Blum Eliot H, Lall Michelle D, Awad Christopher S, Jenkins Lauren, Kulp MSc David R G, Hoang Khiem H N
Emory University School of Medicine Department of Emergency Medicine, Atlanta Georgia USA.
AEM Educ Train. 2024 Dec 20;8(6):e11054. doi: 10.1002/aet2.11054. eCollection 2024 Dec.
Despite progress in promoting diversity, equity, and inclusion (DEI) in medical education, lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and more (LGBTQIA+) individuals remain underrepresented and often face barriers to equitable advancement. Emergency medicine (EM) residency programs are instrumental in creating inclusive environments that attract diverse applicants and support LGBTQIA+ trainees. Since the COVID-19 pandemic's shift to virtual recruitment, residency websites have become vital tools for communicating DEI initiatives. This study examines LGBTQIA+ inclusivity on EM residency websites, focusing on the visibility of resident pronouns, diversity pages, and LGBTQIA+ subsections.
We conducted a review of 282 EM residency program websites listed on the Electronic Residency Application Service (ERAS) between August and October 2023. Websites were assessed for the presence of pronouns on resident biographies, dedicated diversity pages, and LGBTQIA+ content. Data were stratified by geographic region and analyzed using descriptive statistics.
Among the websites reviewed, 4.3% displayed resident pronouns, 31.2% had dedicated diversity pages, and 3.9% included LGBTQIA+ subsections. The Midwest region had the highest proportion of programs featuring resident pronouns (5/70), while the West region led in diversity pages (14/32) and LGBTQIA+ content (4/32).
The limited visibility of LGBTQIA+ content and pronouns across EM residency websites suggests an underutilization of online platforms to promote inclusivity. With virtual recruitment now standard, these websites are critical for conveying program culture to prospective applicants. Displaying pronouns, DEI pages, and LGBTQIA+-specific content can foster a welcoming environment and signal support to diverse applicants. Programs in regions with stronger DEI representation could serve as models for others, sharing best practices in promoting inclusivity.
Enhancing DEI visibility on EM residency websites may positively influence perceptions and engagement among LGBTQIA+ applicants, fostering more inclusive and equitable training environments that align with the needs of diverse trainees in emergency medicine.
尽管在促进医学教育中的多样性、公平性和包容性（DEI）方面取得了进展，但女同性恋、男同性恋、双性恋、跨性别者、酷儿/疑问者、双性人、无性恋者及其他群体（LGBTQIA+）在医学教育中的代表性仍然不足，并且在公平发展方面常常面临障碍。急诊医学（EM）住院医师培训项目对于营造包容的环境至关重要，这种环境能够吸引多样化的申请者并支持LGBTQIA+学员。自COVID-19大流行转向虚拟招聘以来，住院医师培训项目的网站已成为传达DEI倡议的重要工具。本研究考察了急诊医学住院医师培训项目网站上对LGBTQIA+的包容性，重点关注住院医师代词的可见性、多样性页面以及LGBTQIA+子板块。
我们对2023年8月至10月期间电子住院医师申请服务（ERAS）上列出的282个急诊医学住院医师培训项目网站进行了审查。评估网站上住院医师简介中代词的呈现情况、专门的多样性页面以及LGBTQIA+相关内容。数据按地理区域分层，并使用描述性统计进行分析。
在审查的网站中，4.3%展示了住院医师代词，31.2%设有专门的多样性页面，3.9%包含LGBTQIA+子板块。中西部地区展示住院医师代词的项目比例最高（5/70），而西部地区在多样性页面（14/32）和LGBTQIA+相关内容（4/32）方面领先。
急诊医学住院医师培训项目网站上LGBTQIA+相关内容和代词的可见性有限，这表明在线平台在促进包容性方面未得到充分利用。由于虚拟招聘现已成为标准做法，这些网站对于向潜在申请者传达项目文化至关重要。展示代词、DEI页面以及特定于LGBTQIA+的内容可以营造一个友好的环境，并向多样化的申请者表明支持。DEI代表性更强地区的项目可以为其他地区提供榜样，分享促进包容性的最佳实践。
提高急诊医学住院医师培训项目网站上DEI的可见性可能会对LGBTQIA+申请者的认知和参与产生积极影响，营造更具包容性和公平性的培训环境，以符合急诊医学中多样化学员的需求。
