Abstract: China Consortium of Elite Teaching Hospitals (the Consortium) is dedicated to exploring the reform and development of graduate medical education and promoting the training of high-level medical talents in line with international standards and on the basis of standardized residency training.The Consortium has made in-depth efforts in deepening the collaboration of medical practice and medical education, promoting the commitment of competency-based medical education (CBME) and facilitating the establishment of milestone evaluation system. In this paper, the establishment of the Consortium Consensus on Core Competency Framework and the milestone evaluation system are expounded, and the challenges and prospects of the implementation of the competency framework and milestone evaluation system are analyzed. It is concluded that the establishment and implementation of the milestone framework will help the Consortium play a leading role in CBME and promote the overall medical education level in China.