor. Questionnaires and objective structured clinical examination were conducted. Results There were statistically significant differences between the research group and the control group(P<0.05)in improving students' satisfaction, promoting the motivation of clinical course learning, and cultivating clinical thinking and practical ability(P<0.05). Conclusion The whole process of clinical guidance system can promote the cultivation of senior clinical medical students.

Key words: the whole clinical process, tutorial system, senior class, undergraduate education, clinical medicine