Evidence map›Paper›PMID 34616970›Full record

ArticleAEM education and training2021

An analysis of social determinants of health and structural competency training in global emergency medicine fellowship programs in the United States.

Lindsay G Grossman, Oren J Mechanic, Zvika Orr, Eric C Cioe-Peña, Alden Landry, Shifra Unger, Josh Greenstein, Evan Avraham Alpert

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

8 authors.

Lindsay G GrossmanPerelman School of Medicine The University of Pennsylvania Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0002-7307-8592
Oren J MechanicHarvard Medical Faculty Physicians Boston Massachusetts USA.
Zvika OrrDepartment of Nursing Jerusalem College of Technology Jerusalem Israel.
Eric C Cioe-PeñaCenter for Global Health Northwell Health New Hyde Park New York USA.
Alden LandryDepartment of Emergency Medicine Beth Israel Deaconess Medical Center Boston Massachusetts USA.ORCID https://orcid.org/0000-0001-8760-674X
Shifra UngerDepartment of Nursing Jerusalem College of Technology Jerusalem Israel.
Josh GreensteinDepartment of Emergency Medicine Northwell Staten Island University Hospital Staten Island New York USA.ORCID https://orcid.org/0000-0001-7889-1278
Evan Avraham AlpertDepartment of Emergency Medicine Shaare Zedek Medical Center Faculty of Medicine, Hebrew University of Jerusalem Jerusalem Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinicians must be aware of the structural forces that affect their patients to appropriately address their unique health care needs. This study aimed to assess the participation of global emergency medicine (GEM) fellowship programs in formal social determinants of health (SDH) and structural competency (SC) training to evaluate the existence and procedures of such programs.

methodsA cross-sectional study conducted with a short, online survey with questions regarding the presence of curriculum focused on SDH, SC, educational metrics, and the desire for further formal training in this domain was sent to all 25 GEM fellowship directors through the Global Emergency Medicine Fellowship Consortium (GEMFC) email listserv.

resultsEighty percent (20/25) of GEM fellowship directors responded to the survey. All (20/20) of participating fellowship programs included SDH and SC training in their didactic curriculum, and eight of 20 (40%) programs offered similar training for faculty. Additionally, 19 of 20 (95%) of respondents indicated interest in an open-source tool for emergency medicine (EM) fellowship training in SDH and SC.

conclusionsWhile multiple GEM programs offer formal training on SDH and SC, gaps exist regarding similar training for faculty. Additionally, there is a lack of metrics to determine fellows' comfort with the content of this training. As a majority of GEMFC programs requested, an open-source tool would allow a uniform curriculum and measurement of EM fellowship training in SDH and SC.

Identifiers

PMID34616970
PMCPMC8480506

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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.