A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in Turkey

Background and Aim. The nonsatisfaction among emergency medicine specialty trainees is an underrated issue in Turkey. Several previous studies have evaluated the burn-out and its consequences among physicians, but there is no study conducted with specialty trainees. The aim of this study is to evalu...

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Main Authors: Murat Cetin, Sercan Bicakci, Mustafa Emin Canakci, Mevlut Okan Aydin, Basak Bayram
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Emergency Medicine International
Online Access:http://dx.doi.org/10.1155/2019/6197618
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author Murat Cetin
Sercan Bicakci
Mustafa Emin Canakci
Mevlut Okan Aydin
Basak Bayram
author_facet Murat Cetin
Sercan Bicakci
Mustafa Emin Canakci
Mevlut Okan Aydin
Basak Bayram
author_sort Murat Cetin
collection DOAJ
description Background and Aim. The nonsatisfaction among emergency medicine specialty trainees is an underrated issue in Turkey. Several previous studies have evaluated the burn-out and its consequences among physicians, but there is no study conducted with specialty trainees. The aim of this study is to evaluate the reasons for resignation among emergency medicine specialty residents in Turkey. Method. A total of 41 participants, who resigned from emergency medicine residency, were contacted by phone and invited to complete an online survey that included 25 questions about personal characteristics and departmental information. Results. Most frequent reasons of resignation were violence/security concerns (63.4%), busy work environment (53.7%), and mobbing (26.8%). Participants who reported that they have resigned due to inadequate training were mostly over 30 years old (p=0.02), continued more than 6 months to EMST (p<0.001), reported that there was no regular rotation program (p=0.003) or access to full-text scientific journals (p=0.045) in their department. All participants thought that there were deficits in the training programs, and none of them declared regret for resigning. Twenty-eight participants (68.2%) continued their specialty training at a different discipline after resignation. Conclusion. Major barriers against a high-quality and sustainable emergency medicine residency are violence in emergency services, mobbing in academic or administrative bodies, and inaccessibility to scientific resources. These obstacles can only be removed by cooperation of multiple institutions in Turkey.
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institution Kabale University
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spelling doaj-art-8f7ef8bdc2b0409f9c491bb255afda922025-02-03T01:33:25ZengWileyEmergency Medicine International2090-28402090-28592019-01-01201910.1155/2019/61976186197618A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in TurkeyMurat Cetin0Sercan Bicakci1Mustafa Emin Canakci2Mevlut Okan Aydin3Basak Bayram4Department of Emergency Medicine, Tekirdag State Hospital, Tekirdag, 59030, TurkeyDepartment of Emergency Medicine, Namık Kemal University, 59100, Tekirdag, TurkeyDepartment of Emergency Medicine, Eskisehir City Hospital, 26110, Eskisehir, TurkeyDepartment of Emergency Medicine, University of Health Sciences Bursa Yuksek İhtisas Training and Research Hospital, 16330, Bursa, TurkeyDepartment of Emergency Medicine, Dokuz Eylul University, 35220, İzmir, TurkeyBackground and Aim. The nonsatisfaction among emergency medicine specialty trainees is an underrated issue in Turkey. Several previous studies have evaluated the burn-out and its consequences among physicians, but there is no study conducted with specialty trainees. The aim of this study is to evaluate the reasons for resignation among emergency medicine specialty residents in Turkey. Method. A total of 41 participants, who resigned from emergency medicine residency, were contacted by phone and invited to complete an online survey that included 25 questions about personal characteristics and departmental information. Results. Most frequent reasons of resignation were violence/security concerns (63.4%), busy work environment (53.7%), and mobbing (26.8%). Participants who reported that they have resigned due to inadequate training were mostly over 30 years old (p=0.02), continued more than 6 months to EMST (p<0.001), reported that there was no regular rotation program (p=0.003) or access to full-text scientific journals (p=0.045) in their department. All participants thought that there were deficits in the training programs, and none of them declared regret for resigning. Twenty-eight participants (68.2%) continued their specialty training at a different discipline after resignation. Conclusion. Major barriers against a high-quality and sustainable emergency medicine residency are violence in emergency services, mobbing in academic or administrative bodies, and inaccessibility to scientific resources. These obstacles can only be removed by cooperation of multiple institutions in Turkey.http://dx.doi.org/10.1155/2019/6197618
spellingShingle Murat Cetin
Sercan Bicakci
Mustafa Emin Canakci
Mevlut Okan Aydin
Basak Bayram
A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in Turkey
Emergency Medicine International
title A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in Turkey
title_full A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in Turkey
title_fullStr A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in Turkey
title_full_unstemmed A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in Turkey
title_short A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in Turkey
title_sort critical appraisal of emergency medicine specialty training and resignation among residents in emergency medicine in turkey
url http://dx.doi.org/10.1155/2019/6197618
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