Objective To analyze the implementation of standardized training for specialists in Shanghai, the problems and gaps in management, and relevant countermeasures. Methods This is a retrospective analysis of the standardized training for specialists in Shanghai from 2013 to 2023, including the establishment of specialized colleges (including sub specialized colleges) and bases, recruitment of training subjects, graduation, rotation of training, and their satisfaction with training. Results As of 2023, a total of 466 specialists training bases had been identified, covering 35 tertiary medical institutions in Shanghai, with 66 specialties set up. All of them had basically completed seamless integration with standardized training subjects for residents, achieving full coverage of clinical specialties. From 2013 to 2022, a total of 9 656 specialists were recruited, 5 647 of them had completed their studies. Out of 3 867 specialists from 2019 to 2022, 3 551(91.83%) of them came from their own hospital. A total of 1 741 specialists had completed all training rotations and participated in the comprehensive ability assessment for graduation from 2021 to 2023, 1 576(90.52%) of them were assigned with fixed tutors, 1 644(94.43%) of them were satisfied or mostly satisfied with the management of their training hospitals. Conclusions At present, the standardized training of specialists in Shanghai has formed a training management system led by the health administrative department and academic associations. The overall implementation status is remarkable, but it is necessary to improve and develop mechanisms for its management and operation from aspects such as improving the training system framework, strengthening process management, and faculty development, and more importantly, to advocate for its important position and role from laws and regulations.