Abstract: The development of medical imaging plays an important role in modern clinical diagnosis. It is one of the objectives for the current medical imaging residents to master skilled imaging knowledge and good clinical thinking.However, there are many questions for residents in the clinical practice of medical imaging. This paper analyses the characteristics of clinical medical imaging residents, the common questions in medical imaging practice, including learning enthusiasm of residents, teaching awareness of teacher, teaching modeand cultivation system, and their reasons, meanwhile provides the concrete improving measures. It has profound significance for improving the clinical thinking of medical imaging residents.