Evidence map›Paper›PMID 35252974›Full record

ArticleJournal of the American College of Emergency Physicians open2022

Emergency Medicine Around the World: Analysis of the 2019 American College of Emergency Physicians International Ambassador Country Reports.

Andrés M Patiño, Jeffrey Chen, Elizabeth L DeVos, J Austin Lee, Kate Anderson, Michaela Banks, Kimberly Herard, Ramu Kharel, Sean Kivlehan, Christian Arbelaez

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2022. 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
–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

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

  1. Pooled it
  2. Management and leadership competencies in Emergency Medicine specialist training: a review with implications for African programmes.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. The status of emergency medicine in the state of Kuwait.International journal of emergency medicine · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Response to the letter of Dr. Ian Desouza.Indian pacing and electrophysiology journal
    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

10 authors.

Andrés M PatiñoDepartment of Emergency Medicine Emory University School of Medicine Atlanta Georgia USA.ORCID https://orcid.org/0000-0002-4599-4016
Jeffrey ChenDepartment of Emergency Medicine Adventist Health St. Helena California USA.
Elizabeth L DeVosDepartment of Emergency Medicine University of Florida College of Medicine-Jacksonville Jacksonville Florida USA.
J Austin LeeDepartment of Emergency Medicine Warren Alpert Medical School of Brown University Providence Rhode Island USA.
Kate AndersonSection of Emergency Medicine University of Chicago Chicago Illinois USA.
Michaela BanksDepartment of Emergency Medicine LSU Health Sciences Center New Orleans Louisiana USA.
Kimberly HerardDepartment of Emergency Medicine Emory University School of Medicine Atlanta Georgia USA.
Ramu KharelDepartment of Emergency Medicine Warren Alpert Medical School of Brown University Providence Rhode Island USA.
Sean KivlehanDepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USA.
Christian ArbelaezDepartment of Emergency Medicine Boston Medical Center/Boston University School of Medicine Boston Massachusetts USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe specialty of emergency medicine and recognition of the need for emergency care continue to grow globally. The specialty and emergency care systems vary according to context. This study characterizes the specialty of emergency medicine around the world, trends according to region and income level, and challenges for the specialty.

methodsWe distributed a 56-question electronic survey to all members of the American College of Emergency Physicians International Ambassador Program between March 2019 and January 2020. The Ambassador Program leadership designed the survey covering specialty recognition, workforce, system components, and emergency medicine training. We analyzed results by country and in aggregate using SAS software (SAS Institute Inc). We tested the associations between World Bank income group and number of emergency medicine residency-trained physicians (RTPs) and emergency medicine specialty recognition using non-parametric Fisher's exact testing. We performed inductive coding of qualitative data for themes.

resultsSixty-three out of 78 countries' teams (80%) responded to the survey. Response countries represented roughly 67% of the world's population and included countries in all World Bank income groups. Fifty-four countries (86%) recognized emergency medicine as a specialty. Ten (16%) had no emergency medicine residency programs, and 19 (30%) had only one. Eight (11%) reported having no emergency medicine RTPs and 30 (48%) had <100. Fifty-seven (90%) had an emergency medical services (EMS) system, and 52 (83%) had an emergency access number. Higher country income was associated with a higher number of emergency medicine RTPs per capita (

conclusionsMost surveyed countries recognized emergency medicine as a specialty. However, numbers of emergency medicine RTPs were small, particularly in lower income countries. Most surveyed countries reported an EMS system and emergency access number. Lack of resources, burnout, and poor pay were major threats to emergency medicine growth.

Indexed as

emergency medical servicesemergency medicineglobal healthgraduate medical educationhealthcare deliveryinternational healthpublic health

Identifiers

PMID35252974
PMCPMC8886186

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.