Increasing the diversity of the emergency medicine (EM) workforce is imperative, with more diverse teams showing improved patient care and increased innovation. Holistic review, adapted from the Association of American Medical Colleges (AAMC), focuses on screening applicants with a balanced method, valuing their experiences, attributes, and academic metrics equally. A core tenet to holistic review is that diversity is essential to excellence.

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AEM Education and Training 32: Implementation of Holistic Review into Emergency Medicine Residency Application Screening to Improve Recruitment of Underrepresented In Medicine Applicants

Effective feedback is the cornerstone of competency-based education. The emergency department (ED) is a unique learning and feedback environment. Developing our understanding of emergency medicine (EM) residents’ experiences around feedback will improve resident training and inform EM faculty development programs. This qualitative study explores the feedback culture and practices in EM and resident's experiences and attitudes toward feedback in this specific training environment.

AEM Education and Training 31: A qualitative assessment of emergency medicine residents’ receptivity to feedback

Widespread vaccination is an essential component of the public health response to the COVID-19 pandemic, yet vaccine hesitancy remains pervasive. This prospective survey investigation aimed to measure the prevalence of vaccine hesitancy in a patient cohort at two urban Emergency Departments (EDs) and characterize underlying factors contributing to hesitancy.

AEM Early Access 53: COVID-19 Vaccine Hesitancy Among Patients in Two Urban Emergency Departments

Appendicitis is the most common surgical condition in pediatric emergency department (ED) patients. Prompt diagnosis can reduce morbidity, including appendiceal perforation. The goal of this study was to measure racial/ethnic differences in rates of 1) appendiceal perforation, 2) delayed diagnosis of appendicitis, and 3) diagnostic imaging during prior visit(s).

AEM Early Access 53: Racial and Ethnic Disparities in the Delayed Diagnosis of Appendicitis Among Children

The chief resident role often includes additional administrative and educational experiences beyond those of nonchief senior residents. It is unclear to what extent these experiences influence the postresidency career path of those selected as chief residents. The objective of this study was to evaluate the association of chief resident status on immediate postresidency career characteristics relative to nonchief residents in emergency medicine (EM).

AEM Education and Training 30: Academic Springboard: The Chief Resident Position Correlates with Career Path in Emergency Medicine

Firearm injuries are one of the leading preventable causes of morbidity and mortality among children. Limited information exists about the impact of nonfatal firearm injuries on utilization and expenditures. Our objective was to compare health care encounters and expenditures 1 year before and 1 year following a nonfatal firearm injury.

AEM Early Access 52: Nonfatal firearm injuries: Utilization and expenditures for children pre- and postinjury

Teaching and learning in the clinical setting are vital for the training and development of emergency physicians. Increasing service provision and time pressures in the Emergency Department (ED) have led to junior trainees’ perceptions of a lack of teaching and a lack of support during clinical shifts. We sought to explore the perceptions of learners and supervisors in our emergency department regarding teaching within this diverse and challenging context.

AEM Education and Training 29: Purpose, pleasure, pace and contrasting perspectives: Teaching and learning in the Emergency Department

Uniformly training physicians to provide safe, high-quality care requires reliable assessment tools to ensure learner competency. The consensus-derived National Clinical Assessment Tool in Emergency Medicine (NCAT-EM) has been adopted by clerkships across the country. Analysis of large-scale deidentified data from a consortium of users is reported.

AEM Education and Training 28: Multi-institutional implementation of the National Clinical Assessment Tool in Emergency Medicine (NCAT-EM)

Effective sepsis resuscitation depends on useful criteria for prompt identification of eligible patients. These criteria should reliably predict a discharge diagnosis of sepsis, ensuring that interventions are triggered for those who need it while avoiding potentially harmful interventions in those who do not. We sought to determine the proportion of patients meeting sepsis criteria in the emergency department (ED) that was ultimately diagnosed with sepsis and to quantify the subset of nonseptic patients with risk factors for harm from fluid resuscitation.

AEM Early Access 51: Most emergency department patients meeting sepsis criteria are not diagnosed with sepsis at discharge

We interview Dr. Scott Simpson about his recent AEM article describing the Columbia-Suicide Severity Rating Scale (C-SSRS)-Clinical Practice Screener's ability to predict suicide and emergency department (ED) visits for self-harm in the year following an ED encounter.

AEM Early Access 50: Suicidal ideation is insensitive to suicide risk after ED discharge

Little is known about patient perspectives to effectively engage patients immediately following opioid overdose. Our objective was to explore patients’ perspectives on substance use treatment, perceived needs, and contextual factors that shape the choice of patients seen in the emergency department (ED) to engage with treatment and other patient support services in the acute post–opioid overdose period.

AEM Early Access 49: A Qualitative Study of ED Patients Who Survived an Opioid Overdose

The COVID‐19 Evaluation of Risk in Emergency Departments (COVERED) project is a multicenter, prospective cohort surveillance project at 20 geographically diverse, high‐volume urban U.S. academic medical centers. The project's primary aim was to estimate the attributable risk of occupational acquisition of COVID‐19 in ED personnel during a 20‐week follow‐up. At completion we surveyed participants regarding receipt of vaccines, feelings of personal safety after vaccination, personal protective equipment (PPE) use and, if applicable, reasons for declining vaccination. 

AEM Early Access 48: Vaccination rates and acceptance of SARS‐CoV‐2 vaccination among U.S. ED health care personnel

Previous literature demonstrates increased mortality for Traumatic Brain Injury (TBI) with transfer to a Level II versus Level I trauma center. Our objective is to determine the effect of the most recent American College of Surgeons-Committee on Trauma (ACS-COT) Resources for the Optimal Care of the Injured Patient resources manual (“The Orange Book”) on outcomes after severe TBI afterinterfacility transfer to Level I vs Level II center.

AEM Early Access 48: The Effect of Trauma Center Verification Level on Outcomes in TBI patients undergoing Inter-facility Transfer

Containment of the coronavirus disease 2019 (COVID-19) pandemic requires the public to change behavior under social distancing mandates. Social media are important information dissemination platforms that can augment traditional channels communicating public health recommendations. The objective of the study is to assess the effectiveness of COVID-19 public health messaging on Twitter when delivered by emergency physicians and containing personal narratives.

AEM Early Access 47: Emergency Physicians and Personal Narratives Improve the Perceived Effectiveness of COVID-19 Public Health Recommendations on Social Media

As students on an emergency medicine (EM) rotation work with different faculty on a daily basis, EM clerkships often incorporate an end‐of‐shift evaluation to capture sufficient student performance data. Electronic shift evaluations have been shown to increase faculty completion compliance. This study aimed to examine learner perceptions of their individualized feedback during an EM clerkship following the adoption of an electronic evaluation tool.

AEM Education & Training 27: Learner Perceptions of Electronic End-of-Shift Evaluations on an Emergency Medicine Clerkship

This is a collaboration between the editors of Academic Emergency Medicine and the Brown University Emergency Medicine Residency Program. Each podcast offers a pre-publication look at a chosen article, with an interview with its corresponding author. Visit www.brownemblog.com (AEM Early Access section) to find the links to each article and other related educational materials.

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