ArticleInternal and emergency medicine2026
"Missing the forest for the trees" Is there any crisis of vocation for Emergency Medicine in Italy?
Article in Internal and 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.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
6 authors.
Funding
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Abstract
In recent years, several stakeholders in Italy have suggested a crisis of vocation for Emergency Medicine (EM). This study aimed to verify the accuracy of such claims. We conducted an observational cross-sectional study on data from the Italian national test for residency positions assignments from 2019 to 2025. We analyzed trends in the number of medicine graduates, participants in the national test and available and filled training positions. We then compared EM to other residency programs and four "competitors" considering the ratio among filled and available positions; the absolute and relative variation in available and filled positions; the rate of filled positions over the number of exams' participants. From 2019 to 2025 training positions grew, while the number of medical school graduates remained stable, the number of candidates decrease and was outnumbered by training positions in 2023-2024. The rate of filled positions in EM dropped from 90% in 2019 to 25% in 2024, then increased to 47% in 2025. Available positions in EM increased from 391 in 2019 to 954 in 2025, at a faster rate than most residency programs. EM absolute filled positions grew from 2022 to 2025, at a faster rate than most competitors. Recent years high rates of unfilled positions in EM is related to the abrupt increase in available positions. Our findings do not confirm a vocational crisis for EM in Italy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.