Research Article A Critical Appraisal of Emergency Medicine Specialty Training and Resignation among Residents in Emergency Medicine in Turkey Murat Cetin , 1 Sercan Bicakci , 2 Mustafa Emin Canakci , 3 Mevlut Okan Aydin , 4 and Basak Bayram 5 1 Department of Emergency Medicine, Tekirdag State Hospital, Tekirdag, 59030, Turkey 2 Department of Emergency Medicine, Namık Kemal University, 59100, Tekirdag, Turkey 3 Department of Emergency Medicine, Eskisehir City Hospital, 26110, Eskisehir, Turkey 4 Department of Emergency Medicine, University of Health Sciences Bursa Yuksek ˙ Ihtisas Training and Research Hospital, 16330, Bursa, Turkey 5 Department of Emergency Medicine, Dokuz Eylul University, 35220, ˙ Izmir, Turkey Correspondence should be addressed to Murat Cetin; muratcetinn@gmail.com Received 1 December 2018; Accepted 27 January 2019; Published 17 February 2019 Academic Editor: Joe Nemeth Copyright © 2019 Murat Cetin et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background and Aim. Te 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. Te 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 scientifc journals (p=0.045) in their department. All participants thought that there were defcits in the training programs, and none of them declared regret for resigning. Twenty-eight participants (68.2%) continued their specialty training at a diferent discipline afer 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 scientifc resources. Tese obstacles can only be removed by cooperation of multiple institutions in Turkey. 1. Introduction Nonsatisfaction in emergency department (ED) physicians is a signifcant issue in many countries, which had been investigated in numerous studies [1, 2]. Current literature data suggest that working in shifs, unpredictable work environment, complex patient management, and violence in healthcare facilities are among the key factors that pave the way for physician burn-out. Te major consequences of burn-out in ED are decreased work motivation, deteriorated quality of care delivery, and attrition from ED labor [3, 4]. Attrition can be defned as refraining from emergency service clinical practice. In cases of attrition, physicians may shif to passive work positions or change their department of care service. Literature data suggests that attrition rate from emergency department practice is 1%-2% per year, and these rates could increase to 50% for 5 to 10 years-period [2]. Te literature on this issue is mainly based on the physicians’ conditions. But, burn-out and attrition among emergency department residents is an underrated feld, and to the best of our knowledge, no previous study had evaluated this critical issue in Turkey. Hindawi Emergency Medicine International Volume 2019, Article ID 6197618, 6 pages https://doi.org/10.1155/2019/6197618