Evidence map›Paper›PMID 34041428›Full record

ArticleAEM education and training2021

Direct Observation Tools in Emergency Medicine: A Systematic Review of the Literature.

Michael Gottlieb, Jaime Jordan, Jeffrey N Siegelman, Robert Cooney, Christine Stehman, Teresa M Chan

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. [Professionalization of medical education: Axes and strategies for excellence].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
  2. Article
  3. Article
  4. Telehealth in emergency medicine residency training: A model curriculum.Journal of the American College of Emergency Physicians open · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. 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

6 authors.

Michael GottliebDepartment of Emergency Medicine Rush University Medical Center Chicago IL USA.ORCID https://orcid.org/0000-0003-3276-8375
Jaime JordanDepartment of Emergency Medicine Ronald Reagan UCLA Medical Center Los Angeles CA USA.
Jeffrey N SiegelmanDepartment of Emergency Medicine Emory University School of Medicine Atlanta GA USA.
Robert CooneyDepartment of Emergency Medicine Geisinger Medical Center Danville PA USA.ORCID https://orcid.org/0000-0003-0665-0154
Christine StehmanSouth Bend Emergency Physicians South Bend IN USA.
Teresa M ChanDepartment of Medicine Division of Emergency Medicine McMaster University Hamilton Ontario Canada.ORCID https://orcid.org/0000-0001-6104-462X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDirect observation is important for assessing the competency of medical learners. Multiple tools have been described in other fields, although the degree of emergency medicine-specific literature is unclear. This review sought to summarize the current literature on direct observation tools in the emergency department (ED) setting.

methodsWe searched PubMed, Scopus, CINAHL, the Cochrane Central Register of Clinical Trials, the Cochrane Database of Systematic Reviews, ERIC, PsycINFO, and Google Scholar from 2012 to 2020 for publications on direct observation tools in the ED setting. Data were dual extracted into a predefined worksheet, and quality analysis was performed using the Medical Education Research Study Quality Instrument.

resultsWe identified 38 publications, comprising 2,977 learners. Fifteen different tools were described. The most commonly assessed tools included the Milestones (nine studies), Observed Structured Clinical Exercises (seven studies), the McMaster Modular Assessment Program (six studies), Queen's Simulation Assessment Test (five studies), and the mini-Clinical Evaluation Exercise (four studies). Most of the studies were performed in a single institution, and there were limited validity or reliability assessments reported.

conclusionsThe number of publications on direct observation tools for the ED setting has markedly increased. However, there remains a need for stronger internal and external validity data.

Identifiers

PMID34041428
PMCPMC8138102

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Registered trials

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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.