Each local province had one doctor, and the doctor was, just the same as Tenyakuryo, responsible for training students of medicine, whose number differed according to the size of the province (10 students for an ultra-large province/8 for a large province/6 for a middle-sized province/4 for a small province).
国医師は各国1名で典薬寮と同様に医生の設置（大国10・上国8・中国6・小国4）が置かれて医師育成にもあたった。