Introduction: The negative effect of female gender identity on participation at face-to-face academic conferences for delegates, speakers, chairs and panellists has previously been reported. Little is known about how ethnicity may affect conference participation, or about how gender and ethnicity intersect. To our knowledge, this is the first study describing conference participation by both ethnicity and gender in panellists and delegates, and the first to describe this within a hybrid conference setting. Methods: We collaborated with the European AIDS Clinical Society (EACS), the organisers of the 18th European AIDS Conference, a large, 3223 delegate, hybrid conference held online and in London, over four days in October 2021. During the conference, we observed the number and type of questions asked at 12 of 69 sessions and described characteristics of the panel composition by ethnicity, gender and seniority. A post-conference survey of conference attendees collated demographic information, number of questions asked during the conference and the reasons for not asking questions. Results: Men asked the most questions and were more likely to ask multiple questions in the observed sessions (61.5%). People from White ethnic groups asked >95% of the questions in the observed sessions. The fewest questions were asked in the sessions with the least diverse panels in terms of both ethnicity and gender. Barriers to asking questions differed between genders and ethnicities. Conclusions: Improvement in access and participation at medical conferences is needed. Our study aims to raise awareness and provide evidence to help improve equality, diversity and inclusion in the professional medical conference setting and support equitable dissemination and sharing of knowledge. Intersections of gender and ethnicity shape inequality and need to be examined in combination. Further work is needed to evaluate the role of other social identities. We recommend future work takes such intersectionality into account and that conference organisers strive for diversity on panels to improve education and engagement of delegates.

IS IT ME, OR IS IT GENERAL PRACTICE?As academic clinical fellows (ACFs) in general practices across London we are stakeholders in general practice at the outset of our careers. We recently discussed our concerns about the future of general practice and our futures in the speciality at our regional teaching session. Here is a summary of what we discussed:• Some GPs have up to 70 patient contacts per day. On average, GPs deliver 50% more than the British Medical Association's (BMA's) safe limit of 25 patient contacts per day.• A substantial proportion of appointments last over 10 minutes. In some months, around 20% of appointments delivered lasted more than 20 minutes.

BackgroundGeneral practice has a diverse training programme. It is majority female (57%) and more than half of all trainees are from an ethnic minority, according to the GMC workforce report 2022. However, we are not seeing the same representation of ethnic minorities in academic general practice, with 85.1% of GP professors being White.AimTo determine if ethnic minorities are fairly represented in general practice academia, using the National Academic GP Training Conferences as a proxy.MethodThe programmes of the last five National Academic GP Training Conferences were searched and demographic information about the speakers was sought through online sources. Data were compared to demographic data available of non-academic GPs. A freedom of information request was made to Health Education England (HEE) to determine the demographic data of GP academic clinical fellows (ACF).ResultsBetween the years of 2018 and 2022 there was an average of 40 speakers at the conference. The majority of speakers were White females, appearing an average of 20.2 times. Black females were the least represented, appearing an average of 0.4 times. Data available from HEE on the demographics of new ACFs for 2022 revealed that 27 (71%) of the 38 (excluding 5 who did not state their ethnicity) were White.ConclusionWith such a diverse training scheme, we need to have a better representation of ethnic minorities in GP academia. There is a clear problem recruiting or attracting people from ethnic minorities to an academic career and work needs to be done to understand and overcome those barriers.