Purpose/Significance To assess the current status of clinical fellowship，and to provide empirical evidence for targeted improvement of teaching management. Method/Process Textual evaluation data are collected from clinical fellows. BERTopic and a Chinese pre-trained language model are used to perform topic modeling and sentiment analysis. An improved importance-performance analysis approach is then applied to construct a “topic attention-sentiment satisfaction” matrix，and keyword co-occurrence analysis is conducted on negative texts of low-satisfaction topics. Result/Conclusion Six topics are identified and classified into four quadrants: strengths to be maintained，key areas for improvement，areas for moderate enhancement，and secondary optimization areas. It is recommended that clinical fellowship management focus on consolidating faculty strengths，expanding clinical and research opportunities，and optimizing both management processes and the learning support environment.