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Who can speak for the emergently ill? Testing a method to identify communities and their leaders. Raina M. Merchant, MD, 1-2 Jonathan D. Rubright, BA, 3  John P. Pryor, MD, 4 Jason H. T. Karlawish, MD 3 1 Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania;  2 Leonard Davis Institute of Health Economics, University of Pennsylvania;  3 Departments of Internal Medicine and Medical Ethics, University of Pennsylvania; 4 Department of Surgery-Trauma and Critical Care, University of Pennsylvania  ,[object Object],[object Object],Background ,[object Object],Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],Abstract ,[object Object],[object Object],Methods Results ,[object Object],[object Object],[object Object],[object Object],Results Table 1: Demographics (n=199) Gender, male   42% (83)  Average age, years ±std   36.2 ± 14.4  Race: African American   61% (122)  Caucasian   27% (54))  Graduated from  high school   40% (79) Table 2: Vignette responses: Belong to a  community?  97% (194) Able to identify a community who  could represent (their) views regarding  exception from informed consent  89% (177)  Able to identify a leader who  could represent (their) views regarding  exception from informed consent  76% (151)  Figure 1: Communities and leaders identified by subjects as appropriate for consultation for emergency research with exception from informed consent  Totals are greater than 100% because subjects could list more than one community or leader. ‡  No subjects listed leaders considered to be “Race/ethnic” based, so only responses for communities considered to be “Race/ethnic” based are illustrated   Communities to which I belong Neighborhood clinic vignette ER research  vignette None appropriate Appropriate Leaders None appropriate Appropriate Leaders Conclusions Table 3:   Sources for community and health care information Policy Implications None appropriate Appropriate None appropriate Appropriate

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