Abstract: Graduate education is the main way for the country to cultivate high-level talents. In recent years, with the expansion of the scale of graduate students, especially medical students and physicians standardized categories merged culture development,full-time graduate students in medical colleges will face class management mode reform. Horizontal standard classroom management discipline divided by entry year cannot fully adapt to the needs of development and management.Discipline-based classes become one of the longitudinal modes in graduate medical colleges.According to the basic law of expansively enrolled students and practical development condition,the paper analyzes the advantages and disadvantages of the longitudinal graduate class management aiming to expand the reform of graduate administrative construction.