The Taiwanese formal medical education system can be traced back to 1897, and 13 medical schools have been developed in 122 years. The system experienced a cultural shift from Japanese to American culture. The system began with a trial phase of postgraduate medical education and faced the challenge of obtaining international medical accreditation. Finally, it developed into the current combined system of a 6-year undergraduate year and a 2-year postgraduate year program. This innovation included entrance interviews to scrutinize the applicants´ cast of mind, a liberal arts education to ensure the sophistication and virtue of medical students, a system-integrated basic and clinical education to hone their clinical expertise, and continued education to enhance the core clinical competencies of medical professionals. Prospectively, the Joint Commission of Taiwan aims to cooperate with experts on medical education to investigate in detail each period of education, training, and system transition. It is also expected that medical doctors will be driven to uphold the values of healthcare; correct value distortions in the care system; and through life-long learning, achieve fulfillment and accomplishment in their medical careers.