Emergency medicine programs put high value in departmental SLOEs, the interview, and EM rotation grades when selecting potential residents. Higher value is placed on SLOEs and grades from away/visiting institutions compared with students' home institutions.

Traumatic fracture of the first rib in sport is certainly not a common diagnosis, but it is likely more widespread than sports medicine providers realize. Considering the diagnosis of first rib fracture for athletes with shoulder pain after trauma is essential for identifying this injury. Although more study is likely needed to make definitive recommendations on treatment and return to play protocols, the case series and literature review presented suggests that rehabilitation and return to play when the patient is asymptomatic may be appropriate care.

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