Abstract: Objective Explore the diversity between neurology residency of the first -class hospitals and the tertiary general hospitals and the under ones in Beijing who passed the clinical skill test after the standardized training on the second stage, for the purpose of providing data to make more scientific standardized resident training process and system. Methods 266 neurology residency from 45 hospitals in Beijing from the year2010 to 2015, on the second stage of the clinical skill test, were divided into two groups: 118 samples from the first-class hospitals, 148 samples from the tertiary general hospitals and the under ones. Data between the two groups were compared and analyzed by the overall pass rate; the rate of cases analysis and the auxiliary examination pass rates. Results 6years from 2010 to 2015, the overall pass rate is 79.70%, the cases analysis pass rate is 81.95% and the auxiliary examination pass rate is 91.35%, which goes up per year compared with the cases analysis pass rate. The pass rate of the group of the first -class hospitals is much superior to the other group both in the overall pass rate and the rate of cases analysis. Conclusion　the data collected between 2010 to 2015, the overall pass rate of the first-class hospitals was found to go up while the other group’s was fluctuation. Conclusions: Those weak in cases analysis, should participate in second passage of training to enhance the abilities of cases analysis.