Objective: The establishment of medical qualification system is an important measure for the government to carry out the access controlof professional technicians in the medical and health professions. It is a relatively scientific and fair evaluation system. The managementspecialization, standardization and scientization of medical qualification examination have been improved ceaselessly, but still face manyproblems, whether from exam form, examination scope and examination content, or from the organization management of examination,etc. Compared with the mature physician practice examination in developed countries, there is a wide gap, which is badly in need ofstandardization, perfection and development. .Methods: By means of literature research and interview, this paper comprehensively analyzes the present situation of the qualificationexamination of medical teachers in China, and puts forward some countermeasures to solve the existing problems, aiming at providing usefulreference for qualified examiners.Results: Five measures to optimize the management of medical qualification examination are put forward. The government will improvethe legal system and system construction of medical teachers' qualification examination management, and strengthen the guidance andmanagement of the school. Give full play to the relevant functions of social services. Use the modern technology to improve the authenticityof the simulation, improve the students' education level, and strictly control qualification examination; Explore the classification managementsystem of practicing medicine teachers; Perfecting and reforming examination content and title design. To increase the knowledge ofhumanities and social science, to prevent medical knowledge and data application. Improve exam environment, strengthen examination andcredit system construction, carry out paperless examination, continuously improve exam environment.