Evidence map›Paper›PMID 41321939›Full record

ArticleJournal of the American College of Emergency Physicians open2026

Understanding Program Attrition: The Influence of Entry Requirements and Student Resources.

Shea L van den Bergh, Jacob C Kamholz, Jonathan R Powell, Christopher B Gage, Lisa Collard, Michael G Miller, Ashish R Panchal

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2026. 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. Preparedness of the Emergency Medical Services Educational System: Pandemic Barriers and Adaptations.Journal of the American College of Emergency Physicians open · 2026
    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

7 authors.

Shea L van den BerghNational Registry of Emergency Medical Technicians, Columbus, Ohio, USA.
Jacob C KamholzNational Registry of Emergency Medical Technicians, Columbus, Ohio, USA.
Jonathan R PowellNational Registry of Emergency Medical Technicians, Columbus, Ohio, USA.
Christopher B GageNational Registry of Emergency Medical Technicians, Columbus, Ohio, USA.
Lisa CollardCommittee on Accreditation of Educational Programs for the Emergency Medical Services Professions, Rowlett, Texas, USA.
Michael G MillerCommittee on Accreditation of Educational Programs for the Emergency Medical Services Professions, Rowlett, Texas, USA.
Ashish R PanchalNational Registry of Emergency Medical Technicians, Columbus, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Paramedic educational program attrition contributes to a loss of potential clinicians from the emergency medical services (EMS) workforce. Programs have developed entry requirements and resources to enhance retention, although their impact is unclear. Our objective is to evaluate program entry requirements and resources and their association with high educational program attrition. Methods: We conducted a cross-sectional survey evaluating program entry requirements, benefits, resources, and attrition in paramedic educational programs using the 2023 Committee on Accreditation of Educational Programs for the EMS Professions (CoAEMSP) annual report. Included are all paramedic programs that reported >4 enrolled students with at least 1 graduating cohort in 2021. Descriptive statistics were calculated (median and IQR), and proportional differences (PDs) were used to evaluate differences in prevalence between attrition groups. Results: We included 629 programs. The median attrition rate was 20% (10.6%-28.6%), with 148 programs (23.5%) reporting high attrition. Programs with high attrition were more likely to have open enrollment policies (PD, -10.9%; 95% CI, -20.0 to -1.7). In contrast, low-attrition programs more frequently required preadmission interviews (PD, 10.3%; 95% CI, 1.6 to 19.1), medical knowledge exams (PD, 11.5%; 95% CI, 3.2 to 19.8), and medical prescreens (PD, 11.6%; 95% CI, 2.7 to 20.5) and offered daycare (PD, 4.6%; 95% CI, 1.4 to 7.8). Conclusion: We found substantial variability in baseline program entry requirements and the availability of common student resources. Paramedic educational programs should consider the combined impact of entry requirements and student support systems when developing strategies to improve retention.

Indexed as

accreditationattritioncertificationemergency medical servicesparamedic education

Identifiers

PMID41321939
PMCPMC12657718

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.