Along with its rapid social changes, the issue of medical education is also experiencing inevitable evolutionary hardships in contemporary Taiwan. Especially, the development of physicians is also crucial and should not be disregarded. In this sense, we highlighted and elaborated on the following significant issues and applied them as reference points for future discussions. 1. The development of physicians being most likely influenced by the interactions of social changes, political economy, bureaucratic regulations, and innovations of high technology is inevitable. Thus, we would like to discuss: 1) the pros and cons of taking the National Board Examination before internship; 2) the influence of National Insurance Policy on the training of physicians; 3) the influence of various board examinations on the development directions of physicians; 4) the influence of teaching hospitals' accreditation system and review criteria on the development of physicians. 2. The deterioration and attenuation of both the doctor-patient relationship and medical ethics in our society are reputed to be attributable to the lack of psychosocial coners in medical care. Thus, our discussion would help to rethink the possibilities of diverting the orientation of medical care from a biochemical approach to a more humanistic biopsycho-social model. 3. How to encourage medical professionals to pursue lifelong educational goals and further, to broaden their social participation thereby helping to fulfill social responsiblilities merited discussion. Finally, we propose the purpose of this article is to point out that this is only a 'tip of the iceberg' effect. Therefore, it is subject to further discussion.