Evidence map›Paper›PMID 33521495›Full record

ArticleAEM education and training2021

COVID-19 Pandemic Prompts a Paradigm Shift in Global Emergency Medicine: Multidirectional Education and Remote Collaboration.

Naz Karim, Megan M Rybarczyk, Gabrielle A Jacquet, Amelia Pousson, Adam R Aluisio, Saadiyah Bilal, Katelyn Moretti, Katherine A Douglass, Patricia C Henwood, Ramu Kharel and 8 more

Abstract read
In one paragraph

Article in AEM education and training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Virtual global health in graduate medical education: a systematic review.International journal of medical education · 2022
    Pooled it
  2. Article
  3. Article
  4. Global emergency medicine: A scoping review of the literature from 2023.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  5. Triage systems in low-resource emergency care settings.Bulletin of the World Health Organization · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Content validation of needs assessment survey for remote education initiative in Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. 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

18 authors.

Naz KarimDepartment of Emergency Medicine Brown University Alpert Medical School Providence RI USA.
Megan M Rybarczykthe Department of Emergency Medicine Perelman School of Medicine University of Pennsylvania Philadelphia PA USA.
Gabrielle A Jacquetthe Department of Emergency Medicine Boston University School of Medicine Boston Medical Center Boston MA USA.ORCID https://orcid.org/0000-0001-9486-5512
Amelia Poussonthe Department of Emergency Medicine Johns Hopkins University Baltimore MD USA.ORCID https://orcid.org/0000-0001-6641-1513
Adam R AluisioDepartment of Emergency Medicine Brown University Alpert Medical School Providence RI USA.
Saadiyah Bilalthe Department of Emergency Medicine Icahn School of Medicine at Mount Sinai New York City NY USA.
Katelyn MorettiDepartment of Emergency Medicine Brown University Alpert Medical School Providence RI USA.ORCID https://orcid.org/0000-0002-4784-8012
Katherine A Douglassthe Department of Emergency Medicine George Washington University Washington DC USA.ORCID https://orcid.org/0000-0003-4730-571X
Patricia C Henwoodthe Department of Emergency Medicine Thomas Jefferson University Philadelphia PA USA.
Ramu Kharelthe Department of Emergency Medicine Emory University School of Medicine Atlanta GA USA.
J Austin LeeDepartment of Emergency Medicine Brown University Alpert Medical School Providence RI USA.ORCID https://orcid.org/0000-0002-0252-3716
Lacey MenkinSmiththe Department of Emergency Medicine Medical University of South Carolina Charleston SC USA.
Rachel T Moreskythe Emergency Medicine Department Columbia University College of Physicians and Surgeons and Columbia University Mailman School of Public Health, Heilbrunn Population and Family Health New York NY USA.
Catalina Gonzalez MarquesDepartment of Emergency Medicine Brown University Alpert Medical School Providence RI USA.
Justin G Myersthe Department of Emergency Medicine University of North Carolina at Chapel Hill Chapel Hill NC USA.
Kelli N O'Laughlinthe Departments of Emergency Medicine and Global Health University of Washington Seattle WA USA.
Jessica Schmidtthe Department of Emergency Medicine University of Wisconsin Madison WI USA.
Sean M Kivlehanand the Department of Emergency Medicine Brigham and Women's Hospital Harvard Medical School Boston MA USA.ORCID https://orcid.org/0000-0002-4857-4316

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To date, the practice of global emergency medicine (GEM) has involved being "on the ground" supporting in-country training of local learners, conducting research, and providing clinical care. This face-to-face interaction has been understood as critically important for developing partnerships and building trust. The COVID-19 pandemic has brought significant uncertainty worldwide, including international travel restrictions of indeterminate permanence. Following the 2020 Society for Academic Emergency Medicine meeting, the Global Emergency Medicine Academy (GEMA) sought to enhance collective understanding of best practices in GEM training with a focus on multidirectional education and remote collaboration in the setting of COVID-19. GEMA members led an initiative to outline thematic areas deemed most pertinent to the continued implementation of impactful GEM programming within the physical and technologic confines of a pandemic. Eighteen GEM practitioners were divided into four workgroups to focus on the following themes: advances in technology, valuation, climate impacts, skill translation, research/scholastic projects, and future challenges. Several opportunities were identified: broadened availability of technology such as video conferencing, Internet, and smartphones; online learning; reduced costs of cloud storage and printing; reduced carbon footprint; and strengthened local leadership. Skills and knowledge bases of GEM practitioners, including practicing in resource-poor settings and allocation of scarce resources, are translatable domestically. The COVID-19 pandemic has accelerated a paradigm shift in the practice of GEM, identifying a previously underrecognized potential to both strengthen partnerships and increase accessibility. This time of change has provided an opportunity to enhance multidirectional education and remote collaboration to improve global health equity.

Identifiers

PMID33521495
PMCPMC7821062

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.