AEM Education and Training

Abstract Introduction Despite progress in promoting diversity, equity, and inclusion (DEI) in medical education, lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and more (LGBTQIA+) individuals remain underrepresented and often face barriers to equitable advancement. Emergency medicine (EM) residency programs are instrumental in creating inclusive environments that attract diverse applicants and support LGBTQIA+ trainees. Since the COVID‐19 pandemic's shift to virtual recruitment, residency websites have become vital tools for communicating DEI initiatives. This study examines LGBTQIA+ inclusivity on EM residency websites, focusing on the visibility of resident pronouns, diversity pages, and LGBTQIA+ subsections. Methods We conducted a review of 282 EM residency program websites listed on the Electronic Residency Application Service (ERAS) between August and October 2023. Websites were assessed for the presence of pronouns on resident biographies, dedicated diversity pages, and LGBTQIA+ content. Data were stratified by geographic region and analyzed using descriptive statistics. Results Among the websites reviewed, 4.3% displayed resident pronouns, 31.2% had dedicated diversity pages, and 3.9% included LGBTQIA+ subsections. The Midwest region had the highest proportion of programs featuring resident pronouns (5/70), while the West region led in diversity pages (14/32) and LGBTQIA+ content (4/32). Discussion The limited visibility of LGBTQIA+ content and pronouns across EM residency websites suggests an underutilization of online platforms to promote inclusivity. With virtual recruitment now standard, these websites are critical for conveying program culture to prospective applicants. Displaying pronouns, DEI pages, and LGBTQIA+‐specific content can foster a welcoming environment and signal support to diverse applicants. Programs in regions with stronger DEI representation could serve as models for others, sharing best practices in promoting inclusivity. Conclusions Enhancing DEI visibility on EM residency websites may positively influence perceptions and engagement among LGBTQIA+ applicants, fostering more inclusive and equitable training environments that align with the needs of diverse trainees in emergency medicine.

Eliot H. Blum

Michelle D. Lall

Christopher S. Awad

Lauren Jenkins

David R. G. Kulp MSc

Khiem H. N. Hoang

Unveiling the gaps: Assessing <scp>LGBTQIA</scp>+ inclusivity on emergency medicine residency websites—An analysis of pronoun usage, diversity pages, and <scp>LGBTQIA</scp>+ sections

揭示差距：评估急诊医学住院医师网站上的LGBTQIA+包容性——对代词使用、多样性页面和LGBTQIA+部分的综合分析

Abstract Objective Pediatric emergency medicine (PEM) fellowship directors can interview candidates from either pediatric or EM residency programs. Currently, most candidates are pediatricians; however, because emergency physicians have attributes that could benefit PEM, our goal was to investigate facilitators and barriers to training more of them to become PEM physicians. Methods We surveyed U.S. PEM fellowship program directors (PDs) about their program's recruitment practices: Do they recruit only pediatricians or mostly pediatricians with an occasional emergency physician or do they actively recruit both? We solicited volunteers from each recruitment group for interviews. These were recorded, transcribed, and thematically coded using summative content analysis. Comments were cataloged into themes that were philosophical or logistic in nature and those that might facilitate (drivers) or serve as barriers (restrainers) to the inclusion of emergency physicians in PEM. Results We received 50 of 86 (58%) survey responses, 29 (34%) of whom volunteered for interviews. The 17 volunteers we selected for interviews generated 13 themes that fell into the four major theme categories: four philosophical drivers, three logistic drivers, two philosophical restrainers, and four logistic restrainers. Program groups differed with regard to the inclusion of emergency physicians. Most limiting were the impact of variable program length and the implicit belief that pediatricians are best suited to treat children. Most beneficial is the recognized value of EM graduates to the field of PEM. Conclusions While PDs acknowledged a growing need for PEM physicians, particularly in community hospitals, and that emergency physicians would contribute to PEM, they also identified the logistical burden of including them in programs primarily designed for pediatricians. This burden involves maintaining separate curricula for EM graduates and finding emergency physician faculty to serve as mentors. PDs also expressed a desire for resources to guide the integration of more emergency physicians into their programs.

Anne P. Runkle

Marianela Feliu

Charmaine B. Lo

David P. Way

Jennifer Mitzman

Square pegs in round holes: How do pediatric emergency medicine fellowship program directors fit graduates of emergency medicine residencies into their programs?

圆孔中的方钉：急诊医学住院医师项目毕业生如何适应儿科急诊医学研究员项目？

Standardized letters of evaluation (SLOEs) are an important part of residency recruitment, particularly given the limited availability of other discerning factors in residency applications. While consensus regarding SLOE competitiveness has been studied within a small group of academic faculty, it remains unexplored how a more diverse group of letter readers interpret SLOEs in terms of competitiveness.

Sharon Bord

Morgan Sehdev

Alexis Pelletier‐Bui

Al'ai Alvarez

Benjamin Schnapp

Nicole Dubosh

Caitlin Schrepel

Yoon Soo Park

Eric Shappell

Generalizability of consensus regarding standardized letters of evaluation competitiveness: A validity study in a national sample of emergency medicine faculty

标准化评估信竞争性共识的可推广性：一项针对急诊医学教师全国样本的有效性研究

While faculty have previously been shown to have high levels of agreement about the competitiveness of emergency medicine (EM) standardized letters of evaluation (SLOEs), reviewing SLOEs remains a highly time-intensive process for faculty. Artificial intelligence large language models (LLMs) have shown promise for effectively analyzing large volumes of data across a variety of contexts, but their ability to interpret SLOEs is unknown.

Al’ai Alvarez

Nicole M. Dubosh

<scp>ChatG</scp>‐<scp>PD</scp>? Comparing large language model artificial intelligence and faculty rankings of the competitiveness of standardized letters of evaluation

《ChatG-PD》？比较大型语言模型人工智能与标准化评估信件竞争力的教员排名

In areas with a large Deaf/hard-of-hearing (DHH) population, emergency medicine (EM) providers may benefit from cultural awareness training as this has been shown to foster delivery of more equitable care in other minority populations. Rochester, New York, has been touted to be the home to the largest per-capita DHH population in the United States. Given the large local DHH community and DHH professionals working in Rochester, University of Rochester (UR) providers likely have higher exposure to DHH people than most other EM providers in the United States. All UR providers receive annual institutional cultural sensitivity e-training that includes information about the DHH community. In addition to the e-training, the UR EM residents also receive a workshop during intern year and recurrent DHH culture education throughout their residency. The purpose of this study was to measure impact of preexisting cultural sensitivity training and higher DHH person exposure on DHH cultural awareness in UR providers compared to non-UR EM providers who may have lower DHH person exposure and culture training.

Luke Johnson

Stefani Schmitz

Kevin Dillon

Emily Mudrick

Shivram Kumar

Courtney Jones

Jason Rotoli

Deaf culture awareness among physicians and advanced practice providers in the emergency department: A multicenter study

急诊科医生和高级执业提供者中的聋人文化意识：一项多中心研究

Abbreviation	AEM. Educ. Train.
Journal Impact	1.82
Quartiles(Global)	EMERGENCY MEDICINE(Q2)

ISSN	2472-5390
h-index	23

Publication Information	Publisher: John Wiley & Sons Inc.，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 2017，Proportion of original research papers: 95.45%，Self Citation Rate:17.60%， Gold OA Rate: 11.14%

AEM Education and Training

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Unveiling the gaps: Assessing LGBTQIA+ inclusivity on emergency medicine residency websites—An analysis of pronoun usage, diversity pages, and LGBTQIA+ sections

Square pegs in round holes: How do pediatric emergency medicine fellowship program directors fit graduates of emergency medicine residencies into their programs?

Generalizability of consensus regarding standardized letters of evaluation competitiveness: A validity study in a national sample of emergency medicine faculty

ChatG‐PD? Comparing large language model artificial intelligence and faculty rankings of the competitiveness of standardized letters of evaluation

Deaf culture awareness among physicians and advanced practice providers in the emergency department: A multicenter study

Unveiling the gaps: Assessing LGBTQIA+ inclusivity on emergency medicine residency websites—An analysis of pronoun usage, diversity pages, and LGBTQIA+ sections

Square pegs in round holes: How do pediatric emergency medicine fellowship program directors fit graduates of emergency medicine residencies into their programs?

Generalizability of consensus regarding standardized letters of evaluation competitiveness: A validity study in a national sample of emergency medicine faculty

ChatG‐PD? Comparing large language model artificial intelligence and faculty rankings of the competitiveness of standardized letters of evaluation

Deaf culture awareness among physicians and advanced practice providers in the emergency department: A multicenter study