Evidence map›Paper›PMID 42256847›Full record

ReviewAEM education and training2026

CBME As a Philosophy of Training: Balancing Fidelity and Flexibility in Emergency Medicine.

Benjamin Kinnear, Sally A Santen, Tiffany Murano, Holly Caretta-Weyer, Martin Pusic

Abstract readReview
In one paragraph

Review 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. Review
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.

Benjamin KinnearDepartments of Pediatrics and Internal Medicine University of Cincinnati College of Medicine Cincinnati Ohio USA.
Sally A SantenDepartments of Emergency Medicine and Medical Education University of Cincinnati College of Medicine Cincinnati Ohio USA.ORCID https://orcid.org/0000-0002-8327-8002
Tiffany MuranoDepartment of Emergency Medicine Columbia University New York New York USA.
Holly Caretta-WeyerDepartment of Emergency Medicine Stanford University San Francisco California USA.ORCID https://orcid.org/0000-0002-9783-5797
Martin PusicDepartment of Emergency Medicine Harvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0001-5236-6598

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 2025 SAEM Consensus Conference: "Competency-Based Training and Certification: The Future of Emergency Medicine Education" provided the opportunity to further the development of competency-based medical education (CBME) in Emergency Medicine. This perspective argues that CBME is a flexible philosophy of training rather than a fixed checklist or recipe, and as such can and should manifest variably across contexts and specialties. The authors reason that by viewing CBME as a philosophy, multiple beneficial corollaries follow: (1) CBME training will demand a balance of fidelity of philosophical implementation with necessary context-specific flexibility. (2) Philosophies are dynamic, and as such CBME has already evolved over time and will continue to do so. (3) Medical education has agency to direct such evolution and to choose different philosophies of training if CBME is not delivering what it purports to do. Emergency Medicine is encouraged to approach their work through the philosophy of CBME by embracing CBME principles with training and reframing assessment.

Indexed as

competency‐based medical educationFidelityphilosophy

Identifiers

PMID42256847
PMCPMC13239202

What OpenQuestion holds

Textmetadata
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.