Introduction: Nowadays medical education programs are developed with an emphasis on building competencies required of medical students. Competencies which are needed to perform their tasks as a physician. These competencies are mere than clinical skills, including communication skills, cooperation and management . This study aims to identify the managerial skills are needed by medical students.

 Methods: This study is a qualitative study. Samples were selected using classified method that included medical students and doctor–managers, doctors who have managerial positions in health system. A total of 13 semi-structured interviews with physicians and 3focus group discussions with 19 students, were conducted. Data were analyzed using framework analysis and Atlas-Ti 5.2 software.

 Results: The main themes emerged included the need for management skills to medical students, managerial skills training barriers and medical students' managerial skills needs including six sub-themes: technical skills, human resource management, communication skills, negotiation and contracting, team building and teamwork, planning and leadership.

 Conclusions: All participants in this study have positive attitude toward training of managerial skills requirement to medical students and belived that tranng by avoiding were theoretcally, should be presented practically, as well as focusing more attention to change attitude.