ICJEM

The Intercontinental Journal of Emergency Medicine aims to publish issues related to all fields of emergency medicine and all specialties involved in the management of emergencies in the hospital and prehospital environment of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Evaluation of rotation experiences of emergency medicine specialist students
Aims: This study aims to analyze emergency medicine residents' rotation experiences and training deficiencies, propose recommendations to improve these processes and contribute to future research in this field.
Methods: This cross-sectional study was conducted between September 1 and November 30, 2024. Data were collected via a digital survey and analyzed under three main categories: sociodemographic characteristics, rotation experiences, and training adequacy. Statistical analyses were performed using SPSS version 15, with a significance level set at p<0.05.
Results: The majority of participants (n=130) were between the ages of 30-35 (50%) and male (61.5%). Most had 2-4 years of residency experience, and a significant portion of participants worked in Training and Research Hospitals and City Hospitals (56.9%). It was noted that in-service training during rotations was not consistently provided, with only 24.6% of participants reporting that they received training in every rotation. Supervision of rotation programs was found to be more prevalent in Training and Research Hospitals. The Anesthesia and Reanimation, Pediatrics, and Cardiology departments were identified as the most contributory to training, while the Radiology, Obstetrics and Gynecology departments were found to have limited contributions. Additionally, participants indicated that foreign rotations and departments such as Thoracic Surgery and Plastic Surgery should be added to the program. In contrast, departments like Neurology and General Surgery should be removed. Overall, it was concluded that rotations are more focused on filling service gaps rather than training, highlighting the need for improvements in duration, content, and supervision processes.
Conclusion: The extension of rotation durations, the structuring of in-service training, and the enhancement of supervision are recommended for emergency medicine residency training. While processes are evaluated positively in training and research hospitals, significant deficiencies in education and clinical infrastructure have been identified in medical faculties. Addressing these challenges and promoting inter-institutional collaboration is crucial for improving the efficiency of rotations.


1. Karcıoğlu Ö. Emergency medicine in our country: a summary of 26 years. J ADEM. 2020;1(1):19-31.
2. Naskali J, Palomaki A, Harjola VP, et al. Emergency medicine in Finland: first year experiences of specialist training. Eurasian J Emerg Med. 2014;13(1):26. doi:10.5152/jaem.2014.92679
3. Medical Specialty Board Website. Medical specialty training regulation archive, regulation of 1973 and its amendments, Official Gazette of the Republic of Turkey. April 30, 1993:5. Accessed November 16, 2024. http://www.tuk.saglik.gov.tr/pdfdosyalar/tuzukler/21567.pdf
4. Medical Specialty Board. Specialist training rotations. Accessed November 16, 2024. https://tuk.saglik.gov.tr/TR-89541/uzmanlik-egitimi-rotasyonlari.html
5. Aksay E, Sahin H, Kiyan S, Ersel M. Current status of emergency residency training programs in Turkey: after 14 years of experience. Eur J Emerg Med. 2009;16(1):4-10. doi:10.1097/MEJ.0b013e32830a7553
6. Sezik S, Aksay E, Temizyürek Z, Bilge A. Emergency medicine residency students' opinions on the effectiveness of rotations: a national survey. Turk J Emerg Med. 2012;12(1):8-15. doi:10.5505/1304.7361.2012. 93270
7. Altıntop I, Tatlı M. A different perspective on emergency department overcrowding: a survey study. JAMER. 2017;2(1):45-57.
8. Satar S, Cander B, Avci A, et al. Why specialty in emergency medicine is not preferred? J Acad Emerg Med. 2013;12(4):234-236. doi:10.5152/jaem. 2013.21548
9. Beştemir A, Aydın H. Annual 300 million patient examinations: evaluation of emergency department and outpatient clinic services in secondary and tertiary public health facilities in Turkey. Sakarya Med J. 2022;12(3):496-502. doi:10.31832/smj.1128439
10. Kekeçdil Z. Emergency medicine in all aspects (T&uuml;m Y&ouml;nleriyle Acil Tıp). Ankara, Turkey: Akademisyen Kitabevi; 2022:3. ISBN: 978-605-4649-15-0. doi:10.37609/akya.2055
11. Turkish Society of Emergency Medicine. Emergency medicine specialty training guide. 2nd ed. Ankara, Turkey: Akademisyen Publishing; 2021.
Volume 3, Issue 2, 2025
Page : 23-30
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