Evolution of the Model of the Clinical Practice of Emergency Medicine: 1979 to Present

Counselman, Francis L.; Beeson, Michael S.; Marco, Catherine A.; Adsit, Susan K.; Harvey, Anne L.; Keehbauch, Julia N.

doi:10.1111/acem.13137

Cited by 8 publications

(4 citation statements)

References 27 publications

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“…In addition, substantial evidence of test content was provided through the way the EM Model was developed initially and is amended regularly-the EM Model's stability of form and content over time, its alignment with detailed specialty-specific surveys, and its use for multiple similar assessments in emergency medicine. 21 Validity evidence was also provided by the VOE's psychometric per- To provide ABEM with the defensible use of the OCE for certification decisions, which also supports the prior valid use of the OCE, ABEM used standard setting to determine the performance standard (i.e., passing score). The same process was again used before making certification decisions using the VOE.…”

Section: Discussionmentioning

confidence: 90%

“…Basing the VOE in the EM Model provides substantial content validity evidence. In addition, substantial evidence of test content was provided through the way the EM Model was developed initially and is amended regularly—the EM Model's stability of form and content over time, its alignment with detailed specialty‐specific surveys, and its use for multiple similar assessments in emergency medicine 21 . Validity evidence was also provided by the VOE's psychometric performance, such as pass rates and distribution indices, compared with the OCE.…”

Section: Discussionmentioning

confidence: 99%

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Early validity and reliability evidence for the American Board of Emergency Medicine Virtual Oral Examination

Chudnofsky

Reisdorff

Joldersma

et al. 2023

AEM Education and Training

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Background The American Board of Emergency Medicine (ABEM) in‐person Oral Certification Examination (OCE) was halted abruptly in 2020 due to the COVID‐19 pandemic. The OCE was reconfigured to be administered in a virtual environment starting in December 2020. Objectives The purpose of this investigation was to determine whether there was sufficient validity and reliability evidence to support the continued use of the ABEM virtual Oral Examination (VOE) for certification decisions. Methods This retrospective, descriptive study used multiple data sources to provide validity evidence and reliability data. Validity evidence focused on test content, response processes, internal structure (e.g., internal consistency and item response theory), and the consequences of testing. A multifaceted Rasch reliability coefficient was used to measure reliability. Study data were from two 2019 in‐person OCEs and the first four VOE administrations. Results There were 2279 physicians who took the 2019 in‐person OCE examination and 2153 physicians who took the VOE during the study period. Among the OCE group, 92.0% agreed or strongly agreed that the cases on the examination were cases that an emergency physician should be expected to see; 91.1% of the VOE group agreed or strongly agreed. A similar pattern of responses given to a question about whether the cases on the examination were cases that they had seen. Additional evidence of validity was obtained by the use of the EM Model, the process for case development, the use of think‐aloud protocols, and similar test performance patterns (e.g., pass rates). For reliability, the Rasch reliability coefficients for the OCE and the VOE during the study period were all >0.90. Conclusions There was substantial validity evidence and reliability to support ongoing use of the ABEM VOE to make confident and defensible certification decisions.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Early validity and reliability evidence for the American Board of Emergency Medicine Virtual Oral Examination

Chudnofsky

Reisdorff

Joldersma

et al. 2023

AEM Education and Training

Self Cite

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“…In order to access Twitter's application programming interface (API), a developer account was applied for and obtained. Python 3.8.5 and the Tweepy library (Python Software Foundation) [16] then made it possible to acquire all unique followers of the three major physician professional societies in emergency medicine: the American College of Emergency Physicians (ACEP; @ACEPNow), the Society for Academic Emergency Medicine (SAEM; @SAEMonline), and the American Academy of Emergency Medicine (AAEM; @aaeminfo) [17][18][19][20][21]. Because sex and gender are not directly recorded by Twitter but have previously been shown to influence social media engagement and even clinical diagnosis and management [22][23][24], gendered nouns and pronouns stated in user bios were considered in their place.…”

Section: Sampling and Data Collectionmentioning

confidence: 99%

Emergency Physician Twitter Use in the COVID-19 Pandemic as a Potential Predictor of Impending Surge: Retrospective Observational Study

Margus¹,

Brown²,

Hertelendy³

et al. 2021

J Med Internet Res

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Background The early conversations on social media by emergency physicians offer a window into the ongoing response to the COVID-19 pandemic. Objective This retrospective observational study of emergency physician Twitter use details how the health care crisis has influenced emergency physician discourse online and how this discourse may have use as a harbinger of ensuing surge. Methods Followers of the three main emergency physician professional organizations were identified using Twitter’s application programming interface. They and their followers were included in the study if they identified explicitly as US-based emergency physicians. Statuses, or tweets, were obtained between January 4, 2020, when the new disease was first reported, and December 14, 2020, when vaccination first began. Original tweets underwent sentiment analysis using the previously validated Valence Aware Dictionary and Sentiment Reasoner (VADER) tool as well as topic modeling using latent Dirichlet allocation unsupervised machine learning. Sentiment and topic trends were then correlated with daily change in new COVID-19 cases and inpatient bed utilization. Results A total of 3463 emergency physicians produced 334,747 unique English-language tweets during the study period. Out of 3463 participants, 910 (26.3%) stated that they were in training, and 466 of 902 (51.7%) participants who provided their gender identified as men. Overall tweet volume went from a pre-March 2020 mean of 481.9 (SD 72.7) daily tweets to a mean of 1065.5 (SD 257.3) daily tweets thereafter. Parameter and topic number tuning led to 20 tweet topics, with a topic coherence of 0.49. Except for a week in June and 4 days in November, discourse was dominated by the health care system (45,570/334,747, 13.6%). Discussion of pandemic response, epidemiology, and clinical care were jointly found to moderately correlate with COVID-19 hospital bed utilization (Pearson r=0.41), as was the occurrence of “covid,” “coronavirus,” or “pandemic” in tweet texts (r=0.47). Momentum in COVID-19 tweets, as demonstrated by a sustained crossing of 7- and 28-day moving averages, was found to have occurred on an average of 45.0 (SD 12.7) days before peak COVID-19 hospital bed utilization across the country and in the four most contributory states. Conclusions COVID-19 Twitter discussion among emergency physicians correlates with and may precede the rising of hospital burden. This study, therefore, begins to depict the extent to which the ongoing pandemic has affected the field of emergency medicine discourse online and suggests a potential avenue for understanding predictors of surge.

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“…We created the EMCAT to help emergency medicine residency programs assess their didactic curricula in comparison with the American Board of Emergency Medicine (ABEM) Model of Clinical Practice [10]. To supplement EMCAT, we also curated an online resource catalog of high-quality emergency medicine resources selected on the criteria for social media-based scholarship in health professions education [11].…”

Section: Technical Reportmentioning

confidence: 99%

Use of Technology to Identify and Cover Underweighted Topics in Resident Conference Curriculum

Misra

Lawson

2019

Cureus

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Emergency medicine training programs face many challenges in creating and maintaining high quality didactic and asynchronous learning experiences. To address these challenges, our team created two tools. First, we designed the Emergency Medicine Curriculum Assessment Tool (EMCAT) to help program leaders compare their didactic program to the Model of Clinical Practice established by the American Board of Emergency Medicine (ABEM). Second, we created a catalog of free, open-access medical education (FOAMed) resources based on the ABEM Model subcategory. Residency leaders can use EMCAT to identify the underweighted topics in their conference program and then access the resource catalog to find educational content matched to their areas of increased need. To date, five programs have implemented EMCAT and users from over 72 countries have accessed nearly 1,000 resources. Both EMCAT and the resource catalog are available free online.

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Evolution of the Model of the Clinical Practice of Emergency Medicine: 1979 to Present

Cited by 8 publications

References 27 publications

Early validity and reliability evidence for the American Board of Emergency Medicine Virtual Oral Examination

Early validity and reliability evidence for the American Board of Emergency Medicine Virtual Oral Examination

Emergency Physician Twitter Use in the COVID-19 Pandemic as a Potential Predictor of Impending Surge: Retrospective Observational Study

Use of Technology to Identify and Cover Underweighted Topics in Resident Conference Curriculum

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