ArticleAEM education and training2020
Toward Structural Competency in Emergency Medical Education.
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 18 papers.
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.
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.
Who cites it
18 citing papers in PubMed.
- Temporal Aspects of Epistemic Injustice: The Case of Patients with Drug Dependence.Journal of bioethical inquiry · 2025Article
- Racial, Ethnic, and Age-Related Disparities in Sedation and Restraint Use for Older Adults in the Emergency Department.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025Article
- Structural Competency for Ocular Oncologists and Pathologists.Ocular oncology and pathology · 2024Article
- Facilitators of and barriers to buprenorphine initiation in the emergency department: a scoping review.Lancet regional health. Americas · 2024Article
- Structural competency in pre-health and health professional learning: A scoping review.Journal of interprofessional care · 2023Article
- Incorporation of a Case-based Health Equity Curriculum into Morbidity and Mortality Conference.The western journal of emergency medicine · 2022Article
- Review
- The Structural Analysis: Incorporating Structurally Competent Clinical Reasoning into Case-Based Presentations.Journal of general internal medicine · 2022Article
- A Structural Competency Framework for Emergency Medicine Research: Results from a Scoping Review and Consensus Conference.The western journal of emergency medicine · 2022Article
- Structural competency in emergency medical education: A scoping review and operational framework.AEM education and training · 2022Article
- "Say their names:" Thoughts on residency leadership response to police brutality and social injustices.AEM education and training · 2021Article
- An analysis of social determinants of health and structural competency training in global emergency medicine fellowship programs in the United States.AEM education and training · 2021Article
- Untold stories: Emergency medicine residents' experiences caring for diverse patient populations.AEM education and training · 2021Article
- A Six-Step Model for Developing Competency Frameworks in the Healthcare Professions.Frontiers in medicine · 2021Article
- Addressing Racism in Medicine Through a Resident-Led Health Equity Retreat.The western journal of emergency medicine · 2020Article
- Structural Competency: What Is It, Why Do We Need It, and What Does the Structurally Competent Emergency Physician Look Like?AEM education and training · 2020Article
- Toward Structural Competency in Emergency Medical Education.AEM education and training · 2020Article
- Qualitative Analysis of Contextual Factors Shaping Antiracism Discussions in the Medical School Learning Community: An Activity Theory Analysis.Journal of medical education and curricular developmentArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As the emergency department (ED) is the "front door" of the hospital and the primary site by which most patients access the health care system, issues of inequity are especially salient for emergency medicine (EM) practice. Improving the health of ED patients, especially those who are stigmatized and disenfranchised, depends on having emergency physicians that are cognizant and attentive to their needs in and out of the medical encounter. EM resident education has traditionally incorporated a "cultural competency" model to equip residents with tools to combat individual bias and stigma. Although this framework has been influential in drawing attention to health inequities, it has also been criticized for its potential to efface differences within groups (such as socioeconomic differences), overstate cultural or racial differences, and unintentionally reinforce stereotypes or blaming of patients for their ill health or difficult circumstances. In contrast, emerging frameworks of structural competency call for physicians to recognize the ways in which health outcomes are influenced by complex, interrelated structural forces (e.g., poverty, racism, gender discrimination, immigration policy) and to attend to these causes of poor health. We present here the framework of structural competency, extending it to the unique ED setting. We provide tangible illustrations of the ways in which this framework is relevant to the ED setting and can be incorporated in EM education.
Identifiers
What OpenQuestion holds
Registered trials
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.