Evidence map›Paper›PMID 40526845›Full record

ArticleFamily medicine2025

Assessment of Emergency and Trauma Stabilization Training in Family Medicine Residency Programs: A CERA Study.

Joel Klas, Cole Puffer, Paul Klas, Joyce C Hollander-Rodriguez, Patricia A Carney

Abstract read
In one paragraph

Article in Family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. The Forest and the Trees.Family medicine · 2025
    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

5 authors.

Joel KlasCascades East Family Medicine Residency, Sky Lakes Medical Center, Oregon Health & Science University, Klamath Falls, OR.
Cole PufferCascades East Family Medicine Residency, Sky Lakes Medical Center, Oregon Health & Science University, Klamath Falls, OR.
Paul KlasNortheast Georgia Medical Center (NGMC) Family Medicine Residency Program, Gainesville, GA.
Joyce C Hollander-RodriguezSchool of Medicine, Oregon Health & Science University, Portland, OR.
Patricia A CarneySchool of Medicine, Oregon Health & Science University, Portland, OR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesFamily physicians are central to the national emergency department workforce, especially in rural communities. However, the number of family physicians working in emergency departments is decreasing, perhaps due to lack of training.

methodsWe assessed emergency medicine and trauma stabilization curricula in US family medicine residencies to identify barriers to training in these areas. Council on Academic Family Medicine Educational Research Alliance (CERA) program directors' surveys were administered between September 26, 2023 and October 30, 2023. We stratified data according to community size (<30,000; 30,000-74,999; 75,000-149,999; 150,000-499,999; 500,000-1,000,000; and >1,000,000) to explore whether training differed based on training program rurality.

resultsOf the 715 program directors, 271 responded (37.9%). Of the program directors who responded, nearly 76% reported that residents spend 100 to 299 hours training in emergency rooms, and more than 86% reported that residents lead 0 to 5 trauma stabilizations by the time their training is complete, which did not differ according to rurality. Only 3.0% reported that all their graduates were prepared to work independently in emergency rooms, and 3.4% reported that all their graduates were prepared to lead trauma stabilizations, which also did not differ according to rurality. Barriers to training included Accreditation Council for Graduate Medical Education (ACGME) emphasis on other practice requirements (58.3%) and a lack of emphasis on trauma stabilization (69.7%).

conclusionsMost program directors reported that few of their residents were prepared to independently work in emergency departments. If ACGME wishes to increase family medicine graduates' entry into the emergency medicine workforce, system changes may be required to increase emphasis on emergency training and its core component of trauma stabilization.

Indexed as

Emergency MedicineFamily PracticeInternship and ResidencyWounds and InjuriesCurriculumEducation, Medical, GraduateEmergency Service, HospitalHumansSurveys and QuestionnairesUnited States

Identifiers

PMID40526845
PMCPMC12306610

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.