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Introduction Emergency medicine training in France includes a number of technical skills that must be acquired, according to the Journal officiel. Although studies on training in emergency technical skills predate the creation of the specialized diploma in emergency medicine (DESMU), no recent studies have been published. The aim of this study was to establish a national status report on procedural training, to assess residents’ satisfaction and self-efficacy in performing procedures. Methods An observational study was carried out by distributing a national questionnaire over three months starting in November 2023. It was emailed to DESMU coordinators, asking them to forward it to emergency physicians from the classes of 2017 to 2020. Analysis methods were quantitative. Results 255 responses were analyzed (15%). Practice acquired in the field was the main training method for 12 of the 17 technical skills (71%, n = 12/17), followed by theoretical courses, then low-fidelity simulation, and finally high-fidelity simulation. The most effective training methods were considered to be practical experience, then high-fidelity simulation, followed by low-fidelity simulation and theoretical courses. Emergency physicians were satisfied with their training, but 80% expressed the need for more simulation. Conclusion Practical experience acquired in the field is an important part of training, but proficiency in some procedures remains insufficient. It seems necessary to strengthen procedural training through simulation and repeated sessions.