Abstract： The cover letters from 123 affiliated medical institutes in 57 Universities were selected.The departments giving cover letters or signing and the contents of academic standard in the cover letters were summarized and analyzed. It found that the departments were not unified and the contents of the academic standard were little. The same standard was deficient about violation of the academic standard in manuscripts. In this paper it was proposed that the Universities should make standard for the cover letters from their affiliated medical institutes. It could decrease the violation of the academic standard.