Evidence map›Paper›PMID 38800608›Full record

ArticleAEM education and training2024

A national pilot study on simulation-based upstander training for emergency medicine clinicians.

William Mundo, Jordan Vaughn, Adetoriola Odetunde, Tai Donovan, Al'ai Alvarez, Kristyn Smith, Cortlyn Brown, Italo Brown, Suchismita Datta, Samreen Vora and 1 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 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
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

11 authors.

William MundoDepartment of Emergency Medicine Denver Health Hospital and Authority Denver Colorado USA.ORCID https://orcid.org/0000-0002-0043-7419
Jordan VaughnDepartment of Emergency Medicine LSU Spirit of Charity New Orleans Louisiana USA.
Adetoriola OdetundeDepartment of Emergency Medicine University of Chicago Chicago Illinois USA.
Tai DonovanWindsor University School of Medicine Cayon St. Kitts Campus Cayon St. Kitts & Nevis.
Al'ai AlvarezDepartment of Emergency Medicine Stanford University Stanford California USA.ORCID https://orcid.org/0000-0002-5438-2476
Kristyn SmithDepartment of Emergency Medicine University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA.
Cortlyn BrownDepartment of Emergency Medicine Atrium Health Carolinas Charlotte North Carolina USA.
Italo BrownDepartment of Emergency Medicine Stanford University Stanford California USA.
Suchismita DattaDepartment of Emergency Medicine NYU Langone Long Island Hospital, NYC Mineola New York USA.ORCID https://orcid.org/0000-0003-2202-775X
Samreen VoraDepartment of Emergency Medicine Yale University New Haven Connecticut USA.
Jacqueline Ward-GainesDepartment of Emergency Medicine University of Colorado, School of Medicine Aurora Colorado USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study assesses the effectiveness of clinical simulation-based training in boosting self-perceived confidence for using upstander communication skills to confront racism, discrimination, and microaggressions (RDM). Methods: We conducted an observational cohort study with emergency medicine professionals at the 2023 Scientific Assembly of the American Academy of Emergency Medicine in New Orleans, Louisiana. The study featured a clinical simulation-based training on upstander communications skills session followed by small- and large-group debriefs. Participants completed pre- and post-training questionnaires assessing demographics and confidence in health equity competencies. This survey was used in a previous study with emergency medicine residents. Data were analyzed using an independent Student's Results: Thirty-two individuals participated in the simulation-based training, and 24 completed surveys, with a 75% response rate. Most participants were non-Hispanic (24, 85.7%) and women (18, 64%), with racial demographics mostly White (8, 28.6%), Black or African American (8, 28.6%), and Asian (6, 21.4%). After the workshop, there was a notable increase in self-perceived ability and confidence in identifying RDM (from 7 ± 3.2 to 8.6 ± 1.6, Conclusions: The clinical simulation-based training significantly improved participants' confidence and self-perceived ability to address RDM in simulated clinical environments. This training method is a promising tool for teaching health equity topics in clinical medicine.

Indexed as

diversityhealth equitymicroaggressionsracismsimulationupstanding

Identifiers

PMID38800608
PMCPMC11125567

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.