Evidence map›Paper›PMID 31008423›Full record

ArticleAEM education and training2019

Identifying and Transmitting the Culture of Emergency Medicine Through Simulation.

Eve Purdy, Charlotte Alexander, Melissah Caughley, Shane Bassett, Victoria Brazil

Abstract read
In one paragraph

Article in AEM education and training, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. The Implications of Private Equity Investment in Emergency Medicine.Journal of the American College of Emergency Physicians open · 2026
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  4. Value-based simulation in healthcare: a new model for metrics reporting.Advances in simulation (London, England) · 2025
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  12. Simulation translation differences between craft groups.Advances in simulation (London, England) · 2022
    Article
  13. Article
  14. Education as Culture: The Amazing and Awesome Case Conference.Journal of graduate medical education · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eve PurdyQueen's University Kingston Ontario Canada.
Charlotte AlexanderGold Coast University Hospital Southport Queensland Australia.
Melissah CaughleyBond University Robina Queensland Australia.
Shane BassettBond University Robina Queensland Australia.
Victoria BrazilGold Coast University Hospital Southport Queensland Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSimulation is commonly used in medical education. It offers the opportunity for participants to apply theoretical knowledge and practice nontechnical skills. We aimed to examine how simulation may also help to identify emergency medicine culture and serve as a tool to transmit values, beliefs, and practices to medical learners.

methodsWe undertook a focused ethnography of a simulated emergency department exercise delivered to 98 third-year medical students. This ethnography included participant observation, informal interviews, and document review. Analysis was performed using a recursive method, a simultaneous deductive and inductive approach to data interpretation.

resultsAll 20 staff (100%) and 92 of 98 medical students (94%) participated in the study. We identified seven core values-identifying and treating dangerous pathology, managing uncertainty, patients and families at the center of care, balancing needs and resources at the system level, value of the team approach, education as integral, and emergency medicine as part of self-identity-and 27 related beliefs that characterized emergency medicine culture. We observed that culture was transmitted during the simulation exercise.

conclusionThis study contributes to the characterization of the culture of emergency medicine by identifying core values and beliefs that are foundational to the specialty. Simulation facilitated cultural compression, which allowed for ready identification of values, beliefs, and practices and also facilitated transmission of culture to learners. This study expands understanding of the culture of emergency medicine and the role of simulation in the process of cultural exchange.

Identifiers

PMID31008423
PMCPMC6457353

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.