Evidence map›Paper›PMID 37529174›Full record

ArticleAEM education and training2023

The utility of an online discussion board for reflective writing in an emergency medicine rotation.

Kiran Pandit, David L Chu, Roxanne Russell, Melissa Wright, Lauren Titone, Tomas Diaz, Jimmy Truong, Tiffany Murano, Daniel J Egan

Abstract read
In one paragraph

Article in AEM education and training, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Kiran PanditDepartment of Emergency Medicine Albert Einstein College of Medicine Bronx New York USA.ORCID https://orcid.org/0000-0001-8380-0254
David L ChuNew York-Presbyterian Hospital Center New York New York USA.ORCID https://orcid.org/0000-0001-7960-6053
Roxanne RussellMailman School of Public Health Columbia University New York New York USA.
Melissa WrightCenter for Engaged Pedagogy Barnard College New York New York USA.
Lauren TitoneDepartment of Emergency Medicine Columbia University Vagelos College of Physicians & Surgeons New York New York USA.
Tomas DiazDepartment of Emergency Medicine Columbia University Vagelos College of Physicians & Surgeons New York New York USA.
Jimmy TruongDepartment of Emergency Medicine Columbia University Vagelos College of Physicians & Surgeons New York New York USA.ORCID https://orcid.org/0000-0002-7499-3258
Tiffany MuranoDepartment of Emergency Medicine Columbia University Vagelos College of Physicians & Surgeons New York New York USA.
Daniel J EganDepartment of Emergency Medicine Massachusetts General Hospital and Brigham and Women's Hospital Boston Massachusetts USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Narrative analysis and reflection have been found to support professional identity formation (PIF) and resilience among medical students. In the emergency department, students have used reflective practice to process challenging clinical experiences, such as ethical dilemmas or moral distress. An online discussion board, however, has not been described as a curricular component of emergency medicine (EM) rotations. The objective of this educational innovation was to support medical students in an EM clinical rotation via an online discussion board for reflecting on and debriefing clinical experiences with faculty and peers. Methods: Fifty-two medical students enrolled in the pass/fail EM elective between May 13, 2019, and October 30, 2020. Each cohort of six students took part in a cohort-specific discussion using the Canvas learning management system. Students were encouraged to post about any observations, reflections, or emotions after their shifts. Faculty course directors responded to each post using concepts of debriefing, coaching, and trauma-informed teaching. Results: Over 18 months, 49 of 52 (94%) students participated in the discussion board. Of 346 total posts, half were by students, and the other half were faculty responses. Students posted 3.27 times each, on average. Students rarely raised questions about scientific knowledge content, fact-based aspects of patient care, or specific skills. Rather, they often posted about intensely affective reactions to experiences that left them with complex emotions. Upon review of posts by the course directors, the majority (54%) of students' posts contained a range of affective responses. Students appreciated faculty responses and supported each other in their written responses to peers. Conclusions: An online discussion board can be used successfully for asynchronous reflective practice to debrief clinical experiences during an EM rotation, if designed incorporating faculty and peer support using trauma-informed teaching principles to bolster well-being and PIF.

Identifiers

PMID37529174
PMCPMC10387829

What OpenQuestion holds

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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.