Evidence map›Paper›PMID 36602483›Full record

ArticleThe western journal of emergency medicine2022

Impact of the Las Vegas Mass Shooting Event on the Graduate Medical Education Mission: Can There Be Growth from Tragedy?

Gregory T Guldner, Suzanne M Roozendaal, Ross P Berkeley, Michael P Allswede, Kristina H Domanski, Obadha M Sairafe, Dylan F Davey, Hoda Abou-Ziab, Jason T Siegel

Open access · goldFull text read
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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Prevalence of posttraumatic stress symptoms among physicians - A meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Pooled it
  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

9 authors at 5 institutions in 1 country.

Gregory T GuldnerUniversity of California Riverside School of Medicine, Department of Emergency Medicine, Riverside, California.
Suzanne M RoozendaalSunrise Health GME Consortium, Department of Emergency Medicine, Las Vegas, Nevada.
Ross P BerkeleyKirk Kerkorian School of Medicine at UNLV, Department of Emergency Medicine, Las Vegas, Nevada.
Michael P AllswedeSunrise Health GME Consortium, Department of Emergency Medicine, Las Vegas, Nevada.
Kristina H DomanskiSunrise Health GME Consortium, Department of Emergency Medicine, Las Vegas, Nevada.
Obadha M SairafeSunrise Health GME Consortium, Department of Emergency Medicine, Las Vegas, Nevada.
Dylan F DaveySunrise Health GME Consortium, Department of Surgery, Las Vegas, Nevada.
Hoda Abou-ZiabUniversity of California Riverside School of Medicine, Riverside Community Hospital, Department of Health Sciences, Riverside, California.
Jason T SiegelClaremont Graduate University, Division of Behavioral & Organizational Sciences, Claremont, California.
Claremont Graduate University · USRiverside Community Hospital · USUniversity of Nevada, Las Vegas · USSunrise Hospital & Medical Center · USUniversity of California, Riverside · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOur aim was to determine the psychological and educational impact of the 2017 Las Vegas mass shooting on the graduate medical education (GME) mission within two cohorts of resident physicians and attending faculty at two nearby academic trauma centers.

methodsA cross-sectional survey assessed 55 resident physicians and attending faculty involved in the acute care of the patients from the mass shooting. We measured the psychological impact of the event, post-traumatic growth, team cohesion, social support, and known risk factors for post-traumatic stress disorder (PTSD). Additionally, we assessed the impact of the event on GME-specific tasks.

resultsAttending faculty and physicians in training in GME residencies evaluated over 300 penetrating trauma patients in less than 24 hours, and approximately 1 in 3 physicians had a patient die under their care. Despite this potential for psychological trauma, the majority of clinicians reported minimal distress and minimal impact on GME activities. However, 1 in 10 physicians screened positive for possible PTSD. Paradoxically, the minority of physicians who sought psychological counseling after the event (20%) were not those who reported the highest levels of distress. Residents generally assessed the event as having an overall negative impact on their educational goals, while attendings reported a positive impact. Psychological impact correlated inversely with social support and the amount of prior education relating to mass casualty incidents (MCI) but correlated directly with the degree of stress prior to the event.

conclusionDespite the substantial level of exposure, most resident physicians did not report significant psychological trauma or an impact on their GME mission. Some reported post-traumatic growth. However, a minority reported a significant negative impact; institutions should consider broad screening efforts to detect and assist these individuals after a MCI. Social support, stress reduction, and education on MCIs may buffer the effects of future psychologically traumatic events on physicians in training.

Indexed as

Internship and ResidencyMass Casualty IncidentsPhysiciansCross-Sectional StudiesEducation, Medical, GraduateHumans

Identifiers

PMID36602483
PMCPMC10047749
OpenAlexW4313545950

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read37
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.