diff --git a/apps/miniprogram/src/components/ui/DoctorTabBar/index.scss b/apps/miniprogram/src/components/ui/DoctorTabBar/index.scss
new file mode 100644
index 0000000..e8af20b
--- /dev/null
+++ b/apps/miniprogram/src/components/ui/DoctorTabBar/index.scss
@@ -0,0 +1,52 @@
+@import '../../../styles/variables.scss';
+
+.doctor-tabbar {
+  position: fixed;
+  bottom: 0;
+  left: 0;
+  right: 0;
+  height: $tabbar-space;
+  background: $card;
+  display: flex;
+  align-items: flex-start;
+  padding-top: 6px;
+  padding-bottom: env(safe-area-inset-bottom, 0px);
+  box-shadow: 0 -1px 0 $bd, $shadow-md;
+  z-index: 999;
+
+  &__item {
+    flex: 1;
+    display: flex;
+    flex-direction: column;
+    align-items: center;
+    justify-content: center;
+    gap: 2px;
+    padding: 6px 0;
+    cursor: pointer;
+    -webkit-tap-highlight-color: transparent;
+
+    &--active {
+      .doctor-tabbar__icon {
+        transform: scale(1.15);
+      }
+
+      .doctor-tabbar__label {
+        color: $doc-pri;
+        font-weight: 600;
+      }
+    }
+  }
+
+  &__icon {
+    font-size: 22px;
+    line-height: 1;
+    transition: transform 0.15s ease;
+  }
+
+  &__label {
+    font-size: 10px;
+    color: $tx3;
+    line-height: 1.2;
+    transition: color 0.15s ease;
+  }
+}
diff --git a/apps/miniprogram/src/components/ui/DoctorTabBar/index.tsx b/apps/miniprogram/src/components/ui/DoctorTabBar/index.tsx
new file mode 100644
index 0000000..b416557
--- /dev/null
+++ b/apps/miniprogram/src/components/ui/DoctorTabBar/index.tsx
@@ -0,0 +1,47 @@
+import { View, Text } from '@tarojs/components';
+import Taro from '@tarojs/taro';
+import './index.scss';
+
+interface TabItem {
+  key: string;
+  icon: string;
+  activeIcon: string;
+  label: string;
+  url: string;
+}
+
+const DOCTOR_TABS: TabItem[] = [
+  { key: 'workbench', icon: '🏠', activeIcon: '🏠', label: '工作台', url: '/pages/pkg-doctor-core/index' },
+  { key: 'patients', icon: '👤', activeIcon: '👤', label: '患者', url: '/pages/pkg-doctor-core/patients/index' },
+  { key: 'consultation', icon: '💬', activeIcon: '💬', label: '咨询', url: '/pages/pkg-doctor-core/consultation/index' },
+  { key: 'settings', icon: '⚙️', activeIcon: '⚙️', label: '我的', url: '/pages/pkg-profile/settings/index' },
+];
+
+interface DoctorTabBarProps {
+  active?: string;
+}
+
+export default function DoctorTabBar({ active }: DoctorTabBarProps) {
+  const currentPath = `/${Taro.getCurrentPages().pop()?.path ?? ''}`;
+  const activeKey = active ?? DOCTOR_TABS.find((t) => currentPath.startsWith(t.url.replace('/index', '')))?.key ?? 'workbench';
+
+  const handleTab = (tab: TabItem) => {
+    if (tab.key === activeKey) return;
+    Taro.reLaunch({ url: tab.url });
+  };
+
+  return (
+    <View className="doctor-tabbar">
+      {DOCTOR_TABS.map((tab) => (
+        <View
+          key={tab.key}
+          className={`doctor-tabbar__item ${tab.key === activeKey ? 'doctor-tabbar__item--active' : ''}`}
+          onClick={() => handleTab(tab)}
+        >
+          <Text className="doctor-tabbar__icon">{tab.key === activeKey ? tab.activeIcon : tab.icon}</Text>
+          <Text className="doctor-tabbar__label">{tab.label}</Text>
+        </View>
+      ))}
+    </View>
+  );
+}
diff --git a/apps/miniprogram/src/pages/pkg-doctor-core/consultation/index.tsx b/apps/miniprogram/src/pages/pkg-doctor-core/consultation/index.tsx
index 1e04bf1..baaff75 100644
--- a/apps/miniprogram/src/pages/pkg-doctor-core/consultation/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-doctor-core/consultation/index.tsx
@@ -11,6 +11,7 @@ import LoadingCard from '@/components/ui/LoadingCard';
 import ErrorState from '@/components/ErrorState';
 import EmptyState from '@/components/EmptyState';
 import { useDoctorClass } from '@/hooks/useDoctorClass';
+import DoctorTabBar from '@/components/ui/DoctorTabBar';
 import { safeNavigateTo } from '@/utils/navigate';
 import { formatDateTime } from '@/utils/date';
 import './index.scss';
@@ -125,6 +126,7 @@ export default function ConsultationList() {
           ))}
         </ScrollView>
       )}
+      <DoctorTabBar active="consultation" />
     </View>
   );
 }
diff --git a/apps/miniprogram/src/pages/pkg-doctor-core/index.tsx b/apps/miniprogram/src/pages/pkg-doctor-core/index.tsx
index 5645eed..deb58d5 100644
--- a/apps/miniprogram/src/pages/pkg-doctor-core/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-doctor-core/index.tsx
@@ -7,6 +7,7 @@ import { usePageData } from '@/hooks/usePageData';
 import { getDashboard, type DoctorDashboard } from '@/services/doctor/dashboard';
 import Loading from '@/components/Loading';
 import ContentCard from '@/components/ui/ContentCard';
+import DoctorTabBar from '@/components/ui/DoctorTabBar';
 import ShortcutButton from '@/components/ui/ShortcutButton';
 import TodoAlert from '@/components/ui/TodoAlert';
 import './index.scss';
@@ -137,6 +138,7 @@ export default function DoctorHome() {
           )}
         </View>
       </ScrollView>
+      <DoctorTabBar active="workbench" />
     </View>
   );
 }
diff --git a/apps/miniprogram/src/pages/pkg-doctor-core/patients/index.tsx b/apps/miniprogram/src/pages/pkg-doctor-core/patients/index.tsx
index 6920d58..724ad7e 100644
--- a/apps/miniprogram/src/pages/pkg-doctor-core/patients/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-doctor-core/patients/index.tsx
@@ -11,6 +11,7 @@ import LoadingCard from '@/components/ui/LoadingCard';
 import EmptyState from '@/components/EmptyState';
 import Loading from '@/components/Loading';
 import { useDoctorClass } from '@/hooks/useDoctorClass';
+import DoctorTabBar from '@/components/ui/DoctorTabBar';
 import './index.scss';
 
 const AVATAR_COLORS: Array<'pri' | 'acc' | 'wrn' | 'dan'> = ['pri', 'acc', 'wrn', 'dan'];
@@ -169,6 +170,7 @@ export default function PatientList() {
           {loading && patients.length > 0 && <Loading />}
         </ScrollView>
       )}
+      <DoctorTabBar active="patients" />
     </View>
   );
 }
diff --git a/apps/miniprogram/src/pages/pkg-profile/settings/index.tsx b/apps/miniprogram/src/pages/pkg-profile/settings/index.tsx
index 86c95d1..5a10cfb 100644
--- a/apps/miniprogram/src/pages/pkg-profile/settings/index.tsx
+++ b/apps/miniprogram/src/pages/pkg-profile/settings/index.tsx
@@ -6,11 +6,13 @@ import { useAuthStore } from '../../../stores/auth';
 import { invalidateHeadersCache, clearRequestCache } from '@/services/request';
 import { useElderClass } from '../../../hooks/useElderClass';
 import PageShell from '@/components/ui/PageShell';
+import DoctorTabBar from '@/components/ui/DoctorTabBar';
 import './index.scss';
 
 export default function Settings() {
   const modeClass = useElderClass();
   const logout = useAuthStore((s) => s.logout);
+  const isMedicalStaff = useAuthStore((s) => s.isMedicalStaff);
 
   const handleClearCache = async () => {
     const { confirm } = await Taro.showModal({
@@ -99,6 +101,7 @@ export default function Settings() {
           <Text className='settings-label logout-label'>退出登录</Text>
         </View>
       </View>
+      {isMedicalStaff() && <DoctorTabBar active="settings" />}
     </PageShell>
   );
 }