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Strehlow M, Gisondi MA, Caretta-Weyer H, Ankel F, Brackett A, Brar P, Chan TM, Garabedian A, Gunn B, Isaacs E, von Isenburg M, Jarman A, Kuehl D, Limkakeng AT, Lydston M, McGregor A, Pierce A, Raven MC, Salhi RA, Stave C, Tan J, Taylor RA, Wong HN, Yiadom MYAB, Zachrison KS, Vogel J. 2023 Society for Academic Emergency Medicine Consensus Conference on Precision Emergency Medicine: Development of a policy-relevant, patient-centered research agenda. Acad Emerg Med 2024. [PMID: 38779704 DOI: 10.1111/acem.14932] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 04/04/2024] [Accepted: 04/11/2024] [Indexed: 05/25/2024]
Abstract
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.
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Affiliation(s)
- Matthew Strehlow
- Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA
| | - Michael A Gisondi
- Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA
| | - Holly Caretta-Weyer
- Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA
| | - Felix Ankel
- Department of Emergency Medicine, Regions Hospital, St. Paul, Minnesota, USA
| | - Alexandria Brackett
- Harvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, Connecticut, USA
| | - Pawan Brar
- Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA
| | - Teresa M Chan
- School of Medicine, Toronto Metropolitan University, Toronto, Ontario, Canada
- Department of Medicine, Division of Emergency Medicine, McMaster University, Toronto, Ontario, Canada
| | - Adrene Garabedian
- Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA
| | - Bridget Gunn
- Health Sciences Library, Baystate Health, Springfield, Massachusetts, USA
| | - Eric Isaacs
- Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA
| | - Megan von Isenburg
- School of Medicine, Duke University School of Medicine, Durham, North Carolina, USA
| | - Angela Jarman
- Department of Emergency Medicine, University of California, Davis, Sacramento, California, USA
| | - Damon Kuehl
- Department of Emergency Medicine, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA
| | | | - Melis Lydston
- Treadwell Library, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Alyson McGregor
- Prisma Health, University of South Carolina School of Medicine, Greenville, South Carolina, USA
| | - Ava Pierce
- Department of Emergency Medicine, UT Southwestern Medical Center, Dallas, Texas, USA
| | - Maria C Raven
- Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA
| | - Rama A Salhi
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Christopher Stave
- Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA
| | - Josephine Tan
- Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA
| | - Richard Andrew Taylor
- Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA
| | - Hong-Nei Wong
- Lane Medical Library, Stanford University, Stanford, California, USA
| | - Maame Yaa A B Yiadom
- Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA
| | - Kori S Zachrison
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Jody Vogel
- Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California, USA
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