Differences in language used to describe racial groups in emergency medicine standardized letter of evaluation

Applicants who were URiM or Black were more likely to be described with communal words than their peers. URiM applicants had twice the amount of empathic words in their SLOEs when compared to their non-URiM peers; however, this finding did not meet statistical significance (<i>p</i> = 0.053). Our study demonstrates that students who are URiM or Black are more likely to be described with language that, in STEM literature, has been associated with decreased hireability. This pattern may reflect the use of coded language in evaluations, which could hinder advancement of URiM residents and impact diversity in our field. These findings highlight the need for residency program directors and educators to critically examine evaluation language and implement strategies to ensure equitable assessment practices.

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Institutions

Publication Details

Journal
AEM Education and Training
Published
2025-05-19
DOI
https://doi.org/10.1002/aet2.70054
Citations
2
Primary Topic
Diversity and Career in Medicine
Type
article
Field-Weighted Citation Impact
7.73

Funders

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article

Differences in language used to describe racial groups in emergency medicine standardized letter of evaluation

I Okafor, Felisha Gonzalez, Kerrie P. Nelson, Laura Welsh et al.
2 citations
AEM Education and Training
Diversity and Career in Medicine
7.73
article

Differences in language used to describe racial groups in emergency medicine standardized letter of evaluation

I Okafor, Felisha Gonzalez, Kerrie P. Nelson, Laura Welsh, Emily C. Cleveland Manchanda, Andy Clark, Sula Frausto, Johanna Caicedo
article en
2 citations

Abstract

Applicants who were URiM or Black were more likely to be described with communal words than their peers. URiM applicants had twice the amount of empathic words in their SLOEs when compared to their non-URiM peers; however, this finding did not meet statistical significance (<i>p</i> = 0.053). Our study demonstrates that students who are URiM or Black are more likely to be described with language that, in STEM literature, has been associated with decreased hireability. This pattern may reflect the use of coded language in evaluations, which could hinder advancement of URiM residents and impact diversity in our field. These findings highlight the need for residency program directors and educators to critically examine evaluation language and implement strategies to ensure equitable assessment practices.

AEM Education and TrainingVol. 9(3)
Boston University (US), Boston Medical Center (US), American Medical Association (US), Massachusetts General Hospital (US)
Boston Medical Center
Quality Education
Openalex Percentile: Top 4%
Diversity and Career in Medicine
7.73
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