{"pk":16435,"title":"A Structural Competency Framework for Emergency Medicine Research: Results from a Scoping Review & Consensus Conference","subtitle":null,"abstract":"Introduction:\n The application of structural competency and structural vulnerability to emergency medicine (EM) research has not been previously described despite EM researchers routinely engaging structurally vulnerable populations. The purpose of this study was to conduct a scoping review and consensus-building process to develop a structurally competent research approach and operational framework relevant to EM research.\nMethods:\n We conducted a scoping review focused on structural competency and structural vulnerability. Results of the review informed the development of a structural competency research framework that was presented throughout a multi-step consensus process culminating in the 2021 Society for Academic Emergency Medicine Consensus Conference. Feedback to the framework was incorporated throughout the conference.\nResults:\n The scoping review produced 291 articles with 123 articles relevant to EM research. All 123 articles underwent full-text review and data extraction following a standardized data extraction form. Most of the articles acknowledged or described structures that lead to inequities with a variety of methodological approaches used to operationalize structural competency and/or structural vulnerability. The framework developed aligned with components of the research process, drawing upon methodologies from studies included in the scoping review. \nConclusion:\n The framework developed provides a starting point for EM researchers seeking to understand, acknowledge, and incorporate structural competency into EM research. By incorporating components of the framework, researchers may enhance their ability to address social, historical, political, and economic forces that lead to health inequities, reframing drivers of inequities away from individual factors and focusing on structural factors.","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"structural competency"},{"word":"Structural Vulnerability"},{"word":"research"},{"word":"social emergency medicine"}],"section":"Health Equity","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0gg0c1r8","frozenauthors":[{"first_name":"Amy","middle_name":"","last_name":"Zeidan","name_suffix":"","institution":"Emory University School of Medicine","department":"None"},{"first_name":"Bisan","middle_name":"","last_name":"Salhi","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia","department":"None"},{"first_name":"Anika","middle_name":"","last_name":"Backster","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia","department":"None"},{"first_name":"Erica","middle_name":"","last_name":"Shelton","name_suffix":"","institution":"Johns Hopkins University School of Medicine, Department of Emergency Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Alycia","middle_name":"","last_name":"Valente","name_suffix":"","institution":"University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts","department":"None"},{"first_name":"Basmah","middle_name":"","last_name":"Safdar","name_suffix":"","institution":"Yale University, Department of Emergency Medicine, New Haven, Connecticut","department":"None"},{"first_name":"Ambrose","middle_name":"","last_name":"Wong","name_suffix":"","institution":"Yale University, Department of Emergency Medicine, New Haven, Connecticut","department":"None"},{"first_name":"Alessandra","middle_name":"","last_name":"Della Porta","name_suffix":"","institution":"University of Cincinnati, Department of Emergency Medicine, Cincinnati, Ohio","department":"None"},{"first_name":"Sangil","middle_name":"","last_name":"Lee","name_suffix":"","institution":"The University of Iowa Carver College of Medicine, Department of Emergency Medicine, Iowa City, Iowa","department":"None"},{"first_name":"Todd","middle_name":"","last_name":"Schneberk","name_suffix":"","institution":"Los Angeles + University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Jason","middle_name":"","last_name":"Wilson","name_suffix":"","institution":"Morsani College of Medicine, Division of Emergency Medicine, Department of Internal Medicine, Tampa, Florida","department":"None"},{"first_name":"Bjorn","middle_name":"","last_name":"Westgard","name_suffix":"","institution":"University of Minnesota Medical School, Department of Emergency Medicine, Minneapolis, Minnesota","department":"None"},{"first_name":"Margaret","middle_name":"","last_name":"Samuels-Kalow","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"}],"date_submitted":"2022-01-11T01:15:37Z","date_accepted":"2022-01-11T01:15:37Z","date_published":"2024-02-12T16:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/16435/galley/8316/download/"}]}