Evidence map›Paper›PMID 36205664›Full record

ArticleThe western journal of emergency medicine2022

A Structural Competency Framework for Emergency Medicine Research: Results from a Scoping Review and Consensus Conference.

Amy Zeidan, Bisan Salhi, Anika Backster, Erica Shelton, Alycia Valente, Basmah Safdar, Ambrose Wong, Alessandra Della Porta, Sangil Lee, Todd Schneberk and 3 more

Abstract readScoping ReviewConsensus Statement
In one paragraph

Article in The western journal of emergency medicine, 2022. 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.

  1. Review
  2. Article
  3. Review
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

13 authors.

Amy ZeidanEmory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.
Bisan SalhiEmory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.
Anika BacksterEmory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.
Erica SheltonJohns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland.
Alycia ValenteUniversity of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts.
Basmah SafdarYale University, Department of Emergency Medicine, New Haven, Connecticut.
Ambrose WongYale University, Department of Emergency Medicine, New Haven, Connecticut.
Alessandra Della PortaUniversity of Cincinnati, Department of Emergency Medicine, Cincinnati, Ohio.
Sangil LeeThe University of Iowa Carver College of Medicine, Department of Emergency Medicine, Iowa City, Iowa.
Todd SchneberkLos Angeles + University of Southern California, Department of Emergency Medicine, Los Angeles, California.
Jason WilsonMorsani College of Medicine, Division of Emergency Medicine, Department of Internal Medicine, Tampa, Florida.
Bjorn WestgardUniversity of Minnesota Medical School, Department of Emergency Medicine, Minneapolis, Minnesota.
Margaret Samuels-KalowMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

introductionThe application of structural competency and structural vulnerability to emergency medicine (EM) research has not been previously described despite EM researchers routinely engaging structurally vulnerable populations. The purpose of this study was to conduct a scoping review and consensus-building process to develop a structurally competent research approach and operational framework relevant to EM research.

methodsWe conducted a scoping review focused on structural competency and structural vulnerability. Results of the review informed the development of a structural competency research framework that was presented throughout a multi-step consensus process culminating in the 2021 Society for Academic Emergency Medicine Consensus Conference. Feedback to the framework was incorporated throughout the conference.

resultsThe scoping review produced 291 articles with 123 articles relevant to EM research. All 123 articles underwent full-text review and data extraction following a standardized data extraction form. Most of the articles acknowledged or described structures that lead to inequities with a variety of methodological approaches used to operationalize structural competency and/or structural vulnerability. The framework developed aligned with components of the research process, drawing upon methodologies from studies included in the scoping review.

conclusionThe framework developed provides a starting point for EM researchers seeking to understand, acknowledge, and incorporate structural competency into EM research. By incorporating components of the framework, researchers may enhance their ability to address social, historical, political, and economic forces that lead to health inequities, reframing drivers of inequities away from individual factors and focusing on structural factors.

Indexed as

Emergency MedicineHumansVulnerable Populations

Identifiers

PMID36205664
PMCPMC9541992

What OpenQuestion holds

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LicenceCC BY
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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.