Abstract: Objective To evaluate the effects of overall clinical clerkship and rotations within the difference hospitals, to analyze the factors influencing students' motivation of learning in clinical settings.Methods We used modified Clinical Clerkships' Evaluation Questionnaire (CCEQ) , and Clinical Learning Evaluation Questionnaire (CLEQ) to assess the effects of clinical clerkship and learning.Both questionnaires items using a five-point Likert scale were administered to a sample of students (n=100) from Kunming Medical University.Results There were 63.5% students agreed that they got the good clerkships' quality;Over 70% students agreed that the abilities of History taking, Clinical reasoning and Patient-doctor relationship were improved.The overall the internal consistency of the CCEQ is high (Cronbach's alpha=0.784) .There was no statistical significant difference in Organization of clinical activities (P>0.05) , but there were statistical significant differences in the Authenticity of clinical experiences, Case-based problem solving learning (PSL) and Supervision (P<0.05) between the provincial and county hospital.There were 11 factors influencing the learning motivation of students, Express myself and Respected by teachers were highly related to the learning motivation.Conclusions In order to promote the clerkship's quality, we should improve the clinical clerkship organization and supervision, make students integrate into clerkship, and stimulate learning activity.