Abstract: Monitoring evaluation, as a new assessment method, provides a data base for various types of education assessments. Its fundamental connotation is data-driven, supporting continuous improvement and multiple judgments. The establishment of monitoring evaluation in medical colleges and universities is essential for both external quality assessment and an inevitable trend for schools to strengthen internal quality monitoring, to improve the scientific self-evaluation, and to deepen medical education research and reform. Medical colleges and universities establish effective monitoring evaluation systems. The realization path is mainly guaranteed from three aspects: organization mode, data collection and analysis, and mechanism guarantee.