Foundations for a Novel Emergency Medicine Subspecialty: Sex, Gender, and Women's Health (original) (raw)
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Emergency Medicine Gender-specific Education
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2014
The 2014 Academic Emergency Medicine consensus conference has taken the first step in identifying gender-specific care as an area of importance to both emergency medicine (EM) and research. To improve patient care, we need to address educational gaps in this area concurrent with research gaps. In this article, the authors highlight the need for sex- and gender-specific education in EM and propose guidelines for medical student, resident, and faculty education. Specific examples of incorporating this content into grand rounds, simulation, bedside teaching, and journal club sessions are reviewed. Future challenges and strategies to fill the gaps in the current education model are also described.
Focusing a Gender Lens on Emergency Medicine Research: 2012 Update
Academic Emergency Medicine, 2013
The influence of sex and gender on patient care is just being recognized in emergency medicine (EM). Providers are realizing the need to improve outcomes for both men and women by incorporating sexand gender-specific science into clinical practice, while EM researchers are now beginning to study novel sex-and gender-specific perspectives in the areas of acute care research. This article serves as an update on the sex differences in a variety of acute clinical care topics within the field of EM and showcases opportunities for improving patient care outcomes and expanding research to advance the science of gender-specific emergency care. ACADEMIC EMERGENCY MEDICINE 2013; 20:313-320
Future Directions in Sex- and Gender-specific Emergency Medicine
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2014
The 2014 Academic Emergency Medicine (AEM) consensus conference "Gender-Specific Research in Emergency Medicine: Investigate, Understand, and Translate How Gender Affects Patient Outcomes" convened a diverse group of stakeholders to target gaps in emergency medicine (EM) sex- and gender-specific research and identify research priorities. At the close of the conference, the executive committee sought feedback from group leaders and conference attendees about the next critical steps in EM sex- and gender-specific research, goals for their own future research, and anticipated barriers in pursuing this research. This article summarizes this feedback on the future directions in sex- and gender-specific research in emergency care and strategies to overcome barriers.
Applying the gender lens to emergency care: from bench to bedside
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2014
This article outlines the history, need, and evolution of gender medicine in emergency care research. Clinical examples are used where sex and gender play a role in diagnosis, management, or prognosis of patients in the emergency department (ED). The ED serves as an ideal setting to advance sex- and gender-specific research as the primary access point for health care for much of the U.S. population, with more than 136 million annual visits. Gender medicine provides the biologic and social framework to provide high-quality, safe, equitable, and cost-effective sex- and gender-specific care in the ED. With a 24-hour hospital presence, and with access to high-acuity patients, emergency physicians are well positioned to lead sex- and gender-specific clinical studies for time-sensitive conditions and also to serve as vital partners in interdisciplinary research projects. The ED also provides the primary access point for less life-threatening conditions such as substance abuse, mental heal...
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Academic Emergency Medicine, 2011
Background: Emergency physicians as front-line clinical specialists can directly advance patient care by understanding how gender-specific approaches may affect evaluation and management of diseases in the acute setting. Yet, it is unclear whether the role of gender is systematically examined in research focusing on emergency care.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2014
With the goal of reducing inequalities in patient care, the 2014 Academic Emergency Medicine (AEM) consensus conference, "Gender-Specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes," convened a diverse group of researchers, clinicians, health care providers, patients, and representatives of federal agencies and policy-makers in Dallas, Texas, in May 2014. The executive and steering committees identified seven clinical domains as key to gender-specific emergency care: cardiovascular, neurological, trauma/injury, substance abuse, pain, mental health, and diagnostic imaging. The main aims of the conference were to: 1) summarize and consolidate current data related to sex- and gender-specific research for acute care and identify critical gender-related gaps in knowledge to inform an EM research agenda; 2) create a consensus-driven research agenda that advances sex- and gender-specific research in the prevention, diagn...
Academic Emergency Medicine, 2008
The Society for Academic Emergency Medicine (SAEM) convened a taskforce to study issues pertaining to women in academic emergency medicine (EM). The charge to the Taskforce was to ''Create a document for the SAEM Board of Directors that defines and describes the unique recruitment, retention, and advancement needs for women in academic emergency medicine.'' To this end, the Taskforce and authors reviewed the literature to highlight key data points in understanding this issue and made recommendations for individuals at four levels of leadership and accountability: leadership of national EM organizations, medical school deans, department chairs, and individual women faculty members. The broad range of individuals targeted for recommendations reflects the interdependent and shared responsibility required to address changes in the culture of academic EM. The following method was used to determine the recommendations: 1) Taskforce members discussed career barriers and potential solutions that could improve the recruitment, retention, and advancement of women in academic EM; 2) the authors reviewed recommendations in the literature by national consensus groups and experts in the field to validate the recommendations of Taskforce members and the authors; and 3) final recommendations were sent to all Taskforce members to obtain and incorporate additional comments and ensure a consensus. This article contains those recommendations and cites the relevant literature addressing this topic. ACADEMIC EMERGENCY MEDICINE 2008; 15:762-767 ª
Women in Academic Emergency Medicine
Academic Emergency Medicine, 2008
Objective: To evaluate the achievement gof women in academic emergency medicine (EM) relative to men. Methods: This study was a cross-sectional mail survey of all emergency physicians who were employed at three-fourths full-time equivalent or greater at the 105 EM residency programs in the United States from August 1997 to December 1997. The following information was obtained: demographics, training and practice issues, roles and responsibilities in academic EM, percentage of time spent per week in clinical practice, teaching, administrative and research activities, academic productivity, and funding. Results: Of the 1,575 self-administered questionnaires distributed by the office of the chairs, 1,197 (76%) were returned. Two hundred seventyfour (23%) of the respondents were women, and 923 (77%) were men. There was a significant difference noted between men and women in all demographic categories. The numbers of respondents who were
Canadian Journal of Emergency Medicine, 2021
As of January 2019, over half of all doctors working in Canada under the age of 40 were women. Despite equal representation in the profession of medicine, women still experience harassment, discrimination, and pay inequity when compared to their male colleagues. Gender discrimination is present at all levels of medical training and negatively impacts women who want to become emergency physicians. The right to gender equity is part of the Canadian Charter of Rights and Freedoms. The World Health Organization states that "gender inequities are socially generated and, therefore, can be changed." CAEP recognizes that gender equity is important to its members and that it intersects with inequities experienced by other minority groups. This position statement from the committee for Women in Emergency Medicine (EM) is intended to support women and those who identify as women who have chosen EM as their career. Furthermore, it is meant to inform and support policy makers as they consider the unique challenges that women face in their pursuit of excellence in EM. Keywords Emergency medicine • Gender equity • Discrimination • Gender pay gap Résumé En janvier 2019, plus de la moitié des médecins de moins de 40 ans travaillant au Canada étaient des femmes. Malgré une représentation égale dans la profession médicale, les femmes sont toujours victimes de harcèlement, de discrimination et d'inégalités salariales par rapport à leurs collègues masculins. La discrimination sexuelle est présente à tous les niveaux de la formation médicale et a un impact négatif sur les femmes qui veulent devenir médecins urgentistes. Le droit à l'égalité des sexes fait partie de la Charte canadienne des droits et libertés. L'Organisation mondiale de la santé affirme que "les inégalités entre les sexes sont générées par la société et peuvent donc être modifiées". L'ACMU reconnaît que l'égalité des sexes est importante pour ses membres et qu'elle recoupe les inégalités vécues par d'autres groupes minoritaires. Cette déclaration de position du comité pour les femmes en médecine d'urgence (MU) est destinée à soutenir les femmes et ceux qui s'identifient comme femmes ayant choisi l'EM comme carrière. En outre, elle est destinée à informer et à soutenir les décideurs politiques dans leur réflexion sur les défis uniques auxquels les femmes sont confrontées dans leur quête d'excellence en matière de médecine d'urgence. Please note that this position statement has been reviewed and approved by the CAEP membership, the CAEP public affairs committee and the CAEP board of directors.
Incorporating sex- and gender-based medicine into journal club
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Reviewing current scientific literature and keeping up to date with emerging evidence and evolving guidelines is an expectation for Emergency Physicians (EP) to make informed clinical decisions. Often, there is also a reliance upon academic EPs to take part in state-ofthe-art research to continue growing the knowledge base required to provide increasingly effective patient care.