Teaching modes of ultrasound medicine were constantly updated due to more and more strict requirements for the standardized training of residents. Medical record analysis was proved to be an effective and targeted method, which can improve the residents" comprehensive learning ability. In this paper, a combined teaching mode was established by applying medical record analysis in a flipped classroom, in which teachers instructed the ultrasonic residents to act as teachers who chose subjects, analyzed and discussed, in order to improve residents’s self-learning ability, communication and practical comprehensive skills. Thus the quality of standardized training was improved further and deeply.