Background and Purpose: Today, the competency of managers has become a key issue in various academic systems. However, so far, no comprehensive study has been conducted on research on the competence of managers in foreign studies. In addition, no study has been conducted on the competencies of medical university administrators with content analysis strategy. Therefore, the purpose of this study is a systematic review of studies conducted in the field of competency of managers in research abroad, then content analysis and categorization of findings to provide a model for managers of the University of Medical Sciences. Method: The present qualitative research has been compiled in two steps. In the first step, using the system review method, the keyword competencies managers were searched in the databases: Science Direct, Google Scholar, ERIC in the period 2006-2020, and out of 138 studies, 60 studies finally reached the final analysis. In the second step, using the thematic analysis method, the key concepts of 60 articles were extracted and categorized into the main themes. findings: The main themes of the competencies of the managers of the University of Medical Sciences in eight categories; Personality competencies, technical competencies, managerial competencies, financial competencies, organizational development competencies, interactive competencies, human resource competencies and entrepreneurial competencies are classified with 304 key concepts. Conclusion: Given the key role of universities in the development of diverse ecosystems, it is considered very important to pay attention to the competencies of managers who are at the forefront of decision-making and decisionmaking in medical universities. Based on the findings of this study, by categorizing the eight competencies, it is necessary for the authorities to take steps to improve the efficiency and effectiveness of medical universities by basing these competencies in selecting managers and adopting policies in this field.