Global developments in medicine and health shape trends in medical education. And in China education reform has become an important focus as the country strives to meet the basic requirements for developing a medical education system that meets international standards. Significant medical developments abroad are now being incorporated into the education of both domestic and international-medical students in China， which includes students from the districts of China's Hong Kong， Macao and Taiwan that are taught through mandarin Chinese as well as students from a variety of other regions that are taught through the English language. This latter group creates higher demands for both schools and teachers.

Unfortunately there is no consensus as to how to improve the level and quality of education for these students or even as to which English language materials should be used. Some teachers prefer to directly use original English language materials， while others make use of Chinese medical textbooks with the help of English language medical notes. The lack of consensus has emerged from the lack of English language medical textbooks based on the characteristics of modern medical education in China.