Evidence map›Paper›PMID 31366353›Full record

ArticleBMC medical education2019

Emergency medicine residency training in Africa: overview of curriculum.

Hendry R Sawe, Abena Akomeah, Juma A Mfinanga, Michael S Runyon, Erin Noste

Abstract read
In one paragraph

Article in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Emergency Medicine in South Africa: Progress, challenges, and future directions from a qualitative inquiry.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  4. Analysing research trends: A descriptive study of abstracts submitted to the African Conference on Emergency Medicine 2024.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  5. Assessment of emergency care services in Nigerian hospitals: A cross-sectional study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  6. Embracing 3D printing in emergency medicine training in Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025
    Article
  7. Article
  8. Out of hospital emergency care in Nigeria: A narrative review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Review
  9. Pediatric procedural sedation in African clinical settings: A mixed methods study of African providers' sedation practices.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Article
  10. Non-specialist emergency medicine qualifications in Africa: Lessons from the South African Diploma in Primary Emergency Care.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022
    Article
  11. Article
  12. Article
  13. Guidance we can trust? The status and quality of prehospital clinical guidance in sub-Saharan Africa: A scoping review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021
    Article
  14. The Urgent Need for Postgraduate Medical Training in Emergency Medicine in Nigeria.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020
    Article
  15. Article
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.

Hendry R SaweEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es salaam, Tanzania. hendry_sawe@yahoo.com.ORCID http://orcid.org/0000-0002-0395-5385
Abena AkomeahEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es salaam, Tanzania.
Juma A MfinangaEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es salaam, Tanzania.
Michael S RunyonEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es salaam, Tanzania.
Erin NosteEmergency Medicine Department, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency Medicine (EM) is a rapidly developing specialty in Africa with several emergency medicine residency-training programs (EMRPs) established across the continent over the past decade. Despite rapid proliferation of the specialty, little is known about emergency care curriculum structure and content. We provide an overview of Africa's EMRPs.

methodsThis was a descriptive cross-sectional survey conducted of EMRPs in Africa between January 2017 and December 2017. Data were prospectively collected using a structured survey that was developed and administered through online data capture software, REDCap (Version 7.2.2, Vanderbilt, Nashville, TN, USA). Survey questions focused on curriculum structure and design, including clinical rotations, didactics, research, and evaluation. Data are summarized with descriptive statistics.

resultsThe survey was sent to the leadership of 15 EMRPs in 12 different African countries and 11 (73%) responded. Five (46%) of the responding programs were started by local non-EM trained faculty, two (18%) were started by international partners, and the remainder by a combination of local non-EM faculty and international partners. Overall, Seven (64%) of the countries offer a 4-year EMRP. In General, 40% of curriculums are influenced the contents developed by African Federation for Emergency Medicine. All programs offer resident led-didactics, with a median of 12 h (Interquartile range 9-6 h) per month. All EMRPs have a mandatory research requirement. All EMRPs offer clinical rotations in the ED, Paediatrics, and Obstetrics and Gynaecology, while only 2 programs offer rotations in radiology and neonatal intensive care units. Only 46% of EMRPs have in-ED clinical supervision by specialist.

conclusionThe EMRPs in Africa were started by non-EM trained local faculty alone or collaboration with international partners. The curriculum offers most exposure to ED, and less exposure in radiology and neonatal intensive care. Residents are highly involved in leading didactics and less than half of the programs have in-ED specialist supervision of patient care.

Indexed as

CurriculumInternship and ResidencyAfricaCross-Sectional StudiesEmergency MedicineProgram DevelopmentSurveys and QuestionnairesTeachingAfricaEmergency medicineEmergency trainingResidency

Identifiers

PMID31366353
PMCPMC6670225

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.