Background
The increasing demographic burden of elderly individuals requiring medical care, coupled with a shortage of healthcare professionals in Denmark, necessitates innovative approaches to attract, retain, and develop healthcare professionals in the emergency department (ED). A survey conducted at the ED at Slagelse Hospital revealed the need for a revised and enhanced introduction phase, improved transparency in the individual employee's education plan, and a more systematic approach to training and competency documentation.
This study aimed to develop and implement a new education strategy in the ED, focusing on three key areas: 1) the introduction and utilization of competency cards, 2) systematic competency documentation, and 3) enhanced transparency in the education plan. The effectiveness of the strategy was evaluated through surveys.

Methods
The new education strategy was based on the Learning Pyramid from the National Training Laboratories, incorporating various learning methods such as self-studies, demonstrations, simulation training, and supervised daily practice. The onboarding period was extended from 4-6 weeks to one year. Implementation was supported by the department head and three specialty nurses, with continuous feedback from staff and teachers. The strategy was implemented on January 1, 2023.

Results
Questionnaires were administered at baseline, after the introduction period, and upon completion of two out of five competency cards. The results demonstrated an overall improvement in healthcare professionals' perceived competence in providing reception, care, and treatment to acute patients. They reported a greater understanding of their future competency development opportunities and the department's expectations. Furthermore, the staff expressed a long-term commitment to their employment in the department and a higher likelihood of recommending it to others.

Conclusion
To effectively retain healthcare personnel in the emergency medicine, it is crucial to establish transparency in the long-term training plan for newly hired individuals, allowing them to further develop their competencies. Extending the onboarding period to one year and utilizing competency cards can facilitate the maintenance of a high level of professional quality in acute medical care. Additionally, instructors should possess not only subject-specific expertise but also pedagogical and didactic skills to optimize the educational process.