American Board of Emergency Medicine Report on Residency and Fellowship Training Information (2017-2018)

Nelson, Lewis S.; Keim, Samuel M.; Baren, Jill M.; Beeson, Michael S.; Carius, Michael; Chudnofsky, Carl R.; Gausche‐Hill, Marianne; Goyal, Deepi G.; Kowalenko, Terry; Marco, Catherine A.; Muelleman, Robert L.; Johnston, Mary M.; Joldersma, Kevin B.

doi:10.1016/j.annemergmed.2018.03.037

Cited by 19 publications

(13 citation statements)

References 0 publications

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“…there were 40 emergency medicine-trained fellows in PEM fellowships in the United States of 519 total PEM fellows (7.7%), down from 53 emergency medicine-trained fellows among 474 total PEM fellows in 2015 (11.1%) 6. This apparent decline is consistent with data going back to 2011 7,9. We believe the low and declining number of emergency medicine-trained residents is a problem, for emergency medicine and for PEM, as the vast majority of pediatric emergency care occurs outside of PEM settings.…”

supporting

confidence: 76%

“…3,4 Moreover, although the number of emergency resident graduates has increased by 1500 during the past 5 years, and the number of PEM fellowship positions has increased by 20, even fewer emergency graduates are pursuing a PEM fellowship. [5][6][7] Historically, emergency graduates have made up 15% of PEM fellows. More recent studies have demonstrated that 8% of current PEM fellows completed an emergency medicine residency.…”

Section: Introductionmentioning

confidence: 99%

“…Studies have demonstrated that only 5% of PEM faculty are emergency medicine trained 3,4 . Moreover, although the number of emergency resident graduates has increased by 1500 during the past 5 years, and the number of PEM fellowship positions has increased by 20, even fewer emergency graduates are pursuing a PEM fellowship 5‐7 . Historically, emergency graduates have made up 15% of PEM fellows.…”

Section: Introductionmentioning

confidence: 99%

“…Historically, emergency graduates have made up 15% of PEM fellows. More recent studies have demonstrated that 8% of current PEM fellows completed an emergency medicine residency 3,4,7‐10 …”

Section: Introductionmentioning

confidence: 99%

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Incentives and barriers to pursuing pediatric emergency medicine fellowship: A cross‐sectional survey of emergency residents

et al. 2020

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supporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incentives and barriers to pursuing pediatric emergency medicine fellowship: A cross‐sectional survey of emergency residents

et al. 2020

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“…Although EM as a specialty has experienced tremendous growth over the past decade, the field struggles to attract physicians from diverse demographic backgrounds. Black, Hispanic, and Native American doctors continue to be underrepresented and their respective proportions among EM trainees in GME have not changed substantially in the past 20 years . Recognizing the impact of this underrepresentation on the future of EM, the Academy for Diversity and Inclusion in Emergency Medicine (ADIEM) for the Society for Academic Emergency Medicine (SAEM) and the American College of Emergency Physicians (ACEP) have incorporated diversity and inclusion as part of their mission and strategic plan …”

Section: Summary Of Key 2008 Cord Recruitment Recommendationsmentioning

confidence: 99%

Racial and Ethnic Diversity in Academic Emergency Medicine: How Far Have We Come? Next Steps for the Future

Boatright

Branzetti

Duong

et al. 2018

AEM Education and Training

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Although the U.S. population continues to become more diverse, black, Hispanic, and Native American doctors remain underrepresented in emergency medicine (EM). The benefits of a diverse medical workforce have been well described, but the percentage of EM residents from underrepresented groups is small and has not significantly increased over the past 20 years. A group of experts in the field of diversity and inclusion convened a work group during the Council of Emergency Medicine Residency Program Directors (CORD) and Society for Academic Emergency Medicine (SAEM) national meetings. The objective of the discussion was to develop strategies to help EM residency programs examine and improve racial and ethnic diversity in their institutions. Specific recommendations included strategies to recruit racially and ethnically diverse residency candidates and strategies to mentor, develop, retain, and promote minority faculty.

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Race and Sex Disparities Among Emergency Medicine Chief Residents

Tsai,

Nguyen,

Dudgeon

et al. 2024

JAMA Netw Open

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ImportancePhysicians who belong to minoritized racial and ethnic groups remain underrepresented and underpromoted. Serving as a chief resident is an important position of leadership and prestige, and indicates a benchmark for future professional success. However, it is unknown if disparities in race and/or sex exist in the chief resident selection process.ObjectiveTo describe race, ethnicity, and sex of emergency medicine (EM) chief residents and determine the association of racial identity and the intersectionality of race and sex for selecting chief residents in US emergency medicine departments.Design, Setting, and ParticipantsThis cohort study analyzed data collected from the Association of American Medical Colleges and the Electronic Residency Application Service in the graduating classes of 2017 and 2018. Data were analyzed between December 2021 and January 2023.Main Outcomes and MeasuresRelative risk (RR) of selection for chief residency for Black, Asian, and Hispanic EM residents in comparison with White counterparts.ResultsAmong 3408 studied residents, 738 (21.7%) served as chief resident (2253 male [66.1%]; 451 Asian [13.2%], 144 Black [4.2%], 158 Hispanic [4.6%], 239 more than 1 race [7.0%], 46 other [1.3%], and 2370 White [69.5%]). Of chiefs, 81 (11.0%) identified as Asian, 17 (2.3%) as Black, and 26 (3.5%) Hispanic. Asian residents were 78% (95% CI, 63%-96%) as likely to be promoted to chief resident compared with White peers, and Black residents were 51% (95% CI, 32%-80%) as likely as White residents. In our fully adjusted model, racial differences remained significant for Black residents, who were half as likely as white residents to be selected for chief residency (adjusted risk ratio [aRR], 0.55; 95% CI, 0.36-0.82). Overall, White women were most likely to be selected for chief residency and 20% more likely to be selected than White men counterparts (aRR, 1.20; 95% CI, 1.03-1.39). In comparison, women underrepresented in medicine (a category that included residents identified as Black, Hispanic, American Indian or Alaskan Native, and Native Hawaiian or Other Pacific Islander) were least likely to be selected for chief promotion, and 50% as likely to be selected for chief resident compared with White men (aRR, 0.50; 95% CI, 0.06-0.66).Conclusions and RelevanceIn this 2024 nationally representative study of EM residents, chief promotion was lower among residents identifying as Asian or Black, and in particular, women underrepresented in medicine. This study’s findings suggest further review of chief resident selection process by residency programs and accreditation bodies is needed to ensure workforce equity for promotion and opportunities for leadership.

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American Board of Emergency Medicine Report on Residency and Fellowship Training Information (2017-2018)

Cited by 19 publications

References 0 publications

Incentives and barriers to pursuing pediatric emergency medicine fellowship: A cross‐sectional survey of emergency residents

Incentives and barriers to pursuing pediatric emergency medicine fellowship: A cross‐sectional survey of emergency residents

Racial and Ethnic Diversity in Academic Emergency Medicine: How Far Have We Come? Next Steps for the Future

Race and Sex Disparities Among Emergency Medicine Chief Residents

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