Abstract: Objective The critical clinical diagnosis and treatment remain unstandardized, and the teaching mode of critical clinical diagnosis and treatment in the remote area was investigated and summarised. Methods The Critical Care County Working Group had summarised seven protocols of critical clinical diagnosis and treatment, which have been taught in the hospital of the remote areas. The teaching mode included the theory, clinical case discussions, and simulated practice. The examination was used to assess the effect of the teaching mode. Results A total of 573 ICU doctors from 15 provinces participated in the teaching courses. The accuracy rate of the examination was 49% at the baseline, and the accuracy rate of the examination was 61% after the teaching course.Conclusion The critical diagnostic thinkings was poor in the remote area hospital，and the education should be further enhanced.The teaching mode of “medical theory -case discussion -simulated practice” could im-prove the ability of critical clinical diagnosis and treatment in the ICU doctors.

Key words: Critical care medicine teaching,satandarized training