Evidence map›Paper›PMID 36210752›Full record

ArticlePrehospital and disaster medicine2022

Wilderness Medicine Curricula in United States EMS Fellowship, Emergency Medicine Residency, and Wilderness Medicine Programs.

Maria Holstrom-Mercader, Daniel Kass, Monica Corsetti, Avram Flamm

Abstract read
In one paragraph

Article in Prehospital and disaster 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. Article
  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

4 authors.

Maria Holstrom-MercaderDepartment of Emergency Medicine, Penn State Hershey Medical Center, Hershey, PennsylvaniaUSA.ORCID https://orcid.org/0000-0003-1303-3592
Daniel KassDepartment of Emergency Medicine, Penn State Hershey Medical Center, Hershey, PennsylvaniaUSA.
Monica CorsettiDepartment of Emergency Medicine, Penn State Hershey Medical Center, Hershey, PennsylvaniaUSA.
Avram FlammDepartment of Emergency Medicine, Penn State Hershey Medical Center, Hershey, PennsylvaniaUSA.ORCID https://orcid.org/0000-0003-4458-7870

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWilderness Medicine (WM) focuses on care delivered in austere or resource-scarce environments. The Accreditation Council for Graduate Medical Education (ACGME) requirements and core content for Emergency Medicine (EM) residency and Emergency Medical Services (EMS) fellowship in the United States (US) include some WM topics that are covered to varying degrees in these programs. Furthermore, there are no ACGME-approved WM fellowships or specific curricula. Different training programs may develop WM content and curricula that differ significantly, leading to variations in WM competencies and training. In 2009, the American College of Emergency Physicians (ACEP) Wilderness Medicine Section created a Fellowship Subcommittee and Taskforce to develop a standardized curriculum and core content for EM-based WM fellowships. However, to date, EMS fellowship and EM residency WM curricula in the US content have not been analyzed for consistency with the ACEP WM fellowship curriculum.

methodsIn this study, the WM curricula components of EM residency and EMS fellowship were evaluated using the ACEP WM fellowship curriculum as a control. Potential curriculum gaps for each program type were identified.

resultsOf the 19 WM competencies developed by the ACEP Wilderness Medicine Section Fellowship Subcommittee and Taskforce, EMS fellowship covers more WM topics (16 topics, or 84%) than EM residency (12 topics, or 63%), and combined, they cover 89% of these topics.

conclusionsBy expanding to cover two additional WM topics, all WM curricula topics recommended by the ACEP WM fellowship curriculum could potentially be covered in EM residency + EMS fellowship; however, the depth of education in each topic may vary. It may be beneficial for Graduate Medical Education (GME)-level learners for programs to implement hands-on educational experiences in WM topics.

Indexed as

Emergency Medical ServicesEmergency MedicineInternship and ResidencyWilderness MedicineCurriculumEducation, Medical, GraduateFellowships and ScholarshipsHumansUnited Statescurriculum developmentEmergency Medical Servicesemergency medicinemedical educationwilderness medicine

Identifiers

PMID36210752
PMCPMC9726468

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