Evidence map›Paper›PMID 32704593›Full record

ArticleAEM education and training2020

FOAM Impact: The Influence of Open-access Medical Education on Practice Uptake.

Richard M Pescatore, Joshua D Niforatos, Salim R Rezaie, Anand Swaminathan, Mizuho Morrison, Meaghan Reid, Sergey Motov

Open access · greenAbstract read
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 5 institutions in 1 country.

Richard M PescatoreDepartment of Emergency Medicine Crozer-Keystone Health System Upland PA.ORCID https://orcid.org/0000-0002-0357-2480
Joshua D NiforatosDepartment of Emergency Medicine The Johns Hopkins Hospital Baltimore MD.ORCID https://orcid.org/0000-0003-4702-7465
Salim R RezaieGreater San Antonio Emergency Physicians San Antonio TX.
Anand SwaminathanDepartment of Emergency Medicine St. Joseph's Regional Medical Center Paterson NJ.
Mizuho MorrisonDepartment of Emergency Medicine Los Angeles County and USC Medical Center Los Angeles CA.
Meaghan ReidDepartment of Emergency Medicine Crozer-Keystone Health System Upland PA.
Sergey MotovDepartment of Emergency Medicine Maimonides Medical Center Brooklyn NY.
Crozer-Keystone Health System · USJohns Hopkins Hospital · USLAC+USC Medical Center · USMaimonides Medical Center · USSt. Joseph’s University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe FOAM Impact study sought to examine baseline rates of intravenous (IV) lidocaine usage for the treatment of renal colic and to compare rates of use between FOAM utilizers and nonutilizers. We sought to measure the effect of FOAM resources on clinical practice by timing the release of FOAM content with publication of the LIDOKET trial.

methodsA cross-sectional before-and-after survey was conducted and disseminated on two social media platforms. The 13-question, anonymous survey was posted for 1 week prior following the release of the LIDOKET study. Descriptive statistics, Mann-Whitney t-test, and chi-square test statistics were used to describe survey respondent characteristics and Likert responses.

resultsThere were a total of 472 survey respondents. A total of 321 physicians (75.7% of total respondents) provided pre- and postpublication survey answers. There was no significant change in the use of analgesics before and after publication of LIDOKET and concurrent REBEL EM blog post. A total of 197 (42%) survey respondents reported using lidocaine for renal colic, of which 60 respondents (13%) reported frequent or occasional use. The mean difference in perceived efficacy of lidocaine before and after publication was -0.30 (95% confidence interval [CI] = -0.80 to 0.19, p = 0.15). Being a FOAM user was not associated with changes in mean difference in perception of lidocaine efficacy (F = 0.127, p = 0.72); however, there was a significant difference in perception of lidocaine's efficacy following LIDOKET and REBEL EM publication (F = 4.718, p = 0.03).

conclusionsUsing an online survey-based technique, no appreciable impact of FOAM resources was immediately apparent; however, engagement with FOAM was associated with a change in perception of IV lidocaine's efficacy. To our knowledge, this is the first study of its kind to evaluate the impact of FOAM on clinical practice. The unique method of coordinating FOAM distribution with traditional medical publication may provide future opportunities for measuring the impact of asynchronous medical education resources on medical practice.

Identifiers

PMID32704593
PMCPMC7369483
OpenAlexW2984812209

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.