ArticleCJEM2026
Are patients seen by a supervised learner more likely to return to the Emergency Department? A regional multi-centre cohort study of electronic health records.
Article in CJEM, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTeaching hospitals are vital for training future physicians, yet there is concern that the presence of learners may increase unscheduled emergency department (ED) return visits. Previous studies of this phenomenon are limited to a sample of EDs in a region. Our study aimed to address this gap using a comprehensive regional dataset and multiple academic years of routinely collected electronic medical record data. Our objective was to determine whether ED patients seen by supervised learners had higher rates of unscheduled return visits within 72 hours compared to those seen by attending physicians alone. Secondary outcomes were return visits resulting in hospital admission and the impact of learner training level.
methodsWe conducted a cohort study of over 1 million ED discharges across nine linked hospitals in a large Canadian health region between July 1, 2015, and June 30, 2018. The primary outcome was the rate of unscheduled return visits within 72 hours. Secondary outcomes included return visits with hospital admission and critical care admission. Logistic regression models were adjusted for patient demographics, acuity, and site characteristics.
resultsAmong 1,033,026 patient visits, 7.4% returned within 72 hours. There was no statistically significant difference in unscheduled return visits between supervised learners and attending physicians alone (adjusted RR 0.98, 95% CI 0.96-1.00, p = 0.054). Return visit admissions were slightly higher among patients seen by learners (adjusted RR 1.06, 95% CI 1.01-1.13), primarily those seen by medical students and off-service residents. Emergency medicine residents in mid-training had lower return visit rates than attendings.
conclusionsPatients seen by supervised learners in a regional ED network did not have increased rates of unscheduled return visits. Further research is warranted to explore factors underlying return visit admissions in learner-involved care.
Indexed as
Identifiers
41870807What OpenQuestion holds
Registered trials
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.