{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:03:54Z","timestamp":1790831034872,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AEM Education and Training"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the growing importance of Health Systems Science (HSS), many emergency medicine (EM) residency programs lack a formal, comprehensive curriculum for health policy and advocacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We developed a longitudinal Health Policy and Advocacy curriculum by mapping core components, based off those originally proposed in the\n                      <jats:italic>New England Journal of Medicine<\/jats:italic>\n                      , to ACGME milestones. The components were refined through expert ranking by physicians attending the ACEP Teaching Fellowship to identify high\u2010yield topics specific to emergency medicine, such as the health care safety net, medical malpractice, and physician reimbursement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The resulting curriculum encompasses six key domains: adverse events, medical errors and malpractice; health care safety net; quality indicators, measures, and outcomes; physician reimbursement; U.S. health care system, financing, and delivery; and the business of emergency medicine. Curricular implementation utilizes several different teaching models, incorporating asynchronous modules, didactic sessions, a coding and billing workshop, and a four\u2010hour mock trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Integrating a structured health policy curriculum into EM training provides residents with essential non\u2010clinical skills that are increasingly necessary to effective practice in today's health care environment. This innovation addresses a critical educational gap, preparing residents to become vocal advocates for their patients and the profession.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/aet2.70255","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:43:45Z","timestamp":1790829825000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Non\u2010Stop: A Decade of Integrating Health Systems Science Into Emergency Medicine Residency"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8864-4481","authenticated-orcid":false,"given":"Cedric","family":"Dark","sequence":"first","affiliation":[{"name":"Henry J.N. Taub Department of Emergency Medicine Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Andrabi","sequence":"additional","affiliation":[{"name":"Henry J.N. Taub Department of Emergency Medicine Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3339-6967","authenticated-orcid":false,"given":"Vidya","family":"Eswaran","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Washington University in St. Louis  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"New Textbook Is First to Teach \u201cThird Pillar\u201d of Medical Education","author":"Smith T. M.","year":"2016"},{"key":"e_1_2_11_3_1","volume-title":"Health Systems Science","author":"Skochelak S. E.","year":"2017"},{"key":"e_1_2_11_4_1","volume-title":"Business and Administrative Curriculum for Emergency Medicine Residents: A National Needs Assessment","author":"Cozzi N.","year":"2021"},{"issue":"7","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000041581","article-title":"Current Status of Healthcare Financial Literacy Among Medical Trainees and Junior Hospitalists: An Observational Survey Study","volume":"104","author":"Ekeh O.","year":"2025","journal-title":"Medicine (Baltimore)"},{"key":"e_1_2_11_6_1","unstructured":"History of Health Policy \u201cSAEM Website \u201d(2026) https:\/\/www.saem.org\/publications\/saem\u2010publications\/rams\u2010roadmaps\/health\u2010policy\/history\u2010of\u2010health\u2010policy."},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","DOI":"10.1126\/science.32.810.41","volume-title":"Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching","author":"Flexner A.","year":"1910"},{"issue":"8","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1056\/NEJMp1009202","article-title":"Advancing Medical Education by Teaching Health Policy","volume":"364","author":"Patel M. S.","year":"2011","journal-title":"New England Journal of Medicine"},{"issue":"9","key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1111\/j.1553-2712.2009.00506.x","article-title":"The Business of Emergency Medicine: A Nonclinical Curriculum Proposal for Emergency Medicine Residency Programs","volume":"16","author":"Falvo T.","year":"2009","journal-title":"Academic Emergency Medicine"},{"issue":"2","key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.jemermed.2011.05.068","article-title":"Emergency Medicine Joint Fellowship Curriculum","volume":"43","author":"Petinaux B.","year":"2012","journal-title":"Journal of Emergency Medicine"},{"issue":"12","key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.1007\/s11606-009-1143-1","article-title":"Teaching Health Policy to Residents\u2014Three\u2010Year Experience With a Multi\u2010Specialty Curriculum","volume":"24","author":"Greysen S. R.","year":"2009","journal-title":"Journal of General Internal Medicine"},{"key":"e_1_2_11_12_1","volume-title":"Leadership in Advocacy, Under\u2010Resourced Communities and Health Equity (LAUnCH) Track","author":"Children's National Hospital","year":"2026"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.15694\/mep.2018.0000260.1"},{"issue":"5","key":"e_1_2_11_14_1","doi-asserted-by":"crossref","first-page":"161","DOI":"10.36834\/cmej.79440","article-title":"The Productivity Paradox in Postgraduate Medical Education: Improving Asynchronous Learning","volume":"15","author":"Peters E. J.","year":"2024","journal-title":"Canadian Medical Education Journal"},{"key":"e_1_2_11_15_1","unstructured":"A.SwaminathanandC.Dark \u201cHealthcare Policy: Part I. EM:RAP \u201d(2021) https:\/\/www.emrap.org\/episode\/emrap2021july\/healthpolicy."},{"key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.5116\/ijme.6470.d9ed","article-title":"Exploring Residents and Supervisors' Workplace Learning Needs During Postgraduate Medical Education","volume":"14","author":"Robbrecht M.","year":"2023","journal-title":"International Journal of Medical Education"},{"key":"e_1_2_11_17_1","volume-title":"Experimental Curriculum: Team\u2010Based Learning for New AMA Charting and Coding Guidelines","author":"Turner A.","year":"2023"},{"issue":"3","key":"e_1_2_11_18_1","doi-asserted-by":"crossref","DOI":"10.1002\/aet2.70055","article-title":"An Innovative Interprofessional Mock Trial Experience: Collaboration Between Emergency Medicine Residency Program and Law School as a Tool to Demonstrate Medical Malpractice Litigation","volume":"9","author":"Onyechi A. S.","year":"2025","journal-title":"AEM Education and Training"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2023.03.013"}],"container-title":["AEM Education and Training"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aet2.70255","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/aet2.70255","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aet2.70255","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:44:21Z","timestamp":1790829861000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/aet2.70255"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/aet2.70255"],"URL":"https:\/\/doi.org\/10.1002\/aet2.70255","archive":["Portico"],"relation":{},"ISSN":["2472-5390","2472-5390"],"issn-type":[{"value":"2472-5390","type":"print"},{"value":"2472-5390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2026-03-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70255"}}