Objective To investigate the current situation of the guidance of academic graduate students from an affiliated hospital of a university in Beijing, and put forward some suggestions to improve the quality of tutor guidance. Methods In July 2018, 185 academic graduate students in an affiliated hospital of a university in Beijing were investigated by questionnaire, including 68 master's degree and 117 doctor's degree. The questionnaire includes the basic information of graduate students and tutors, the detailed information of tutors guiding graduate students, and the satisfaction of graduate students with tutors' guidance. Results The time interval of tutor guidance was one or two weeks, and 65.9%(122/185) of the graduate students received independent tutor guidance, but more graduate students70.3%(130/185)expected to receive tutor guidance in the form of tutor guidance group. There was a statistically significant difference between The time interval of tutor guidance and the number of SCI papers published by graduate students, the sum of influence factors, and the number of SCI papers above Q2( P<0.05). There was a statistically significant difference between the opportunity of academic communication provided by tutor and the number of SCI papers published by graduate students and the sum of IF( P<0.05). Graduate students had a high degree of satisfaction with the tutor's guidance in general, and a relatively low degree of satisfaction with the tutor's opportunity to provide international academic communication. Conclusions It's very important that strengthen the tutor responsibility system of graduate training, regularly assess the tutor's guidance of graduate students, encourage the joint guidance of graduate students in the form of tutor group;and increase the opportunity of academic communication to promote the improvement of graduate research innovation ability.