Objective To investigate the status and needs of training medical staff in county-level medical institutions in Guangxi to provide preferences for developing training programs. Methods Self-designed questionnaires were used to investigate a random sample of 477 medical staffs in 9 county-level medical institutions including People's Hospi-tals, Chinese Medical Hospitals, Maternity and Child Care Hospitals in Wuming, Liujiang, Rongxian counties. Re-sults 13% of the medical staffs had never participated in training; 28.1% of them were trained once a month; 50.7% of them were trained for less than a week. 39.4% of them expected to receive training once a year , 21.6% expected a week to half a month and 21.8% expected three months to six months. 60.4% of them expected to receive new knowl-edge and technique training. 73.6%of them expected to go to provincial hospitals for training and 57% of them expect-ed to receive extension study. Conclusion There are differences between medical staff training needs and status. Exist-ing questions are incomplete training coverage, too dense training frequency ,too short training period, medical staffs urgently need the training of continuing professional development, new technology and professional knowledge, and training effect is not obvious. We can establish medical staff in-service training incentives ,increase medical staffing and reform training methods to encourage and attract more medical staff to attend training.%目的：通过调查广西县级医疗单位医务人员培训现状及培训需求情况，为主管部门今后制订县级医务人员培训计划提供依据。方法对广西三个县的县人民医院、中医院、妇幼保健院共9个医院的医务人员采取随机抽样的方法，对抽取的477名医务人员进行培训现状与培训需求的问卷调查。结果在477名被调查的医务人员中，从未参加过培训的占13.0%，培训频率每月一次的占28.1%，培训时间不足一周的占50.7%。期望培训频率为每年一次的占39.4%；期望培训时间为一周至半个月的占21.6%，三个月至六个月的占21.8%。期望培训专业新知识/新技术的占60.4%；期望培训地点为省级医院的占73.6%；期望进行专科进修的占57.0%。结论县级医务人员培训现状与需求存在差异。培训覆盖不全，培训频率过密且培训周期过短，对专科进修和专业新知识新技术的培训需求迫切，培训效果不明显。可通过建立县级医疗单位医务人员在岗培训激励机制，增加医务人员编制和改革培训方式来鼓励和吸引更多的医务人员参加培训。
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