Evidence map›Paper›PMID 32072107›Full record

ArticleAEM education and training2020

The Case for Observation Medicine Education and Training in Emergency Medicine.

Margarita E Pena, Matthew A Wheatley, Pawan Suri, Sharon E Mace, Elizabeth Kwan, Christopher W Baugh

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in AEM education and training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 37% of its field
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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

6 authors at 6 institutions in 1 country.

Margarita E PenaDepartment of Emergency Medicine Ascension St. John Hospital Wayne State University School of Medicine Detroit MI.ORCID https://orcid.org/0000-0003-1095-322X
Matthew A WheatleyDepartment of Emergency Medicine Grady Memorial Hospital Emory University School of Medicine Atlanta GA.
Pawan SuriDepartment of Emergency Medicine Virginia Commonwealth University Medical Center Virginia Commonwealth University School of Medicine Richmond GA.
Sharon E MaceDepartment of Emergency Medicine Cleveland Clinic Cleveland Clinic Lerner College of Medicine at Case Western Reserve University Cleveland OH.
Elizabeth KwanDepartment of Emergency Medicine UCSF Helen Diller Medical Center at Parnassus Heights UCSF School of Medicine San Francisco CA.
Christopher W BaughDepartment of Emergency Medicine Brigham and Women's Hospital Harvard Medical School Boston MA.ORCID https://orcid.org/0000-0002-2360-1891
Brigham and Women's Hospital · USCleveland Clinic Lerner College of Medicine · USGrady Memorial Hospital · USUniversity of California San Francisco Medical Center · USVirginia Commonwealth University · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany hospitals have or will be opening an observation unit (OU), the majority managed by the emergency department (ED). Graduating emergency medicine (EM) residents will be expected to have the knowledge and skills necessary to appropriately identify and manage patients in this setting. Our objective is to examine the current state of observation medicine (OM) education and prevalence in EM training.

methodsIn a follow-up to the 2019 Society for Academic Emergency Medicine (SAEM) OM Interest Group meeting, we convened an expert panel of OM physicians who are members of both the SAEM OM Interest Group and the American College of Emergency Physicians Section of OM. The panel of six emergency physicians representing geographic diversity was formed. A structured literature review was performed yielding 16 educational publications and sources pertaining to OM education and training across all specialties. REPORT ON THE EXISTING LITERATURE: Only a small number of EM residencies have a required or elective OM rotation in an OU. An OM rotation in a protocol-driven ED OU gives residents experience managing patients in this setting and improves skills integral to EM and part of the EM milestones and Accreditation Council for Graduate Medical Education (ACGME) core competencies: reassessment, disposition decision making, risk stratification, team management, and practicing cost-appropriate care. Even without a formal rotation, multiple OM educational resources can be incorporated into EM resident education and didactics. Education research opportunity exists.

conclusionsThis panel believes that OM is an important component of EM that should be incorporated into EM residency as the knowledge and skills learned such as risk stratification, disposition decision making, and team management augment those needed for the practice of EM. There is a distinct opportunity for EM educators to better equip their trainees for a career in EM by including OM education and experience in EM residency training.

Identifiers

PMID32072107
PMCPMC7011447
OpenAlexW2986274889

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.