Transition from Junior to Senior Residency in Emergency Medicine: Requirements, Challenges and Recommendations

Residencies in Emergency Medicine (EM) teach the fundamental skills, knowledge and humanistic qualities that make up the fundamentals of the practice of EM. EM residents are nurtured to develop clinical confidence and maturity, sound judgment, as well as technical skills and capabilities. The training encompasses several domains, namely, medical knowledge, patient care, communications, professionalism, evidence-based learning as well as systems-based practice. Besides these, there are many other capabilities which are not formally taught but is learnt through observation, role- modelling or specific targeted opportunistic initiatives which may come about. In transitioning from junior residency (the first 3 years) into senior residency, there may be many challenges to negotiate. It is crucial for residents as well as faculty and supervisors to plan this transition and chart the course together, ensuring an open/ nurturing mentorship and relationship, which is as seamless as it can be.

Keywords: Emergency medicine; Residency; Professionalism; Conscious practice; Feedback