Abstract: Objective To investigate the main problems existing in the standardized resident training and to improve the resident-clinical teacher two-way evaluation system. Methods Two-way evaluation was adopted using two-way appraisal scale to assess the performances of both clinical teachers and residents involving in standardized resident training program from October, 2012 to March, 2016 in a Grade 3 Class B hospital. Results Residents' evaluation on clinical teachers:teachers' dignity of manner or appearance, medical ethics and moral, and being demanding and being concerned about residents gained the highest scores, but the ability of scientific research and academic writing the lowest. Residents' evaluation on the departments' teaching quality:clinical teachers allocation as required and departments' directors' paying much attention to teaching gained the highest scores, but departments orientation training the lowest score. Clinical teachers' evaluation on residents:medical ethics and moral and professional attitudes were on the top of the list, but the clinical skills, analyses and decision making hit the bottom. Conclusion Clinical teachers' teaching ability and methods need further improvement. Cultivation of students' scientific research ability and academic writing skill should be emphasized.Much attention should be paid to the orientation training and residents' clinical skills cultivation. Two-way evaluation system could improve the teaching quality.