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2023 Society for Academic Emergency Medicine Consensus Conference on Precision Emergency Medicine: Development of a policy-relevant, patient-centered research agenda.

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العنوان: 2023 Society for Academic Emergency Medicine Consensus Conference on Precision Emergency Medicine: Development of a policy-relevant, patient-centered research agenda.
المؤلفون: Strehlow M; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA., Gisondi MA; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA., Caretta-Weyer H; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA., Ankel F; Department of Emergency Medicine, Regions Hospital, St. Paul, Minnesota, USA., Brackett A; Harvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, Connecticut, USA., Brar P; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA., Chan TM; School of Medicine, Toronto Metropolitan University, Toronto, Ontario, Canada.; Department of Medicine, Division of Emergency Medicine, McMaster University, Toronto, Ontario, Canada., Garabedian A; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA., Gunn B; Health Sciences Library, Baystate Health, Springfield, Massachusetts, USA., Isaacs E; Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA., von Isenburg M; School of Medicine, Duke University School of Medicine, Durham, North Carolina, USA., Jarman A; Department of Emergency Medicine, University of California, Davis, Sacramento, California, USA., Kuehl D; Department of Emergency Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA., Limkakeng AT; School of Medicine, Duke University School of Medicine, Durham, North Carolina, USA., Lydston M; Treadwell Library, Massachusetts General Hospital, Boston, Massachusetts, USA., McGregor A; Prisma Health, University of South Carolina School of Medicine, Greenville, South Carolina, USA., Pierce A; Department of Emergency Medicine, UT Southwestern Medical Center, Dallas, Texas, USA., Raven MC; Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA., Salhi RA; Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA., Stave C; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA., Tan J; Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA., Taylor RA; Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA., Wong HN; Lane Medical Library, Stanford University, Stanford, California, USA., Yiadom MYAB; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA., Zachrison KS; Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA., Vogel J; Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA.
المصدر: Academic emergency medicine : official journal of the Society for Academic Emergency Medicine [Acad Emerg Med] 2024 May 23. Date of Electronic Publication: 2024 May 23.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 9418450 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-2712 (Electronic) Linking ISSN: 10696563 NLM ISO Abbreviation: Acad Emerg Med Subsets: MEDLINE
أسماء مطبوعة: Publication: Hoboken, N.J. : Wiley
Original Publication: Philadelphia, PA : Hanley & Belfus, c1993-
مستخلص: Objectives: Precision medicine is data-driven health care tailored to individual patients based on their unique attributes, including biologic profiles, disease expressions, local environments, and socioeconomic conditions. Emergency medicine (EM) has been peripheral to the precision medicine discourse, lacking both a unified definition of precision medicine and a clear research agenda. We convened a national consensus conference to build a shared mental model and develop a research agenda for precision EM.
Methods: We held a conference to (1) define precision EM, (2) develop an evidence-based research agenda, and (3) identify educational gaps for current and future EM clinicians. Nine preconference workgroups (biomedical ethics, data science, health professions education, health care delivery and access, informatics, omics, population health, sex and gender, and technology and digital tools), comprising 84 individuals, garnered expert opinion, reviewed relevant literature, engaged with patients, and developed key research questions. During the conference, each workgroup shared how they defined precision EM within their domain, presented relevant conceptual frameworks, and engaged a broad set of stakeholders to refine precision EM research questions using a multistage consensus-building process.
Results: A total of 217 individuals participated in this initiative, of whom 115 were conference-day attendees. Consensus-building activities yielded a definition of precision EM and key research questions that comprised a new 10-year precision EM research agenda. The consensus process revealed three themes: (1) preeminence of data, (2) interconnectedness of research questions across domains, and (3) promises and pitfalls of advances in health technology and data science/artificial intelligence. The Health Professions Education Workgroup identified educational gaps in precision EM and discussed a training roadmap for the specialty.
Conclusions: A research agenda for precision EM, developed with extensive stakeholder input, recognizes the potential and challenges of precision EM. Comprehensive clinician training in this field is essential to advance EM in this domain.
(© 2024 The Author(s). Academic Emergency Medicine published by Wiley Periodicals LLC on behalf of Society for Academic Emergency Medicine.)
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معلومات مُعتمدة: Society for Academic Emergency Medicine; School of Medicine, Stanford University; R13HS029275 Agency for Healthcare Research and Quality
تواريخ الأحداث: Date Created: 20240523 Latest Revision: 20240523
رمز التحديث: 20240523
DOI: 10.1111/acem.14932
PMID: 38779704
قاعدة البيانات: MEDLINE
الوصف
تدمد:1553-2712
DOI:10.1111/acem.14932