The urgency of the thesis: In our previous studies at Hai Phong University of Medicine and Pharmacy, there were manny disadvantages in clinical teaching - learning: the number of students has been increasing; clinical practice has restrictedly; Sometimes the patient refuses to be asked by students; Lack of clinical teachers in both quantity and quality; Limitation in supervision and clinical teaching-learning... In our understanding, there have not been any studies that fully describe the status and factors affecting clinical teaching-learning, especially interventions to improve the quality of clinical teaching.