ArticleInternational journal of emergency medicine2026
Profiles and motivations of residents transitioning to or from emergency medicine: a nationwide survey in France.
Article in International journal of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
10 authors.
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Abstract
backgroundMedical residents can change specialties during their training under certain conditions in many countries. However, the characteristics and underlying motivations driving these specialty changes remain poorly understood. This study aimed to assess the factors influencing residents’ decisions to join or leave the emergency medicine (EM) program, and the impact of specialty transition.
methodsThis study was a nationwide e-survey targeting residents enrolled in an EM program in France (2017–2024). The survey included 37 questions structured into five key domains: personal quality of life, professional quality of life, specialty practice, education and training, and specialty perception. An anonymous online questionnaire was disseminated through the program directors, regional health agencies, and resident associations and unions.
resultsA total of 453 residents from 28 academic subdivisions participated, including 204 residents who underwent a specialty change (146 entered and 58 left the EM program). Family medicine was the most common origin specialty for those entering EM (89.1%) and the primary destination specialty for those leaving (53.5%). The key motivations for transitioning into EM included a preference for emergency decision-making (97%), the technical aspects of the specialty (96%), and its transversal nature (90%). The primary reasons for leaving EM were concerns about health/fatigue (86%), work-life balance (80%), and the nature of physician-patient relationships (78%).
conclusionThe EM specialty attracts residents who are drawn to its technical demands and versatility. However, factors such as work-life balance, fatigue, and the nature of patient interactions contribute to attrition from the specialty.
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