Abstract: Objective To understand current situation of group development and management for school physician in primary and secondary schools in Guangzhou,and to provide basis for team development of school physicians.Methods A combination of questionnaires (quantitative) and field investigation (qualitative) were adopted.All schools in Guangzhou were investigated.Two primary school,as well as 2 junior and 2 senior high schools in each district of Guangzhou were selected for questionnaire survey.Results About 40.3% of all the 1 225 primary and secondary schools had full-time and part-time school physicians (n =689).Two-hundred and fifty three (62.3%) secondary schools (including vocational) schools employed full-time school physicians,and the number was 128 (16.1%) for primary schools.Rate of school physician in secondary schools was higher than that of in primary schools(x2 =236.36,P<0.01).Only 44.3% of all the schools in Guangzhou had at least 1 school physician per 600 students.Among the 1 323 school physicians,930 (70.3%) were female,565 had professional certificates as junior (52.04%),intermediate (35.93%) and senior (1.6%);61.95% of them had tertiary education and 0.7% had master degree.Nearly 83.6% of all schools admitted health services from existing school physician did not meet student demand.School physician employment needed to be improved,especially the independent employment mode among most schools.Conclusion School healthcare system in primary and secondary schools in Guangzhou need to be improved.Multi-channel employment might be helpful for team development of school physicians.