Abstract: Objective To investigate the implementation status of the 2022 edition of the Standardized Residency Training Content and Standards in emergency medicine residency training bases and to identify existing challenges, in order to provide evidence for future optimization of the standards. Methods A cross-sectional questionnaire survey was conducted among teaching administrators and residents from emergency medicine residency training bases nationwide. The questionnaire covered perceptions of standard implementation and practical challenges, implementation and effectiveness of teaching measures, as well as evaluation and reform suggestions regarding the assessment system. Results A total of 156 valid responses were collected. Most respondents (97.44%) agreed that clinical competency should serve as the core training objective. Approximately 38.46% supported allowing moderate regional flexibility within a unified national framework. During implementation, insufficient teaching incentives and heavy clinical and research workload was identified as major challenges (62.18%). Most teaching activities were routinely implemented, and practice-oriented activities were more frequently rated as effective compared with some theory-based activities. Regarding assessment, 83.33% recommended that process evaluations be tailored by individual training bases, and 78.21% supported increasing the proportion and difficulty of case-based analysis. Conclusions The overall philosophy of the emergency medicine residency training standards has been widely recognized. However, further improvements are needed in institutional support, teaching optimization, and competency-oriented assessment reform. The findings of this study provide practical evidence for future revision of the standards and continuous quality improvement in residency training.

Key words: standardized residency training, emergency medicine, training standards, core competency, medical education reform