Intersectional ethnoracial disparities in emergency medicine (EM) resident assessments.
By Tarun Sai LomteSep 25 2023Reviewed by Lily Ramsey, LLM A recent study published in JAMA Network Open evaluated intersectional ethnoracial disparities in emergency medicine resident assessments.
EM physicians provide safety-net care to those who may have been neglected or excluded by the healthcare system, such as patients experiencing homelessness and those with comorbid psychiatric illnesses and substance/alcohol use disorders. Further, EM programs without at least one URM and one Asian trainee were excluded. EM residents were assessed two times . EM residents were categorized as White, Asian, and URM.
Around 34.6% were females, and 14.3% were URM residents. Sixty programs did not have URM or Asian residents in training. Residents in four-year programs were rated lower than those in three-year programs at midyear assessment in the first post-graduate year . URM residents of both sexes in three-year programs initially had ratings comparable to White male residents; nonetheless, they were lower than White males in three competencies by PGY3 year-end. Similar patterns were evident in four-year programs but only in URM female residents.