Abstract: Objective Evaluate the specialties of the surgery medical record and the common problems the medical students had in writing it, so as to accelerate the clinic teaching of the surgery department and increase the clinic skills of the students. Methods 912 cases of medical records written by the interns of PUMCH were summarized. The common problems and deficiency were evaluated. Combined with the specialties of surgical medical records, the methods and strategies in surgical medical records teaching are proposed. Results There were some common problems in the 912 cases of medical records. The medical history and case characteristic were tediously long and repeated. The physical examination is incomplete. The diagnosis discussion is too simple and lack of order. Conclusions The writing of surgical medical records has its characteristics, which should be evaluated in detail during the teaching and training of medical students. Combined with these characteristics, the surgical medical records should be taught and written under the rules of standard, ordered and integrated.