Chou Chia-Hao, Chen Cheng-Jen, Shi Wei-Ting, Hsu Chia-Hsiang, Huang Po-Chang, Ma I-Chun, Hong Ming-Yuan
National Cheng Kung University Hospital Department of Emergency Medicine College of Medicine, Tainan Taiwan.
Kaohsiung Veterans General Hospital Department of Emergency Medicine Tainan Branch, Tainan Taiwan.
J Acute Med. 2025 Jun 1;15(2):52-57. doi: 10.6705/j.jacme.202506_15(2).0002.
The observational study examines the evolution of emergency medicine residency programs in Taiwan, comparing key program attributes between 2003 and 2021. To identify significant changes in emergency medicine resident program structure, educational resources, and operational aspects.
According to the previous study carried out in 2003, we conducted a comprehensive analysis of 22 specified items across four domains: contact information, training content, faculty and research, and patient care and benefits, comparing key program attributes between 2003 and 2021. Chi-Square test used for the categorical variables statistical analysis.
The proportion of programs detailing faculty descriptions increased markedly from 63% in 2003 to 95% in 2021, while the mention of residency director roles rose from 4% to 32% in the same period. Conversely, the detailed enumeration of faculty numbers and elective course features saw a decline. Furthermore, the study identified stable areas, such as benefits other than salary and patient numbers, suggesting established standards or external limitations.
The substantial improvements in program structure and educational resources highlight ongoing efforts to enhance training quality and adapt to the changing healthcare landscape. This study contributes valuable insights into the progression of emergency medicine residency.
这项观察性研究考察了台湾地区急诊医学住院医师培训项目的发展情况，比较了2003年至2021年期间关键项目属性。以确定急诊医学住院医师培训项目结构、教育资源和运营方面的重大变化。
根据2003年进行的先前研究，我们对四个领域的22个特定项目进行了全面分析：联系信息、培训内容、师资与研究以及患者护理与福利，比较了2003年至2021年期间的关键项目属性。采用卡方检验进行分类变量的统计分析。
详细描述师资情况的项目比例从2003年的63%显著增至2021年的95%，同期提及住院医师培训主任职责的比例从4%升至32%。相反，师资数量和选修课程特点的详细列举有所下降。此外，该研究确定了一些稳定的方面，如薪资以外的福利和患者数量，这表明存在既定标准或外部限制。
项目结构和教育资源的大幅改善凸显了为提高培训质量和适应不断变化的医疗环境所做的持续努力。本研究为急诊医学住院医师培训的进展提供了宝贵见解。
