TY - JOUR
T1 - 2023 Society for Academic Emergency Medicine Consensus Conference on Precision Emergency Medicine
T2 - Development of a policy-relevant, patient-centered research agenda
AU - Strehlow, Matthew
AU - Gisondi, Michael A.
AU - Caretta-Weyer, Holly
AU - Ankel, Felix
AU - Brackett, Alexandria
AU - Brar, Pawan
AU - Chan, Teresa M.
AU - Garabedian, Adrene
AU - Gunn, Bridget
AU - Isaacs, Eric
AU - von Isenburg, Megan
AU - Jarman, Angela
AU - Kuehl, Damon
AU - Limkakeng, Alexander T.
AU - Lydston, Melis
AU - McGregor, Alyson
AU - Pierce, Ava
AU - Raven, Maria C.
AU - Salhi, Rama A.
AU - Stave, Christopher
AU - Tan, Josephine
AU - Taylor, Richard Andrew
AU - Wong, Hong Nei
AU - Yiadom, Maame Yaa A.B.
AU - Zachrison, Kori S.
AU - Vogel, Jody
N1 - Publisher Copyright:
© 2024 The Author(s). Academic Emergency Medicine published by Wiley Periodicals LLC on behalf of Society for Academic Emergency Medicine.
PY - 2024/8
Y1 - 2024/8
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85193848289&partnerID=8YFLogxK
U2 - 10.1111/acem.14932
DO - 10.1111/acem.14932
M3 - Article
AN - SCOPUS:85193848289
SN - 1069-6563
VL - 31
SP - 805
EP - 816
JO - Academic Emergency Medicine
JF - Academic Emergency Medicine
IS - 8
ER -