Abstract: Modern higher medical education has developed its own basic law and characteristic for a century. This article objectively demonstrates the situations and problems of Chinese higher medical education based on the macro data and then argues the law of medical education should be followed and the “elite education” should be stuck to ; the two higher medical education models “mass education” and “elite education” do not solve the shortage of the excellent doctors; there still remain lots of challenges for designing the system of higher medical education in China.