Academic Emergency Medicine最新文献

{"title":"Reply to Wang Letter Regarding \"Psychological Comorbidity in Patients Presenting to the Emergency Department With Low-Risk Chest Pain and Anxiety\".","authors":"Kurt Kroenke, Paul I Musey","doi":"10.1111/acem.70149","DOIUrl":"https://doi.org/10.1111/acem.70149","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145028794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Show Me the Money: A Movement Towards Transparency in Pediatric Emergency Medicine Compensation.","authors":"Jasmyne Jackson, Corrie E Chumpitazi, Deborah Hsu, Mariju Baluyot, Lindsey Barrick, Sing-Yi Feng, Selena Hariharan, Shari Platt, Harold K Simon, Rachel Stanley, Melissa L Langhan, Jennifer L Reed","doi":"10.1111/acem.70146","DOIUrl":"https://doi.org/10.1111/acem.70146","url":null,"abstract":"<p><strong>Background: </strong>National studies report sustained gender-based differences in physician compensation, even after adjustment for workplace factors such as academic rank, specialty type, and work hours. This study examines differences in compensation among pediatric emergency medicine (PEM) fellows' first job after training.</p><p><strong>Methods: </strong>Between May 2023 and June 2023, we distributed an electronic survey to all United States PEM fellowship program directors (FPDs), requesting they forward it to their graduating fellows. Survey completion was anonymous and voluntary, and included demographics, employment characteristics, and compensation package questions. We defined underrepresented in medicine (URiM) as individuals who self-identified as Black, Hispanic, Native American, Alaskan, or Pacific Islander.</p><p><strong>Results: </strong>The survey was forwarded by 39 PEM FPDs to 107 eligible graduating PEM fellows, 80 (75%) of whom responded to the survey. Most respondents (71.3%) were women, 92.5% completed Pediatric residency, and 70.1% identified as White. The reported median base salary was $255,000 (IQR 222,000, 288,811). A high proportion of respondents were unaware of financial benefits beyond salary, such as employer retirement contributions. Compared to Pediatric hiring departments, Emergency Medicine (EM) departments had a significantly higher mean base salary (EM $277,079 vs. Pediatrics $239,540 p = 0.036) and annual clinical hours (EM 1393 vs. Pediatrics 1269, p = 0.035). While there were no statistical differences for base salary, annual clinical hours, sign-on bonus, or relocation stipend by gender or by underrepresented in medicine (URiM)-status, the mean difference in base salary for men was $25,628 higher than that of women (95% CI -$7903, $59,159). The mean difference in base salary for non-URiM versus URiM was $20,440 (95% CI -$22,000, $63,000).</p><p><strong>Conclusion: </strong>While no statistically significant differences in salary by gender or race among PEM fellowship graduates were found, the difference in mean base salaries between genders is impactful over time. Transparency, financial education, and strategic action are important steps toward compensation equity.</p>","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravenous Thrombolysis for Minor Acute Ischemic Stroke.","authors":"Brit Long, Michael Gottlieb","doi":"10.1111/acem.70148","DOIUrl":"https://doi.org/10.1111/acem.70148","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: Development of a Fall Risk Score for Older Adults Incorporating Electronic Health Record and Emergency Department Screening Measures.","authors":"Pawan Acharya, Tabitha Garwe, Zain G Hashmi","doi":"10.1111/acem.70144","DOIUrl":"https://doi.org/10.1111/acem.70144","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Success and Complication Rates of Endoscopic Exchange of the i-Gel Supraglottic Airway.","authors":"Sean M Trostel, Joseph H Blackwell, Keegan D Bradley, Stephen T Constantine, Douglas R Swanson, Michael A Gibbs","doi":"10.1111/acem.70139","DOIUrl":"https://doi.org/10.1111/acem.70139","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Video Ethnography and Stimulated Recall Interviews to Describe the Diagnostic Process in the Emergency Department.","authors":"Milisa Manojlovich, Caitlin Cassady, Sarah J Parker, Ellie Davis, Charlotte Ahr, David Ryamukuru, Anna Wang, Kalyan Pasupathy, Hardeep Singh, Prashant Mahajan","doi":"10.1111/acem.70142","DOIUrl":"https://doi.org/10.1111/acem.70142","url":null,"abstract":"<p><strong>Objectives: </strong>Understanding how physicians make diagnoses is challenging because cognitive processes are unobservable and partly unconscious, making it difficult for physicians to describe how they arrived at a diagnosis. Physicians who work in emergency departments (EDs) are especially vulnerable to making diagnostic errors because the ED is a fast-paced, dynamic setting where complex decision-making occurs under severe time, information, and resource constraints. The purpose of our study was to describe how the diagnostic process evolves for ED clinicians in both pediatric and adult ED settings.</p><p><strong>Methods: </strong>We used a qualitative, video ethnography study design to capture in situ, real-time ED physician practice for 11 participants from February 2022 to July 2023. Participants wore a head-mounted video camera while providing care to ED patients, and in subsequent stimulated recall interviews, revealed their thinking throughout the diagnostic process.</p><p><strong>Results: </strong>We recorded 24.42 h of video overall (average 2.22 h per participant). We identified four major themes in the ED diagnostic process: (1) quality communication facilitates information flow, (2) cognition is complex and distributed across patients and the ED team, (3) artifacts can enhance the diagnostic process, and (4) there is a need to balance efficiency with safety and accuracy.</p><p><strong>Conclusions: </strong>Illustrating physicians' cognitive processes through video ethnography coupled with stimulated recall interviews helped advance our understanding of the diagnostic process and is a foundational step for identifying improvement opportunities.</p>","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Letter on \"Diagnostic Accuracy and Application of Subarachnoid Hemorrhage Decision Rules Among Patients With Nontraumatic Acute Headache: A Systematic Review and Meta-Analysis\".","authors":"Mahdi Roostaei, Farzaneh Barzkar","doi":"10.1111/acem.70143","DOIUrl":"10.1111/acem.70143","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Ottawa Department of Emergency Medicine scholarship points program.","authors":"Krishan Yadav, Jeffrey J Perry, Ariel Hendin, Christopher Nussbaum, Christian Vaillancourt, Ian G Stiell, Warren J Cheung","doi":"10.1111/acem.70039","DOIUrl":"10.1111/acem.70039","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":"1030-1032"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined screening of human immunodeficiency virus, hepatitis B virus, and hepatitis C virus in an emergency department: The URDEPTRIO cross-sectional study.","authors":"Chris Wong, Quentin Le Hingrat, Florian Salipante, Vincent Mackiewicz, Florence Damond, Lucile Larrouy, Christophe Choquet, Dan Pospai, Karen Champenois, Diane Descamps, Judith Leblanc, Paul Loubet, Enrique Casalino, Jade Ghosn, Donia Bouzid","doi":"10.1111/acem.70060","DOIUrl":"10.1111/acem.70060","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":"1027-1029"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Pelaccia et al.","authors":"Pat Croskerry, Mike Clancy","doi":"10.1111/acem.70057","DOIUrl":"10.1111/acem.70057","url":null,"abstract":"","PeriodicalId":7105,"journal":{"name":"Academic Emergency Medicine","volume":" ","pages":"1045-1046"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}