Abstract:Objective：To explore the application effect of refined management in the teaching and management of clinical interns. Methods：A total of 68 clinical medicine interns from June 2023 to December 2024 in our hospital were enrolled in this study，and were divided into the control group（n=34）and the intervention group（n=34）. The quality of clinical internship teaching was monitored and controlled by establishing and improving the internship teaching management system and mechanisms，implementing standardized departmental teaching management norms，precisely refining internship management regulations，regularly conducting various teaching activities according to standards，providing accurate personalized skill training，and implementing process monitoring and feedback mechanisms. After the phased internship，the students underwent the assessment of theory and skills，and surveys were conducted on internship satisfaction and learning outcomes. Results：The intervention group achieved higher scores in both theoretical and skill assessments after three months of internship compared to the control group. In the satisfaction survey on learning outcomes，the intervention group showed higher satisfaction in terms of learning effectiveness，motivation，and satisfaction with teaching compared to the control group. Conclusion：Refined management is beneficial for the process management of clinical internships，through improving the learning quality of interns，and providing valuable insights for future clinical internship management，which could effectively enhance the quality of clinical internship teaching.