Objective To investigate the value of Broome-Tumey question mode combined with PACS in the training of resident doctor of Radiology. Methods A total of 30 graduate students and residents were random divided into the experimental group and the control group in the radiology department of Peking University Third Hospital in 2019. The experimental group participate in the attending physician' s teaching rounds based on broome-tumey question mode combined with PACS, and the traditional teaching rounds were taught by the same attending doctor. The qestionnaires were used to evaluate the subjective feelings of the two groups, and the scores of the post-rounds quiz and departmental rotation examination were used to asses the two teaching rounds mode. Results The scores of all aspects of the questionnaire in the experimental group were higher than those in the control group [like the teaching mode (4.50 ± 0.22) vs.(3.86±0.21),independent thinking ability (4.55 ± 0.26)vs.(3.44 ± 0.30), knowledge mastery level (4.07 ± 0.14) vs. (3.89 ± 0.16) , knowledge application ability (4.51 ± 0.23) vs. (3.78 ± 0.23) , and diagnostic level: (4.53 ± 0.21) vs. (3.70 ± 0.20)], the differences were statistically significant (all P<0.05). The score of post-rounds quiz in the experimental group was significantly higher than the control group [(86.35±2.91)vs.(81.72±2.21), P<0.01]. The departmental rotation examination score in the experimental group was significantly higher than the control group[(92.32±2.79)vs. (87.91±2.46),P<0.01]. Conclusions Based on Broome-Tumey question mode with PACS teaching rounds could broaden and consolidate the knowledge of residents and improve the clinical diagnosis ability of resident doctors.