Evidence map›Paper›PMID 32587810›Full record

SynthesisAnnals of global health2020

Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review.

Megan M Rybarczyk, Nicholas Ludmer, Morgan C Broccoli, Sean M Kivlehan, Michelle Niescierenko, Mark Bisanzo, Keegan A Checkett, Shada A Rouhani, Andrea G Tenner, Heike Geduld and 1 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Annals of global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Management and leadership competencies in Emergency Medicine specialist training: a review with implications for African programmes.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. A cross-sectional study assessing the emergency medicine knowledge of final-year interns in the Eastern Cape, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Improving emergency care capacity with the WHO-ICRC Basic Emergency Care (BEC) course.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

11 authors at 8 institutions in 3 countries.

Megan M RybarczykDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, US.
Nicholas LudmerSection of Emergency Medicine, Department of Medicine, University of Chicago Pritzker School of Medicine, US.
Morgan C BroccoliDepartment of Emergency Medicine, Boston Medical Center, US.
Sean M KivlehanDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, US.
Michelle NiescierenkoDivision of Emergency Medicine, Boston Children's Hospital, Harvard Medical School, US.
Mark BisanzoDivision of Emergency Medicine, Department of Surgery, University of Vermont, US.
Keegan A CheckettSection of Emergency Medicine, Department of Medicine, University of Chicago Pritzker School of Medicine, US.
Shada A RouhaniDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, US.
Andrea G TennerDepartment of Emergency Medicine, University of California, San Francisco, US.
Heike GeduldUniversity of Cape Town/Stellenbosch University, College of Emergency Medicine of South Africa, ZA.
Teri ReynoldsWorld Health Organization, CH.
Harvard University · USUniversity of Chicago · USBoston Children's Hospital · USBoston Medical Center · USBrigham and Women's Hospital · USUniversity of Cape Town · ZAUniversity of Vermont · USWorld Health Organization - Pakistan · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite the growing interest in the development of emergency care systems and emergency medicine (EM) as a specialty globally, there still exists a significant gap between the need for and the provision of emergency care by specialty trained providers. Many efforts to date to expand the practice of EM have focused on programs developed through partnerships between higher- and lower-resource settings. Objective: To systematically review the literature to evaluate the composition of EM training programs in low- and middle-income countries (LMICs) developed through partnerships. Methods: An electronic search was conducted using four databases for manuscripts on EM training programs - defined as structured education and/or training in the methods, procedures, and techniques of acute or emergency care - developed through partnerships. The search produced 7702 results. Using Findings: Fifteen highlight programs with a focus on specific EM content (i.e. ultrasound) and 11 cover EM programs with broader scopes. All outline programs with diverse curricula and varied educational and evaluative methods spanning from short courses to full residency programs, and they target learners from medical students and nurses to mid-level providers and physicians. Challenges of EM program development through partnerships include local adaptation of international materials; addressing the local culture(s) of learning, assessment, and practice; evaluation of impact; sustainability; and funding. Conclusions: Overall, this review describes a diverse group of programs that have been or are currently being implemented through partnerships. Additionally, it highlights several areas for program development, including addressing other topic areas within EM beyond trauma and ultrasound and evaluating outcomes beyond the level of the learner. These steps to develop effective programs will further the advancement of EM as a specialty and enhance the development of effective emergency care systems globally.

Indexed as

Developing CountriesInternational CooperationEducation, Medical, GraduateEducation, Medical, UndergraduateEducation, NursingEmergency MedicineHumansProgram Evaluation

Identifiers

PMID32587810
PMCPMC7304456
OpenAlexW3036601016

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.