Several influencing factors of ophthalmological novitiate were analyzed through the teaching reform and exploration in clinical novitiate in seven-year medical student of clinical medicine in 2006 grade,fiver-year students in 2004 and 2005,and students of stomatology in 2005 and 2006 grade,such as reform of medical care system and changes in medical model,arrangement for time of course and student’s own right,and the strong dependence of diagnosis of eye diseases on special inspection equipment.The strategies for the factors listed above were also summarized as respecting patients, obtaining the patient’s consent and cooperation by setting up a good physician-patient relationship;improving the hands-on ability by teaching and practicing on each other; reasonable arrangements for time of course and emphasizing focal and difficult points,and making up the shortage of not visiting operation by taking advantage of multimedia technology.It’s the best way to improve the effect of teaching in ophthalmology based on the increase of quality in novitiate that gives more chance to students of contacting with patients and practice,developing the ability of clinical thinking and communicating with patients,verifying the theory in clinical novitiate.