Objective To analyze the bottleneck of ideological and political education in medical virtual simulation experiment projects in Jiangsu Province and propose the optimized path. Methods Taking the medical projects of Jiangsu Province medical virtual simulation experiment platform as an example， the contents of the declaration form were sorted out by thematic framework analysis based on Kiegaldie’s 4P education model. Results Ideological and political education was widely carried out in medical virtual simulation experiments，83%（25/30） of the projects reflected this. The ideological and political themes of medical virtual experiments were mainly scientific research literacy and medical humanities. The ideological and political evaluation system of medical virtual simulation experiment courses was not perfect. Only 30%（9/30） of the projects contained ideological and political evaluation indicators and humanistic literacy was the main factor，and the evaluation content was too simple. Conclusion Ideological and political education in medical virtual simulation experiment projects still have difficulties such as the modulization of teaching design and teaching method，teaching goal generalization and the fragmentation of teaching evaluation. It is necessary to further optimize the teaching content of experimental design，experimental objective，experimental method，and experimental evaluation，so as to improve the ideological and political education quality of the medical virtual simulation experiment course.