Publications by authors named "Melissa H White"
Article Synopsis
- The scoping review aimed to clarify how to integrate structural competency and vulnerability into emergency medicine education, addressing existing gaps in the literature to guide future curriculum development.
- The review identified 291 articles, with 51 relevant to emergency medicine; findings indicated a general understanding of structural competency as requiring awareness of power dynamics but a lack of consensus on how to measure its impact.
- The study concluded a necessity for structured training in structural competency for physicians and emphasized the importance of evaluating how such curricula affect patient outcomes and the professional development of medical learners.
Patients experiencing homelessness visit the emergency department (ED) often and have worse clinical outcomes. Caring for this patient population is complex, challenging, and resource-intensive. Emergency medicine (EM) education is lacking in formal curricula on the topic of homelessness, despite benefits for resident morale and patient care.
View Article and Find Full Text PDFAs the emergency department (ED) is the "front door" of the hospital and the primary site by which most patients access the health care system, issues of inequity are especially salient for emergency medicine (EM) practice. Improving the health of ED patients, especially those who are stigmatized and disenfranchised, depends on having emergency physicians that are cognizant and attentive to their needs in and out of the medical encounter. EM resident education has traditionally incorporated a "cultural competency" model to equip residents with tools to combat individual bias and stigma.
View Article and Find Full Text PDFObjectives: We aimed to synthesize the available evidence on the demographics, prevalence, clinical characteristics, and evidence-based management of homeless persons in the emergency department (ED). Where appropriate, we highlight knowledge gaps and suggest directions for future research.
Methods: We conducted a systematic literature search following databases: PubMed, Ovid, and Google Scholar for articles published between January 1, 1990, and December 31, 2016.