Evidence map›Paper›PMID 42237329›Full record

ReviewBMC medical education2026

Screen-based simulation assessment for emergency medicine learners: a rapid review.

Patrick Zeniecki, Rebecca Kamens, Jared Kilpatrick, Dimitrios Papanagnou, Xiao Chi Zhang

Abstract readReview
In one paragraph

Review in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Patrick ZenieckiDepartment of Internal Medicine, Maine Line Health, Wynnewood, PA, USA.
Rebecca KamensDepartment of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Jared KilpatrickDepartment of Emergency Medicine, Western Michigan University Hospital, Kalamazoo, MI, USA.
Dimitrios PapanagnouDepartment of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Xiao Chi ZhangDepartment of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USA. XiaoChi.Zhang@Jefferson.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSimulation has played a vital role in training medical professionals. The COVID-19 Pandemic has highlighted the need for physically distant educational assessment methods. Screen-based simulation (SBS) demonstrates one alternative to traditional in-person simulation methods to assess learners clinical reasoning and communication skills. This study aims to compare in-person simulation to SBS as assessment methods in Emergency Medicine (EM).

methodsA rapid review literature search methodology of an electronic database (PubMed) was performed in February 2022 with search terms such as "Computer Simulation," "Patient Simulation," "Simulation Training," "Education, Distance," "Virtual OSCE," "Academic Performance," or "Emergency Medicine." Reference lists of relevant articles were manually analyzed for additional studies. Studies were manually reviewed by multiple authors following strict inclusion/exclusion criteria.

results751 articles were identified based on title and abstract. Sixty articles were selected for retrieval, of which seven pilot and small population studies were included. Study participants varied based on experience level. Three key findings were derived from these studies. First, SBS is comparable to in-person simulation as a clinical competence and communication skill assessment method when evaluated by independent raters and mock EM oral board examination scores. Second, SBS is capable of discerning EM learners by educational level given SBS/serious game mean clinical score clustering. Lastly, various SBS software demonstrated strong participant interest across the EM learner spectrum through subjective exit questionaries.

conclusionCurrent research regarding SBS as an assessment method for EM learners is severely limited as demonstrated by low number of included studies and small populations. Even so, SBS shows promise as a possible alternative and/or supplement to traditional in-person simulation to assess clinical reasoning/communication skills and discern learners by educational level. Further large-scale studies are required to establish the validity of SBS as an assessment method.

Indexed as

Clinical CompetenceComputer SimulationEducational MeasurementEmergency MedicineSimulation TrainingCOVID-19HumansSARS-CoV-2Computer-Based SimulationEmergency MedicineMedical EducationScreen-Based SimulationSimulationVirtual Simulation

Identifiers

PMID42237329
PMCPMC13455477

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Registered trials

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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.