Evidence map›Paper›PMID 39507098›Full record

ArticleAdvances in medical education and practice2024

Variations in Trauma Education Practices Across Emergency Medicine Residencies: Insights from a National Survey of Program Directors.

Stephanie Stroever, Colten Lanning, Miloš Buhavac, Cameran Mecham, Andrea Weitz, Frank Frankovsky, Andres Rios, James Morris

Abstract read
In one paragraph

Article in Advances in medical education and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Stephanie StroeverDepartment of Medical Education, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.ORCID 0000-0001-9683-3928
Colten LanningTexas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.ORCID 0009-0006-7909-2818
Miloš BuhavacDepartment of Surgery, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.
Cameran MechamDivision of Emergency Medicine, Texas Tech University Health Sciences Center School of Medicine, School of Medicine, Lubbock, TX, USA.
Andrea WeitzDivision of Emergency Medicine, Texas Tech University Health Sciences Center School of Medicine, School of Medicine, Lubbock, TX, USA.
Frank FrankovskyTexas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.
Andres RiosTexas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.
James MorrisDivision of Emergency Medicine, Texas Tech University Health Sciences Center School of Medicine and University Medical Center, Lubbock, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Care of the acutely injured trauma patient is integral to the practice of emergency medicine. It is currently unknown how most emergency medicine residencies structure their residents' trauma experience and little guidance for competency assessment is provided by the Residency Review Committee. Our study aimed to determine current emergency medicine residency practices in trauma resuscitation. Patients and Methods: We conducted a cross-sectional survey of members of the Council of Residency Directors in Emergency Medicine (CORD) listserv in April 2023. Frequency with percentage of item responses is reported and differences across trauma levels assessed via Fisher's exact test (α = 0.05). Results: Fifty-seven program directors responded to the survey (21.9%), the majority of whom operate at Level I facilities. Significantly more Level II/ III centers send residents to other sites for trauma experience compared to Level I (p = 0.000). Residents participate in all key procedures (eg, airway management, central venous access) when managing traumas except thoracotomy where participation was notably lower and statistically different across levels (p = 0.000). Lastly, program directors were very confident their residents can lead traumas independently and few acknowledged citations for deficiency in trauma training. Conclusion: Trauma training and confirmation of competency is critical among EM residents who may serve as the sole lead in rural emergency departments. This study demonstrates that there is considerable variability in how residency programs structure trauma education, particularly with regards to the exposure to invasive procedures and the opportunity to lead trauma resuscitations. As the American Board of Emergency Medicine has introduced requirements for program directors to attest specifically to the competence of residents to lead trauma resuscitations, standardized and validated tools should be adopted to support this attestation and ensure competence regardless of the program hospital's trauma level.

Indexed as

emergency medicinegraduate educationlevel 1 traumateam lead

Identifiers

PMID39507098
PMCPMC11539630

What OpenQuestion holds

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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.