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Ascertaining top evidence in emergency medicine: A modified Delphi study
Stephanie J Bazak1, Jonathan Sherbino2, Suneel Upadhye2
1*Royal College Specialty Training Program in Emergency Medicine,McMaster University,Hamilton,ON.
CJEM
|June 22, 2018
Summary
Junior emergency medicine (EM) residents can now access a consensus-driven list of top foundational papers. This curated evidence-based resource aids in navigating the broad knowledge base of EM training.
Area of Science:
- Emergency Medicine
- Medical Education
- Evidence-Based Practice
Background:
- Evidence-informed practice is crucial for high-quality emergency medicine (EM) patient care.
- The extensive knowledge base in EM presents a challenge for junior residents acquiring evidence-based information.
- A structured approach is needed to identify essential reading for EM trainees.
Purpose of the Study:
- To develop a consensus-based list of seminal "top papers" in emergency medicine.
- To create a valuable educational resource for physicians in training within the EM specialty.
- To guide junior residents in prioritizing key literature for their practice.
Main Methods:
- A modified Delphi approach was employed, involving three survey rounds.
- Participants were nominated from 14 Canadian EM specialty programs.
- Expert consensus was achieved through iterative ranking and group feedback.
Main Results:
- 30 responses were collected across three rounds from eight EM programs.
- An initial 119 studies were suggested, with 29 identified as top papers by consensus.
- Consensus was defined as >70% agreement on the final list of studies.
Conclusions:
- A consensus-derived list of top EM studies was successfully generated.
- This list serves as a vital educational tool for Canadian EM physicians in training.
- It facilitates the transition of junior residents into evidence-based practice.
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