Evolving Paradigms in Emergency Medicine Residency Programs in Taiwan: A Comparative Study of 2003 and 2021.

Background: 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.

Methods: 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.

Results: 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.

Conclusions: 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.