Zhao Lisa, Tom Sabrina, Patel Neil, Fermin Patricia, Pedigo Ryan, Bae Shirley Whiinh, Jung JooYeon, Chan Teresa, Hsiao Jonie
Department of Emergency Medicine, Greater Los Angeles Veterans Affairs Hospital David Geffen School of Medicine, UCLA Los Angeles California USA.
Department of Emergency Medicine, Harbor-UCLA Medical Center David Geffen School of Medicine, UCLA Los Angeles California USA.
AEM Educ Train. 2024 Mar 22;8(2):e10954. doi: 10.1002/aet2.10954. eCollection 2024 Apr.
Free open access medical education (FOAM) has become an essential tool for emergency medicine (EM) education and can be valuable to clinicians as a point-of-care resource. The development of the revised Medical Education Translational Resources Impact and Quality (rMETRIQ) tool provides a standardized means of quality assessment. Previous entries of the Society for Academic Emergency Medicine systematic online academic resource (SOAR) series have focused on renal, endocrine, and sickle cell disorders. In this iteration, we strive to identify, curate, and describe FOAM topics specific to acute gastrointestinal (GI) illnesses.
We searched 389 keywords across 11 GI topics that were modified from the 2019 Model of the Clinical Practice of EM (EM Model) using the search engine Google FOAM and within the top 50 websites listed on Academic Life in Emergency Medicine's Social Media Index. The sites underwent preliminary screening to eliminate resources that were not relevant to EM or GI illnesses. Identified resources were evaluated with the rMETRIQ tool by five board-certified EM physicians who received rMETRIQ tool rater training.
After duplicates of the initial 39,505 resources were eliminated, 8059 remained. Primary screening resulted in a final 1202 resources. The most common categories were large bowel (18%), small bowel (13%), stomach (11%), esophagus (11%), biliary (11%), and liver (10%). Many resources covered multiple topics and subtopics. The final mean intraclass correlation coefficient among the five physicians was 0.95 (95% CI 0.92-0.98) for rMETRIQ scoring. We identified 256 sites considered "high quality" with a rMETRIQ score of 16 or higher as designated in prior reviews.
This iteration of the SOAR review resulted in the highest number of high-quality resources compared to other SOAR reviews, with 21% of resources thus far scoring ≥ 16. A final list of high-quality resources can guide trainees, educator recommendations, and FOAM authors.
免费开放获取医学教育（FOAM）已成为急诊医学（EM）教育的重要工具，作为即时医疗资源，对临床医生也具有重要价值。修订后的医学教育转化资源影响与质量（rMETRIQ）工具的开发提供了一种标准化的质量评估方法。学术急诊医学学会系统在线学术资源（SOAR）系列的往期条目聚焦于肾脏、内分泌和镰状细胞疾病。在本次更新中，我们致力于识别、整理和描述急性胃肠道（GI）疾病特有的FOAM主题。
我们使用搜索引擎Google FOAM，并在急诊医学社交媒体指数列出的前50个网站中，搜索了从2019年急诊医学临床实践模式（EM模式）修改而来的11个胃肠道主题下的389个关键词。对这些网站进行初步筛选，以排除与急诊医学或胃肠道疾病无关的资源。由五名获得委员会认证的急诊医学医生使用rMETRIQ工具对识别出的资源进行评估，这些医生均接受过rMETRIQ工具评分员培训。
在消除最初39505个资源中的重复项后，剩余8059个。初步筛选后最终得到1202个资源。最常见的类别是大肠（18%）、小肠（13%）、胃（11%）、食管（11%）、胆道（11%）和肝脏（10%）。许多资源涵盖多个主题和子主题。五位医生之间最终的组内相关系数均值在rMETRIQ评分中为0.95（置信区间95%：0.92 - 0.98）。我们确定了256个被认为“高质量”的网站，其rMETRIQ评分为16或更高，这是根据之前的评价标准确定的。
与其他SOAR评价相比，本次SOAR评价的高质量资源数量最多，目前有21%的资源评分≥16。高质量资源的最终列表可为实习生、教育工作者的推荐以及FOAM作者提供指导。
