Examining Gender Differences and the Impact of Additional Fourth Year Rotations on Emergency Medicine Standardized Letter of Evaluation (SLOE) Scores

Female applicants received significantly higher ratings in select evaluative domains, consistent with prior research on gender-related variability in SLOEs. Additional rotations did not yield statistically significant improvements in scores, supporting current guidance that applicants should not complete more than two EM fourth-year rotations. These findings underscore the potential influence of home institution dynamics on early SLOE evaluations and support the need for greater standardization and transparency in evaluation practices to promote fairness and equity in the residency selection process.