ArticleAEM education and training2021
An exploratory investigation of the measurement of cognitive load on shift: Application of cognitive load theory in emergency medicine.
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 15 papers.
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Who cites it
15 citing papers in PubMed, 21 citations in OpenAlex.
- Assessment and Factors Associated With Cognitive Load in Orthopaedic Nurses During Bedside Handover: A Cross-Sectional Study.Nursing open · 2026Article
- Evidence-Based Medicine Meets Artificial Intelligence: Reframing Critical Appraisal in Emergency Medicine.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Transition to Residency at Large University Teaching Hospital in Egypt: A Qualitative Study of Surgical and Emergency Medicine Residents.Journal of graduate medical education · 2026Article
- A standardized ECPR activation protocol and resuscitation efficiency, patient outcomes, and nursing cognitive load: a retrospective multicenter study.Frontiers in cardiovascular medicine · 2026Article
- Deriving a Simple Clinical Predictive Score for Posterior Circulation Ischemic Stroke (PCS-SCORE).Journal of central nervous system disease · 2026Article
- The impact of patient information on prescribing errors: Insights from pharmaceutical interventions.Exploratory research in clinical and social pharmacy · 2025Article
- A scoping review of cognitive load assessment tools suitable for clinicians performing REBOA.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Targeted EHR-based communication of diagnostic uncertainty (TECU) in the emergency department: Protocol for an effectiveness implementation trial.Contemporary clinical trials · 2025Article
- Beyond thinking fast and slow: a Bayesian intuitionist model of clinical reasoning in real-world practice.Diagnosis (Berlin, Germany) · 2025Article
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- User Perceptions of ROTEM-Guided Haemostatic Resuscitation: A Mixed Qualitative-Quantitative Study.Bioengineering (Basel, Switzerland) · 2023Article
- Cognitive load during training for out-of-department emergency responses.AEM education and training · 2022Article
- An exploratory investigation of the measurement of cognitive load on shift: Application of cognitive load theory in emergency medicine.AEM education and training · 2021Article
- Considering human cognitive architecture in stressful medical prehospital interventions might benefit care providers.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency physicians often experience a high cognitive load (CL) due to the inherent nature of working in acute care settings. CL has traditionally been measured in educational studies but has not been well studied in the clinical environment.
methodsEmergency medicine attending physicians and residents working in an academic urgent care center completed psychometric questionnaires while on shift to measure overall CL, intrinsic cognitive load (ICL), extraneous cognitive load (ECL), and acute stress. Data regarding the patient load, patient acuity, and the number of patients in the waiting room were also collected. Correlational analysis and simple linear regression were used to evaluate predictors of CL on shift.
resultsForty-two questionnaires were completed (26 by attending physicians, 16 by residents). Attending physicians carried a significantly higher patient load compared to residents (
conclusionsFactors influencing reported CL during clinical work are different between attending emergency physicians and residents. Further study to appreciate the impact of these differences is required and may help educators elucidate strategies to better manage CL, thereby improving clinical performance and potentially improving patient care.
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