Results: We received 116 individual responses from members of EM residency programs, which included program directors (16%), associate/assistant program directors (28%), core faculty (13%), other faculty (5%), fellows (4%), and residents (28%). The most common SoMe platforms utilized were audio-based (56.0%) and blogs (52.6%). Common institutional barriers identified were restricting access to blogs (12.9%) and microblogs (12.1%). Departmental barriers included insufficient protected time as well as insufficient faculty interest for blogs (17.2% and 16.4%, respectively). Common technological barriers identified were insufficient IT support to host the platform and insufficient support, space, and/or funding for necessary equipment with regard to blogs (16.4% and 12.1%, respectively). Pertaining to knowledge barriers, a lack of knowledge among faculty of how to utilize blogs (23.3%) and microblogs (19.0%) for education were the most common obstacles. Among those programs that had not attempted to utilize any SoMe platforms, community-based programs were significantly more likely to identify barriers compared to other program settings including insufficient faculty knowledge (p<0.001), fear of a professionalism violation (p<0.001), insufficient faculty interest (p¼0.012), lack of institutional support (p<0.001), lack of technological support (p¼0.012), lack of funding (p¼0.012), and lack of protected time (p¼0.026). When comparing responses from programs based on size, small programs (<¼24 residents) were significantly more likely to identify barriers among those programs that had not utilized any SoMe platforms including insufficient faculty knowledge (p¼0.002), fear of a professionalism violation (p¼<0.001), insufficient faculty interest (p¼0.014), insufficient resident interest (p¼0.026), lack of institutional support (p¼0.002), lack of technological support (p<0.001), and lack of funding (p<0.001).Conclusions: Utilization of SoMe platforms for resident education by EM residency programs is increasingly common. However, significant obstacles exist on many levels that prevent programs from leveraging these innovations for knowledge translation, particularly for community-based and small residency programs. Awareness of these common barriers will allow institutions and programs to better anticipate and design solutions to overcome these obstacles.