Evidence map›Paper›PMID 38765709›Full record

ArticleAEM education and training2024

Building a framework to decolonize global emergency medicine.

Monalisa Muchatuta, Shama Patel, Catalina Gonzalez Marquez, Kaushila Thilakasiri, Sreenidhi Vanyaa Manian, Jennifer Chan, Ngassa Mssika, Taryn Clark, Taylor Burkholder, Nikkole Turgeon and 14 more

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Global Emergency Medicine: A Scoping Review of the Literature From 2024.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  2. Review
  3. Article
  4. Global emergency medicine: A scoping review of the literature from 2023.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  5. Article
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

24 authors.

Monalisa MuchatutaDepartment of Emergency Medicine SUNY Downstate Medical Center Brooklyn New York USA.
Shama PatelDepartment of Emergency Medicine University of Florida Jacksonville Florida USA.ORCID https://orcid.org/0000-0002-4414-2452
Catalina Gonzalez MarquezDepartment of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USA.
Kaushila ThilakasiriMinistry of Health Sri Lanka Oxford University Hospitals NHS Trust Colombo Sri Lanka.
Sreenidhi Vanyaa ManianPostgraduate Institute of Medical Sciences and Research Chandigarh India.
Jennifer ChanDepartment of Emergency Medicine Northwestern University Chicago Illinois USA.
Ngassa MssikaDepartment of Emergency Medicine Eastern Virginia Medical School Norfolk Virginia USA.
Taryn ClarkDepartment of Emergency Medicine SUNY Downstate Medical Center Brooklyn New York USA.
Taylor BurkholderDepartment of Emergency Medicine University of Southern California Los Angeles California USA.ORCID https://orcid.org/0000-0003-4648-180X
Nikkole TurgeonDepartment of Emergency Medicine Boston Medical Center Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-8084-8639
Vinay N KampalathDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0002-0194-0788
Nivedita PoolaDepartment of Emergency Medicine SUNY Downstate Medical Center Brooklyn New York USA.
O Agatha OfforjebeDepartment of Emergency Medicine, Alpert Medical School of Brown University Providence Rhode Island USA.
Adeline DozoisDepartment of Emergency Medicine Atrium Health Carolinas Medical Center Charlotte North Carolina USA.
Gimbo HyuhaDepartment of Emergency Medicine Muhimbili University of Health And Allied Science Dar es Salaam Tanzania.ORCID https://orcid.org/0000-0002-2419-4386
Oluwarotimi Vaughan-OgunlusiDepartment of Emergency Medicine Thomas Jefferson University Philadelphia Pennsylvania USA.
Carol McCammonDepartment of Emergency Medicine Eastern Virginia Medical School Norfolk Virginia USA.
Katie WellsDepartment of Emergency Medicine The University of Vermont Burlington Vermont USA.
Megan RybarczkDepartment of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA.
Maria Paula CastilloDepartment of Emergency Medicine Universidad de Ciencias Medicas San Jose Costa Rica USA.
Adebisi Anthonia AdeyeyeGeneral Hospital Odan Lagos Nigeria.
Chris A ReesEmory University School of Medicine Atlanta Georgia USA.
Sanjukta DuttaDepartment of Emergency Medicine Fortis Hospital Kolkata India.
Stephanie Chow GarbernDepartment of Emergency Medicine, Alpert Medical School of Brown University Providence Rhode Island USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Global emergency medicine (GEM) is situated at the intersection of global health and emergency medicine (EM), which is built upon a history of colonial systems and institutions that continue to reinforce inequities between high-income countries (HICs) and low- and middle-income countries (LMICs) today. These power imbalances yield disparities in GEM practice, research, and education. Approach: The Global Emergency Medicine Academy (GEMA) of the Society for Academic Emergency Medicine formed the Decolonizing GEM Working Group in 2020, which now includes over 100 worldwide members. The mission is to address colonial legacies in GEM and catalyze sustainable changes and recommendations toward decolonization at individual and institutional levels. To develop recommendations to decolonize GEM, the group conducted a nonsystematic review of existing literature on decolonizing global health, followed by in-depth discussions between academics from LMICs and HICs to explore implications and challenges specific to GEM. We then synthesized actionable solutions to provide recommendations on decolonizing GEM. Results: Despite the rapidly expanding body of literature on decolonizing global health, there is little guidance specific to the relatively new field of GEM. By applying decolonizing principles to GEM, we suggest key priorities for improving equity in academic GEM: (1) reframing partnerships to place LMIC academics in positions of expertise and power, (2) redirecting research funding toward LMIC-driven projects and investigators, (3) creating more equitable practices in establishing authorship, and (4) upholding principles of decolonization in the education of EM trainees from LMICs and HICs. Conclusions: Understanding the colonial roots of GEM will allow us to look more critically at current health disparities and identify inequitable institutionalized practices within our profession that continue to uphold these misguided concepts. A decolonized future of GEM depends on our recognition and rectification of colonial-era practices that shape structural determinants of health care delivery and scientific advancement.

Identifiers

PMID38765709
PMCPMC11099782

What OpenQuestion holds

Textmetadata
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.