Diversity and inclusion among U.S. emergency medicine residency programs and practicing physicians: Towards equity in workforce

Ehrhardt, Tori; Shepherd, Aaron; Kinslow, Kyle; McKenney, Mark; Elkbuli, Adel

doi:10.1016/j.ajem.2020.08.055

Cited by 10 publications

(15 citation statements)

References 15 publications

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“…While emergency physicians often work with a diverse population of patients, such diversity has not been reflected among practicing emergency physicians. 1,2 EM is unique in that its clinicians care for patients of all walks of life regardless of ability to pay. Nearly half of all medical care across the United States occurs in emergency departments (ED), 12 and patients from underserved areas report higher level of trust if their physicians identify as URiM.…”

Section: Discussionmentioning

confidence: 99%

“…The current emergency medicine (EM) workforce does not reflect the increasing diversity of the U.S. population. 1,2 In 2018, only 4.5% of active EM physicians identified as non-Hispanic Black or African American and only 5.3% identified as Latinx/Hispanic. 1 In fact, the number of non-Hispanic Black/African American residents in EM fell from 5.2% in 2013 to 4.6% in 2018.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 In 2018, only 4.5% of active EM physicians identified as non-Hispanic Black or African American and only 5.3% identified as Latinx/Hispanic. 1 In fact, the number of non-Hispanic Black/African American residents in EM fell from 5.2% in 2013 to 4.6% in 2018. 3 The lack of diversity has significant implications on patient care.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics of medical students interested in emergency medicine with intention to practice in underserved areas

Abreu

Jawiche

Nguyen

et al. 2021

AEM Education and Training

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ObjectivesEmergency departments serve a wide variety of racial, ethnic, socioeconomic, and gender backgrounds. It is currently unknown what characteristics of students who express interest in emergency medicine (EM) are associated with a simultaneous desire to work in medically underserved areas. We hypothesize that those who are underrepresented in medicine, are female, learn another language, and have more student debt will be more likely to practice in a medically underserved area.MethodsData from the National Board of Medical Examiners, Association of American Medical Colleges (AAMC) Student Record System, and the AAMC Graduation Questionnaire were collected on a national cohort of 92,013 U.S. medical students who matriculated from 2007 through 2012. Extracted variables included planned practice area, intention to practice in underserved areas, race/ethnicity, sex, medical school experiences, age at matriculation, debt at graduation, and first‐attempt USMLE Step 1 score.ResultsEM‐intending students who identified as female, non‐Hispanic Black/African American, or Latinx/Hispanic; had a larger debt at graduation; had experiences with health education in the community; had global health experience; and had learned more than one language were more likely to report an intention to practice in underserved areas.ConclusionWith the increasing importance of physician diversity to match those of the community being served, this study identifies factors associated with a desire of EM students to work in underserved areas. Medical schools and EM residencies may wish to consider these factors in their admissions process.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Characteristics of medical students interested in emergency medicine with intention to practice in underserved areas

Abreu

Jawiche

Nguyen

et al. 2021

AEM Education and Training

View full text Add to dashboard Cite

show abstract

“…This includes supporting the goals of diversity equity and inclusion as part of the department's core mission 4 . Currently, less than a quarter of programs indicate such commitments on their websites 9 …”

mentioning

confidence: 99%

“…4 Currently, less than a quarter of programs indicate such commitments on their websites. 9 More diverse academic leaders and residents in EM are needed to reflect our heterogenicity. As we continue to celebrate the soon to be minted Supreme Court Justice Ketanji Brown Jackson, let us use her confirmation as a lesson to create a more inclusive environment in emergency medicine that embraces us all-regardless of our race, ethnicity, or gender.…”

mentioning

confidence: 99%

Judge Ketanji Brown Jackson's victory is our own

Haile‐Mariam

Nakitende

Wilder

et al. 2022

Academic Emergency Medicine

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The Time Is Now: Racism and the Responsibility of Emergency Medicine to Be Antiracist

Franks

Gipson

Kaltiso

et al. 2021

Annals of Emergency Medicine

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The COVID-19 pandemic has shed light on the ongoing pandemic of racial injustice. In the context of these twin pandemics, emergency medicine organizations are declaring that “Racism is a Public Health Crisis.” Accordingly, we are challenging emergency clinicians to respond to this emergency and commit to being antiracist. This courageous journey begins with naming racism and continues with actions addressing the intersection of racism and social determinants of health that result in health inequities. Therefore, we present a social-ecological framework that structures the intentional actions that emergency medicine must implement at the individual, organizational, community, and policy levels to actively respond to this emergency and be antiracist.

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Diversity and inclusion among U.S. emergency medicine residency programs and practicing physicians: Towards equity in workforce

Cited by 10 publications

References 15 publications

Characteristics of medical students interested in emergency medicine with intention to practice in underserved areas

Characteristics of medical students interested in emergency medicine with intention to practice in underserved areas

Judge Ketanji Brown Jackson's victory is our own

The Time Is Now: Racism and the Responsibility of Emergency Medicine to Be Antiracist

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