Evidence map›Paper›PMID 35783075›Full record

ArticleAEM education and training2022

Structural competency in emergency medical education: A scoping review and operational framework.

Bisan A Salhi, Amy Zeidan, Christine R Stehman, Sarah Kleinschmidt, E Liang Liu, Kristen Bascombe, Kian Preston-Suni, Melissa H White, Jeff Druck, Bernard L Lopez and 1 more

Open access · greenAbstract readScoping Review
In one paragraph

Article in AEM education and training, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

11 authors at 7 institutions in 1 country.

Bisan A SalhiDepartment of Emergency Medicine Emory University Atlanta Georgia USA.ORCID https://orcid.org/0000-0001-5758-3372
Amy ZeidanDepartment of Emergency Medicine Emory University Atlanta Georgia USA.ORCID https://orcid.org/0000-0003-1274-996X
Christine R StehmanDepartment of Emergency Medicine University of Illinois College of Medicine Peoria Illinois USA.
Sarah KleinschmidtDepartment of Emergency Medicine University of Massachusetts Medical School-Baystate Springfield Massachusetts USA.
E Liang LiuDepartment of Emergency Medicine Emory University Atlanta Georgia USA.
Kristen BascombeDepartment of Emergency Medicine Emory University Atlanta Georgia USA.
Kian Preston-SuniDepartment of Emergency Medicine VA Greater Los Angeles Healthcare System University of California at Los Angeles Los Angeles California USA.
Melissa H WhiteDepartment of Emergency Medicine Emory University Atlanta Georgia USA.
Jeff DruckDepartment of Emergency Medicine University of Colorado School of Medicine Aurora Colorado USA.
Bernard L LopezDepartment of Emergency Medicine Sidney Kimmel Medical College Philadelphia Pennsylvania USA.
Margaret E Samuels-KalowDepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-0576-8903
Emory University · USBaystate Medical Center · USIllinois College · USMassachusetts General Hospital · USSidney Kimmel Cancer Center · USUniversity of California, Los Angeles · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Existing curricula and recommendations on the incorporation of structural competency and vulnerability into medical education have not provided clear guidance on how best to do so within emergency medicine (EM). The goal of this scoping review and consensus building process was to provide a comprehensive overview of structural competency, link structural competency to educational and patient care outcomes, and identify existing gaps in the literature to inform curricular implementation and future research in EM. Methods: A scoping review focused on structural competency and vulnerability following Arksey and O'Malley's six-step framework was performed in concurrence with a multistep consensus process culminating in the 2021 SAEM Consensus Conference. Feedback was incorporated in developing a framework for a national structural competency curriculum in EM. Results: A literature search identified 291 articles that underwent initial screening. Of these, 51 were determined to be relevant to EM education. The papers consistently conceptualized structural competency as an interdisciplinary framework that requires learners and educators to consider historical power and privilege to develop a professional commitment to justice. However, the papers varied in their operationalization, and no consensus existed on how to observe or measure the effects of structural competency on learners or patients. None of the studies examined the structural constraints of the learners studied. Conclusions: Findings emphasize the need for training structurally competent physicians via national structural competency curricula focusing on standardized core competency proficiencies. Moreover, the findings highlight the need to assess the impact of such curricula on patient outcomes and learners' knowledge, attitudes, and clinical care delivery. The framework aims to standardize EM education while highlighting the need for further research in how structural competency interventions would translate to an ED setting and affect patient outcomes and experiences.

Identifiers

PMID35783075
PMCPMC9222890
OpenAlexW4283331923

What Socratic holds

Textmetadata
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 Socratic graph.