Objective By evaluating the training of strain elastography, the key teaching points are analyzed, which can provide a reference for the training. Methods Eighteen residents and twenty-one refresher doctors were trained for ultrasound elastography. Scores of 100 cases were compared according to the results of chief physicians. Results Of the 100 breast lesions, 61 were benign and 39 were malignant. There was no significant difference between residents and refresher doctors (P＞0.05). Conclusions Good training methods, teaching contents, and teachers with rich experience in ultrasound elastography can enable residents and refresher doctors to master the elastography technology.