Evidence map›Paper›PMID 39612059›Full record

ReviewInternal and emergency medicine2025

Restructuring the role of emergency departments in the healthcare systems: a vector to improving physician resilience.

Melissa Nicole Monaghan, Annmarie Monique Lang-Hodge, Shannon Chun, Rodrick Lim, Eddy Lang, Eric Pieter Heymann

Abstract readReview
PubMed Publisher
In one paragraph

Review in Internal and emergency medicine, 2025. 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
  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

6 authors.

Melissa Nicole MonaghanCumming School of Medicine, University of Calgary, Calgary, AB, Canada. Melissa.Monaghan1@ucalgary.ca.ORCID 0009-0007-5238-5757
Annmarie Monique Lang-HodgeCumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0009-0006-3820-4553
Shannon ChunDivision of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0001-9761-3249
Rodrick LimDepartment of Paediatric, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.ORCID 0000-0002-7157-4963
Eddy LangDepartment of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.ORCID 0000-0003-0850-4337
Eric Pieter HeymannDepartment of Emergency Medicine, Neuchâtel Cantonal Hospital, Neuchâtel, Switzerland.ORCID 0000-0002-3139-1222

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare systems are continuously evolving to respond to new geodemographic demands, among other challenges. At the forefront of this exercise of malleability, Emergency Departments (EDs) are often put to test as the default access point, while the rest of the system takes time to adapt. Once highly adaptable, years of cumulative strain have stressed the limits of the current organization of Emergency Departments (ED) within the healthcare system worldwide. The consequences are many, most notably for Emergency Physicians (EPs), who now face the highest rate of burnout among all medical specialties, with career resilience at an all-time low and diminished interest in the profession. Understanding how EDs are structured within their respective healthcare system provides a unique lens through which areas of improvement can be assessed. This paper discusses solutions to improve the overall structure of the healthcare system to help improve responsiveness, reduce relegation of tasks to the ED, and help improve working conditions and wellbeing for EPs.

Indexed as

Emergency Service, HospitalPhysiciansResilience, PsychologicalBurnout, ProfessionalDelivery of Health CareHumansEmergency departmentHealthcarePhysician wellnessRestructuringWellbeing

Identifiers

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.