Evidence map›Paper›PMID 34124514›Full record

ArticleAEM education and training2021

Beyond the emergency department: Effects of COVID-19 on emergency medicine resident education.

Tabitha R Ford, Megan L Fix, Eric Shappell, Daniel J Egan, Alexandra Mannix, John Bailitz, Xian Li, Michael Gottlieb

Open access · bronzeAbstract 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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Virtual Learning in Emergency Medicine Residency Programs.Journal of the American College of Emergency Physicians open · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. 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

8 authors at 6 institutions in 1 country.

Tabitha R FordDivision of Emergency Medicine University of Vermont Medical Center Burlington VT USA.ORCID https://orcid.org/0000-0002-4846-1020
Megan L FixDivision of Emergency Medicine University of Utah School of Medicine Salt Lake City UT USA.
Eric ShappellHarvard Affiliated Emergency Medicine Residency Department of Emergency Medicine Massachusetts General Hospital Brigham and Women's Hospital Harvard Medical School Boston MA USA.ORCID https://orcid.org/0000-0003-0281-3219
Daniel J EganHarvard Affiliated Emergency Medicine Residency Department of Emergency Medicine Massachusetts General Hospital Brigham and Women's Hospital Harvard Medical School Boston MA USA.
Alexandra MannixDepartment of Emergency Medicine University of Florida College of Medicine-Jacksonville Jacksonville FL USA.
John BailitzDepartment of Emergency Medicine Northwestern University Chicago IL USA.
Xian LiDepartment of Emergency Medicine University of California San Francisco-Fresno Fresno CA USA.
Michael GottliebDepartment of Emergency Medicine Rush University Medical Center Chicago IL USA.ORCID https://orcid.org/0000-0003-3276-8375
Brigham and Women's Hospital · USUniversity of Utah · USNorthwestern University · USRush University Medical Center · USUniversity of California, San Francisco · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn December 2019, a novel coronavirus (COVID-19) caused widespread clinical disease, triggering limited in-person gatherings and social-distancing guidelines to minimize transmission. These regulations led most emergency medicine (EM) residency training programs to rapidly transition to virtual didactics. We sought to evaluate EM resident perceptions of the effects of COVID-19 on their didactic and clinical education.

methodsWe performed a cross-sectional survey study at seven EM residency programs using a mixed-methods approach designed to understand resident perceptions regarding the impact of COVID-19 on their educational experience. Quantitative data were presented as percentages with comparison of subgroups, while open-ended responses were analyzed using qualitative methodology.

resultsWe achieved a 59% response rate (187/313). The majority of respondents (119/182, 65.4%) reported that the COVID-19 pandemic had a negative impact on their residency education with junior residents disproportionately affected. A total of 81 of 182 (44.5%) participants reported that one or more of their clinical rotations were partially or completely canceled due to the pandemic. Additionally, we identified four themes and 34 subthemes highlighting the contextual effects of the pandemic, which were then divided into positive and negative influences on the residency experience. The four themes include systems experience, clinical experience, didactic experience, and wellness.

conclusionOur study examined the impact of COVID-19 on residents' educational experiences. We found overall mixed responses with a slightly negative impact on residency education, wellness, and clinical rotations, while satisfaction with EM as a career choice was increased. Factors influencing this included systems, clinical, and didactic experiences as well as overall wellness.

Identifiers

PMID34124514
PMCPMC8171744
OpenAlexW3111591454

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.