总住院医师培训是由住院医师成长为主治医师的重要阶段，总住院医师承担着医疗、教学和管理职责。随着内科专业化的不断增强、专科医师规范化培训的逐步开展，内科总住院医师培训受到一定的影响。本文通过调研北京大学医学部在培内科总住院医师和临床指导教师，了解了内科总住院医师的培训现状，发现了存在的问题，并提出了改进建议。“,”Chief residency is a critical step towards the attending in internal medicine. Chief residents play crucial roles in clinical, teaching and administration in internal medicine residency programs. The implement details of chief resident training system in Peking University Health Science Center were elaborated in this article. The necessity, responsibility, and competencies of chief residents were surveyed among chiefs on duty and among the clinical mentors. It was showed that the necessity of chief resident training was highly recognized, while some weakness was also identified.