Evidence map›Paper›PMID 38765706›Full record

ArticleAEM education and training2024

Flexible endoscopic intubation in emergency medicine: A mixed-methods needs assessment.

Benjamin J Sandefur, Eric F Shappell, Ronna L Campbell, Calvin A Brown, Brian E Driver, Jestin N Carlson, Aidan F Mullan, Yoon Soo Park, Ara Tekian

Abstract read
In one paragraph

Article in AEM education and training, 2024. 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
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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.

Benjamin J SandefurDepartment of Emergency Medicine Mayo Clinic College of Medicine and Science Rochester Minnesota USA.ORCID https://orcid.org/0000-0003-3675-5993
Eric F ShappellDepartment of Emergency Medicine, Mass General Brigham Harvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0003-0281-3219
Ronna L CampbellDepartment of Emergency Medicine Mayo Clinic College of Medicine and Science Rochester Minnesota USA.
Calvin A BrownDepartment of Emergency Medicine, Lahey Hospital and Medical Center UMass Chan Medical School Burlington Massachusetts USA.
Brian E DriverDepartment of Emergency Medicine Hennepin County Medical Center Minneapolis Minnesota USA.ORCID https://orcid.org/0000-0002-7141-0256
Jestin N CarlsonDepartment of Emergency Medicine Allegheny Health Network Erie Pennsylvania USA.
Aidan F MullanDepartment of Quantitative Health Sciences Mayo Clinic College of Medicine and Science Rochester Minnesota USA.
Yoon Soo ParkDepartment of Medical Education University of Illinois at Chicago Chicago Illinois USA.
Ara TekianDepartment of Medical Education University of Illinois at Chicago Chicago Illinois USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This needs assessment aimed to improve understanding of flexible endoscopic intubation training and practice in emergency medicine (EM), providing insights to educators and practice leaders seeking to improve education and practices. Methods: We conducted a multicenter, mixed-methods needs assessment of emergency physicians (EPs) incorporating focus groups and a survey. Focus groups comprised community EPs, academic EPs, and resident EPs. We analyzed focus group transcripts using grounded theory, qualitatively describing EM endoscopic intubation. The qualitative analysis shaped our survey instrument, which we deployed in cross-sectional fashion. We report survey data with descriptive statistics. Results: Focus groups with 13 EPs identified three themes: indications for use of endoscopic intubation, factors impacting a physician's decision to endoscopically intubate, and attaining and maintaining endoscopic intubation competency. Of 257 surveyed EPs (33% response rate), 79% had received endoscopic intubation training during residency, though 82% had performed this procedure 10 or fewer times in their career. Despite 97% acknowledging the necessity of competency, only 23% felt highly confident in their ability to perform endoscopic intubation. Participants (93%) reported scarce opportunities to perform the procedure and identified factors believed to facilitate competency acquisition and maintenance, including opportunities to perform endoscopic intubation in practice (98%), local champions (93%), and performing nasopharyngoscopy (87%). Conclusions: While most EPs acknowledged the importance of competency in endoscopic intubation, they reported scarce procedural opportunities and commonly expressed low confidence. Further research is needed on this topic, and we propose avenues to enhance education and practices related to endoscopic intubation. These include development of robust procedural curricula, support of local champions, and incorporating nasopharyngoscopy into EM practice.

Identifiers

PMID38765706
PMCPMC11099701

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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.