Evidence map›Paper›PMID 40308866›Full record

ReviewAEM education and training2025

Words matter: Destigmatizing the language of medicine through research, training, and future directions for emergency medicine.

Natalie Strokes, Richard Sapp, Meta Carroll, Elizabeth Maxwell Hovis, Mary McLean, Shannon Markus, Aaryn Hammond, Rosemarie Diaz, Ryan E Tsuchida, Marcia Perry and 1 more

Abstract readReview
In one paragraph

Review in AEM education and training, 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. Review
  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.

Natalie StrokesDepartment of Emergency Medicine UMass Chan-Baystate Springfield Massachusetts USA.ORCID https://orcid.org/0009-0005-9034-3983
Richard SappDepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-2381-0300
Meta CarrollDepartment of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine Chicago Illinois USA.
Elizabeth Maxwell HovisDepartment of Psychiatry and Behavioral Medicine Medical College of Wisconsin Milwaukee Wisconsin USA.
Mary McLeanDepartment of Emergency Medicine AdventHealth East Orlando Orlando Florida USA.ORCID https://orcid.org/0000-0003-0020-1622
Shannon MarkusDivision of Emergency Medicine, Department of Surgery and Perioperative Care Dell Medical School Austin Texas USA.
Aaryn HammondDepartment of Emergency Medicine Atrium Health Wake Forest Baptist Medical Center Winston-Salem North Carolina USA.
Rosemarie DiazDepartment of Emergency Medicine University of California Los Angeles Los Angeles California USA.ORCID https://orcid.org/0000-0003-1688-697X
Ryan E TsuchidaBerbeeWalsh Department of Emergency Medicine University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA.
Marcia PerryUniversity of Michigan Medical School, Michigan Medicine Ann Arbor Michigan USA.
Edgardo OrdonezDepartment of Emergency Medicine Baylor College of Medicine Houston Texas USA.ORCID https://orcid.org/0000-0001-8467-7155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In emergency medicine (EM), language choice significantly impacts patient care and can potentially cause harm, dehumanize patients, and introduce bias. Stigmatizing language in medical settings can affect patient dignity, trust, and outcomes. Despite its importance, there is limited education on avoiding stigmatizing language in EM. This concept paper addresses the need to raise awareness and develop strategies for use of inclusive language in the emergency department (ED). Methods: A didactic session titled "Words Matter: Destigmatizing the Language of Medicine" was developed and presented at the 2024 Society for Academic Emergency Medicine (SAEM) Annual Meeting. The session involved a collaborative team of 12 individuals, including an EM resident, health equity fellow, and EM faculty. Content creation involved a comprehensive literature review and consensus-based decision making. The session featured current research related to stigmatizing language and interactive components, including case-based discussions and equity-focused alternative language choices. Results: The didactic session, attended by approximately 70 participants, successfully highlighted the impact of stigmatizing language on health care disparities and patient trust. Interactive case studies allowed participants to identify and propose alternatives to stigmatizing language. The session provided actionable strategies for integrating inclusive language into practice and education. Postdidactic discussions emphasized the need for ongoing research and specific educational interventions to address stigmatizing language in EM. Conclusions: Addressing stigmatizing language in EM is crucial for providing equitable and respectful patient care. The didactic session demonstrated effective methods for raising awareness and training health care professionals in using inclusive language. Future efforts should focus on developing standardized approaches for identifying and mitigating stigmatizing language, integrating these practices into training programs, and conducting longitudinal research to assess the impact on patient outcomes. Creating a culture of inclusive language in the ED will contribute to improved patient trust and care quality.

Identifiers

PMID40308866
PMCPMC12038737

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.