In this study, it was aimed to explore whether a single-step examination is adequate for ranking the medical graduates for specialty training in medicine which is practically similar to doctoral training (PhD) in other disciplines. For this purpose, a semi- structured interview-based qualitative research was carried out at a university medical center to identify the outlook of educators and the trainees to TUS system. Using systematic cluster sampling, 14 faculty members and 27 residents were interviewed face to face. Evaluating the study results, a great majority of the participants emphasized that a centralized examination system is mandatory; however, the critical themes were condensed on the necessity of modifications such as multi-step testing, improvement of test contents to be more specific for the needs of particular medical specialties and adjustments to justify the importance of undergraduate medical education.