Evidence map›Paper›PMID 34804285›Full record

ArticleCanadian medical education journal2021

Shaken and stirred: emotional state, cognitive load, and performance of junior residents in simulated resuscitation.

Shyan Van Heer, Nicholas Cofie, Gilmar Gutiérrez, Chandak Upagupta, Adam Szulewski, Timothy Chaplin

Open access · diamondAbstract read
In one paragraph

Article in Canadian medical education journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

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  6. Overcrowded curriculum is an impediment to change (Part B).Canadian medical education journal · 2021
    Article
  7. Overcrowded curriculum is an impediment to change (Part A).Canadian medical education journal · 2021
    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

6 authors at 1 institution in 1 country.

Shyan Van HeerSchool of Medicine, Queen's University, Ontario, Canada.
Nicholas CofieFaculty of Health Sciences, Queen's University, Ontario, Canada.
Gilmar GutiérrezSchool of Medicine, Queen's University, Ontario, Canada.
Chandak UpaguptaSchool of Medicine, Queen's University, Ontario, Canada.
Adam SzulewskiDepartment of Emergency Medicine, Queen's University, Ontario, Canada.
Timothy ChaplinDepartment of Emergency Medicine, Queen's University, Ontario, Canada.
Queen's University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient resuscitation can be overwhelming for junior postgraduate medical residents due to its inherent complexity and high-stakes environment. Emotional states of unpleasant hyperarousal burden cognitive resources, contributing to cognitive overload and performance decline. Our objective is to characterize the associations between pre-scenario emotional state and junior residents' cognitive load and performance in a simulated-resuscitation, to provide evidence for informed curricular development.

methodsPGY-1 residents self-rated their emotional state before four simulated-resuscitation scenarios, and their cognitive load after. Faculty assessed performance with entrustment scores. Factor analysis identified the principal components of emotional state data. Linear regression models examined the relationship between pre-scenario emotional components, cognitive load, and performance scores.

results47/47 medical and surgical residents (100%) participated and completed Emotional State (99.5%) and Cognitive Load (98.9%) surveys. Positive invigoration and negative tranquility were the principal components. Pre-scenario tranquility was negatively associated with cognitive load (

conclusionAmongst junior residents participating in simulated resuscitation scenarios, pre-scenario agitation (negative tranquility) is associated with increased cognitive load, which itself is associated with lower performance scores. These findings suggest residency programs should consider developing curriculum aimed at modulating residents' emotional agitation and reducing residents' cognitive burden to improve resuscitation performance.

Identifiers

PMID34804285
PMCPMC8603881
OpenAlexW3193376165

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.