1, the first level of medical malpractice appraisal China's "Regulations on the Treatment of Medical Malpractice" stipulates that: the municipal level of the municipal local medical associations and provinces, autonomous regions, municipalities directly under the jurisdiction of the county (city) local medical associations are responsible for organizing the first medical malpractice technical appraisal work. In other words, if a medical dispute occurs in a city district, then the medical association in the district is responsible for medical malpractice appraisal work; if a medical malpractice occurs in a city that is not set up a district, or a county, the medical malpractice appraisal organization should be the local city or county health bureau of the medical association. As a result of hierarchical appraisal, appraisal issued after the medical malpractice appraisal, respectively, xx city xx district medical malpractice appraisal, or xx city, xx county medical malpractice appraisal! 2, the second level of medical malpractice appraisal if the initial medical malpractice appraisal If not convinced of the conclusions of the medical malpractice appraisal, often in the appraisal of the last page of the instrument, the provisions of the parties can be in the 15 days to the province, autonomous regions and municipalities directly under the Central Medical Association, to apply for re-appraisal, by the provincial medical associations. Re-appraisal of the application, the provincial medical association is responsible for the organization of appraisal work again. This is the second level of medical malpractice appraisal. Provincial medical malpractice appraisal procedures and city and county level medical malpractice appraisal procedures are the same, the appraisal institutions are often set up in the local provincial capitals, municipalities directly under the Central Health Bureau, or the Medical Association, issued medical malpractice appraisal defendant: xx province (autonomous region) medical malpractice appraisal. 3, the third level of medical malpractice appraisal of medical malpractice in our country's "medical malpractice regulations" in the provisions of the regulations, but also stipulates that the Chinese Medical Association can be organized in the difficult, Complex and nationally significant medical malpractice disputes in the technical appraisal work. This is the third level of medical malpractice appraisal! However, with the first two levels of medical malpractice appraisal process is different, the Chinese Medical Association to accept the medical malpractice appraisal and two conditions: First, is not convinced that the city and county-level medical malpractice appraisal and provincial medical malpractice appraisal of the identification, that is, the first two levels of medical malpractice appraisal have been done! Chinese Medical Association is not directly as the first and second appraisal level, directly accept the medical malpractice appraisal; Second, the Chinese Medical Association to accept the appraisal of the case, can only be difficult medical records, complex and in the country has a significant impact on the medical dispute cases. Meet the "major, complex, difficult" standard is not easy, therefore, the Chinese Medical Association accepted the medical malpractice appraisal of the number of cases is very small. The number of medical malpractice appraisal cases accepted by the CMC is very small. Ordinary medical disputes rarely enter the scope of appraisal of the CMC. Therefore, patients and their families for the Chinese Medical Association of medical malpractice appraisal do not report too many fantasies, from the legal practice of medical disputes, the Chinese Medical Association is basically impossible to accept the local, all over the country, so want to do medical malpractice appraisal of the appraisal of the energy in the city, county, provincial-level medical malpractice appraisal, if you are counting on the Chinese Medical Association, I'm afraid that not very realistic.