Editorial Processes in Free Open Access Medical Educational (FOAM) Resources.

Abstract

Much of the skepticism toward online educational resources (OERs) in emergency medicine (EM) stems from the low barrier to publishing and a perceived lack of editorialrigor. Learners and educators have demonstrated unreliable gestalt ratings of OERs, suggesting a lack of capacity to consistently appraisethese resources.The developmentof tools to guide clinicians and learners in the selection and use of blogs and podcasts is a growing area of interest.Disclosure of editorial processwasidentifiedin previous studiesas an important quality indicatorfor OERs. However, little is known about editorial process in online EM resources and whether it can be reliably integrated into a critical appraisal tool. Two reviewers assessed 100 top EM and critical care OERs for mention and description of editorial process and academic and nonacademic affiliations. Ninety-two sites were accessible for review. All sites were also contacted to attempt clarification of their editorial process. Inter-rater reliability for mention and description of editorial process was evaluated using Cohen's kappa, and the relationship between academic affiliation and disclosure of editorial process was assessed by odds ratio (OR). Eleven sites mentioned an editorial process, and 10 of these sites included a description. Five of the seven sites that responded to contact also described an editorial process. Inter-rater agreement was excellent for mention (κ=0.90) and description (κ=1.00) of editorial process. Eighteen sites listed academic affiliations and 21 sites had nonacademic affiliations. A greater proportion of sites with academic affiliations disclosed their editorial process compared to sites without academic affiliations (OR= 5.3, 95% confidence interval [CI]= 1.3-21.0; difference in proportions of 0.40, 95% CI= 11.6-60.8). Although transparency is lacking, editorial processes exist among OERs. Inter-rater reliability for disclosure of editorial process is excellent, supporting its use within critical appraisal tools.