Objective To explore the employer's satisfaction of residents graduated from standardized residency training in medical institutions in Hubei Province, evaluating its quality and informing continuous improvement. Method From August to September 2024, a questionnaire survey was conducted on residents who completed standardized training and obtained qualification certificates at Zhongnan Hospital of Wuhan University from 2020 to 2024, using general information survey questionnaires and satisfaction evaluation indicators from employers. Independent sample t-tests, analysis of variance, and other methods were used to compare the differences in scores of resident physicians with different characteristics. Results A total of 294 resident physicians were evaluated by 42 medical institutions in 14 cities in Hubei Province. The overall score of the competency of graduated resident physicians by medical institutions was 4.76±0.25. Among them, the highest score for professional ethics was 4.88±0.31 and the lowest score for comprehensive quality was 4.70±0.31. Among all the items, the scores for clinical research ability (4.30 ±0.58), information technology ability (4.51±0.51), medical professional English ability (4.53 ±0.67), and leadership, organization, and coordination ability (4.53±0.52) were relatively low.In terms of professional knowledge , professional ability and professional ethics, the score of resident physicians in our unit were higher than that of resident physicians recruited from the society, clinical medicine master's degree graduate students, and commissioned resident physicians [(4.99±0.09) vs. (4.65±0.49), (4.64±0.54), (4.64±0.46); (4.94±0.12) vs. (4.65±0.46), (4.66±0.49), (4.71±0.40); (4.96±0.02) vs. (4.83±0.35), (4.81±0.41), (4.80±0.35)], and the differences were statistically significant (all P<0.001). In terms of interpersonal communication, there was a statistically significant difference in the scores of resident physicians from different professional bases (P<0.001), with the highest score being from the general practice base (4.88±0.30). Conclusions Medical institutions in Hubei Province have a high evaluation of the competency of resident physicians, but there is still significant room for improvement in their research ability, information technology ability, medical English proficiency, and leadership, organization, and coordination ability. There are still differences in the professional knowledge and ability of different identity types, as well as in the interpersonal communication ability of different professional bases.