Purpose/Significance Aiming at the problem that students majoring in medical information engineering have weak medical software development ability, to explore the teaching reform of programming courses driven by the integration of competition and education, to cultivate students’ engineering thinking and problem-solving abilities. Method/Process Based on the analysis of students’ learning situation, the teaching process of integrating competition and education is proposed. Taking the mobile application design course as an example, the reconstruction of course content reflecting professional characteristics, the construction of experimental cases, and the reform of teaching methods and teaching evaluation are expounded. Result/Conclusion Students’ course design works exhibit distinct industry characteristics, and their academic competition scores have improved, verifying the effectiveness of the reform plan.