Evidence map›Paper›PMID 42146731›Full record

ArticleAEM education and training2026

Structural Competency: A Lifeline in a Time of Crisis.

Neelou Weeker, Ivan Zvonar, Esther H Chen, Samuel O Clarke

Abstract read
In one paragraph

Article in AEM education and training, 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. 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

4 authors.

Neelou WeekerDepartment of Emergency Medicine University of California, Davis Davis California USA.ORCID https://orcid.org/0000-0003-3583-3769
Ivan ZvonarDepartment of Emergency Medicine University of Washington Seattle Washington USA.ORCID https://orcid.org/0009-0007-1915-7461
Esther H ChenDepartment of Emergency Medicine University of California, San Francisco San Francisco California USA.ORCID https://orcid.org/0000-0003-4241-0262
Samuel O ClarkeDepartment of Emergency Medicine University of California, Davis Davis California USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergency departments occupy a unique position in the healthcare system: they are often where the consequences of upstream policy manifest most acutely. Structural competency-a framework for understanding how economic, political, and historical forces shape health-offers emergency medicine educators a practical means of preparing trainees to recognize and respond to those forces. This framework is grounded in five core domains:

Identifiers

PMID42146731
PMCPMC13176084

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.