Article Instance
API Endpoint for journals.
GET /api/articles/52358/?format=api
{ "pk": 52358, "title": "Cards Against Pulmonology", "subtitle": null, "abstract": "<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif; color: black;\">Audience:<span class=\"Apple-converted-space\"> </span></span></strong><span style=\"font-family: Calibri, sans-serif; color: black;\">This card game is designed to cultivate educational discussion among emergency medicine resident physicians about the assessment, treatment, and disposition of key pediatric and adult<span class=\"Apple-converted-space\"> </span></span><span style=\"font-family: Calibri, sans-serif;\">thoracic-respiratory<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>diagnoses in a fun, casual environment. It<span class=\"Apple-converted-space\"> </span></span>could also be played by emergency medicine-bound medical students.</span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif;\"> </span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif; color: black;\">Introduction:</span></strong><span style=\"font-family: Calibri, sans-serif; color: black;\"><span class=\"Apple-converted-space\"> </span>Emergency department visits related to the thoracic-respiratory system are common complaints in both the pediatric and adult populations. In the United States, for several years prior to the Covid-19 pandemic, respiratory system diseases accounted for about 10.6% of ED visits.<sup>1</sup><span class=\"Apple-converted-space\"> </span>In children, respiratory complaints make up the largest percentage of their ED visits, particularly in the fall and winter seasons.<sup>2</sup><span class=\"Apple-converted-space\"> </span>This number appears to have only grown higher in both adults and pediatrics in the years following the Covid-19 pandemic.<sup>3</sup><span class=\"Apple-converted-space\"> </span>Thoracic-respiratory disorders also account for about 7% of the American Board of Emergency Medicine In-Training Exam <span class=\"Apple-converted-space\"> </span>and qualifying exam content.<sup>4</sup><span class=\"Apple-converted-space\"> </span>Therefore, it is paramount that resident physicians understand the presentation, management, and treatment of a wide range of both pediatric and adult thoracic-respiratory complaints<span class=\"Apple-converted-space\"> </span></span><span style=\"font-family: Calibri, sans-serif;\">and<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span></span>pathology<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>that mimics the</span>se presentations<span style=\"color: black;\">. This game explores key topics in the<span class=\"Apple-converted-space\"> </span></span>thoracic-respiratory system<span class=\"Apple-converted-space\"> </span><span style=\"color: black;\">in both the pediatric and adult populations allowing for fun discussion regarding management, treatment, and disposition of these complicated disease processes. Topics range from sick to not sick patients and include bronchiolitis, pulmonary edema, pulmonary embolism, COPD exacerbation, neonatal cyanosis, viral upper respiratory infections, and more. <span class=\"Apple-converted-space\"> </span></span></span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif;\"> </span></strong></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif; color: black;\">Educational Objectives</span></strong><span style=\"font-family: Calibri, sans-serif; color: black;\">:<span class=\"Apple-converted-space\"> </span></span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif; color: black;\">By the end of this card game, learners will 1) understand the methods of clinical assessment in<span class=\"Apple-converted-space\"> </span></span><span style=\"font-family: Calibri, sans-serif;\">thoracic-respiratory related<span class=\"Apple-converted-space\"> </span><span style=\"color: black;\">diseases, 2) implement escalating levels of respiratory support for<span class=\"Apple-converted-space\"> </span></span>thoracic-respiratory<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>pathology in pediatric and adult patients, 3) review and utilize important medications in the management of<span class=\"Apple-converted-space\"> </span></span>thoracic-respiratory<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>diseases, and 4) choose appropriate dispositions of patients with various<span class=\"Apple-converted-space\"> </span></span>thoracic-respiratory related<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>complaints.<span class=\"Apple-converted-space\"> </span></span></span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif;\"> </span></strong></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif; color: black;\">Educational Methods:</span></strong><span style=\"font-family: Calibri, sans-serif; color: black;\"><span class=\"Apple-converted-space\"> </span>The goal of Cards Against Pulmonology is for learners to further understand the clinical assessment, management, and disposition of various<span class=\"Apple-converted-space\"> </span></span><span style=\"font-family: Calibri, sans-serif;\">thoracic-respiratory<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>emergencies by providing the next best critical action in a given clinical situation. This game will equip residents to differentiate the sick from<span class=\"Apple-converted-space\"> </span></span>non-sick<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>patients and collaboratively discuss the management and disposition of patients with a variety of<span class=\"Apple-converted-space\"> </span></span>thoracic-respiratory related<span class=\"Apple-converted-space\"> </span><span style=\"color: black;\">complaints.</span></span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif; color: black;\"> </span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif; color: black;\">This card game is a cognitive artifact designed to stimulate small group discussion that will enhance</span><span style=\"font-family: Calibri, sans-serif;\"><span class=\"Apple-converted-space\"> </span>the<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>clinical reasoning skills of the medical students<span class=\"Apple-converted-space\"> </span></span>and<span class=\"Apple-converted-space\"> </span><span style=\"color: black;\">resident physicians who play the game. The clinical content of<span class=\"Apple-converted-space\"> </span></span>thoracic-respiratory<span style=\"color: black;\">conditions h</span>as<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>been gamified<span class=\"Apple-converted-space\"> </span></span>through the<span class=\"Apple-converted-space\"> </span><span style=\"color: black;\">strategy of play modeled after the popular card game, Cards Against Humanity</span>. Discussion of key educational points during and after the game provides clarification of learner knowledge to solidify concepts.<span class=\"Apple-converted-space\"> </span></span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif;\"> </span></strong></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif; color: black;\">Research Methods:</span></strong><span style=\"font-family: Calibri, sans-serif; color: black;\"><span class=\"Apple-converted-space\"> </span>The game was implemented<span class=\"Apple-converted-space\"> </span></span><span style=\"font-family: Calibri, sans-serif;\">in a weekly<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>resident educational conference<span class=\"Apple-converted-space\"> </span></span>session where<span class=\"Apple-converted-space\"> </span><span style=\"color: black;\">19 resident physicians and several faculty physicians participated in gameplay and immediately following the game, evaluated the educational experience by survey using a Likert scale. They assessed their overall experience with the game, engagement with the game, the game’s ability to reinforce existing medical knowledge, and if game content was relevant to their clinical practice.<span class=\"Apple-converted-space\"> </span></span></span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif;\"> </span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif; color: black;\">Results:</span></strong><span style=\"font-family: Calibri, sans-serif; color: black;\"><span class=\"Apple-converted-space\"> </span>The results were overwhelmingly positive with an average of strongly<span class=\"Apple-converted-space\"> </span></span><span style=\"font-family: Calibri, sans-serif;\">agreed<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>on every Likert scale in every category and a request for the creation of other similar games covering more topics. Resident physicians stated they appreciated being able to laugh and learn, and that the inclusion of case discussion after a case concluded really emphasized the educational points regarding the medical care of patients with respiratory complaints. T</span>hey encouraged increased discussion of the medicine after each round.<span class=\"Apple-converted-space\"> </span></span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif;\"> </span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif; color: black;\">Discussion:</span></strong><span style=\"font-family: Calibri, sans-serif; color: black;\"><span class=\"Apple-converted-space\"> </span>Overall, this game was very effective in stimulating conversation regarding the care of patients with<span class=\"Apple-converted-space\"> </span></span><span style=\"font-family: Calibri, sans-serif;\">thoracic-respiratory related<span class=\"Apple-converted-space\"> </span><span style=\"color: black;\">complaints. All medical students, residents</span>, and attending physicians<span class=\"Apple-converted-space\"> </span><span style=\"color: black;\">were very engaged and remained excited throughout gameplay. Implementation of the game</span><span class=\"Apple-converted-space\"> </span>showed<span style=\"color: black;\"><span class=\"Apple-converted-space\"> </span>the appropriate small group size is about five to six players to allow for robust discussion and engagement. It is also important for the facilitators to discuss expected outcomes for the patient at the conclusion of a set of case cards to encourage educational value alongside humorous game play.<span class=\"Apple-converted-space\"> </span></span></span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif;\"> </span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><strong><span style=\"font-family: Calibri, sans-serif; color: black;\">Topics<em>:<span class=\"Apple-converted-space\"> </span></em></span></strong><span style=\"font-family: Calibri, sans-serif;\">P<span style=\"color: black;\">ulmonology,<span class=\"Apple-converted-space\"> </span></span>thoracic-respiratory system,<span class=\"Apple-converted-space\"> </span><span style=\"color: black;\">shortness of breath, cough, viral respiratory<span class=\"Apple-converted-space\"> </span></span>infection<span style=\"color: black;\">, bronchiolitis, asthma, COPD, pulmonary edema, pediatric respiratory conditions</span>.</span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><em><span style=\"font-family: Calibri, sans-serif; color: black;\"> </span></em></p>", "language": "eng", "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.\n\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": "Pulmonology" }, { "word": "thoracic-respiratory system" }, { "word": "shortness of breath" }, { "word": "Cough" }, { "word": "viral respiratory infection" }, { "word": "Bronchiolitis" }, { "word": "asthma" }, { "word": "COPD" }, { "word": "pulmonary edema" }, { "word": "pediatric respiratory conditions." } ], "section": "Small Groups", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4d847616", "frozenauthors": [ { "first_name": "Lauren", "middle_name": "", "last_name": "Lamparter", "name_suffix": "", "institution": "Other", "department": "" }, { "first_name": "Alisa", "middle_name": "", "last_name": "Wray", "name_suffix": "", "institution": "University of California, Irvine", "department": "Department of Emergency Medicine" } ], "date_submitted": "2025-07-18T19:16:35Z", "date_accepted": "2026-01-09T19:31:22.904000Z", "date_published": "2026-01-31T19:31:00Z", "render_galley": { "label": "Lamparter L, et al. Cards Against Pulmonology. JETem 2026. 11(1)SG59-72", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_jetem/article/52358/galley/48048/download/" }, "galleys": [ { "label": "Lamparter L, et al. Cards Against Pulmonology. JETem 2026. 11(1)SG59-72", "type": "pdf", "path": "https://journalpub.escholarship.org/uciem_jetem/article/52358/galley/48048/download/" } ] }