1. Ethnic and Racial Differences in Ratings in the Medical Student Standardized Letters of Evaluation (SLOE).
- Author
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Alvarez A, Mannix A, Davenport D, Gore K, Krzyzaniak SM, Parsons M, Miller DT, Eraso D, Monteiro S, Chan TM, and Gottlieb M
- Subjects
- Humans, Ethnicity, Race Factors, Internship and Residency, Students, Medical, Emergency Medicine education
- Abstract
Background: The Standardized Letter of Evaluation (SLOE) stratifies the assessment of emergency medicine (EM) bound medical applicants. However, bias in SLOE, particularly regarding race and ethnicity, is an underexplored area., Objective: This study aims to assess whether underrepresented in medicine (UIM) and non-UIM applicants are rated differently in SLOE components., Methods: This was a cross-section study of EM-bound applicants across 3 geographically distinct US training programs during the 2019-2020 application cycle. Using descriptive and regression analyses, we examine the differences between UIM applicants and non-UIM applicants for each of the SLOE components: 7 qualifications of an EM physician (7QEM), global assessment (GA) rating, and projected rank list (RL) position., Results: Out of a combined total of 3759, 2002 (53.3%) unique EM-bound applicants were included. UIM applicants had lower ratings for each of the 7QEM questions, GA, and RL positions. Compared to non-UIM applicants, only some of the 7QEM components: "Work ethic and ability to assume responsibility," "Ability to work in a team, and "Ability to communicate a caring nature," were associated with their SLOE. "Commitment to EM" correlated more with GA for UIM than for non-UIM applicants., Conclusions: This study shows a difference in SLOE rating, with UIM applicants receiving lower ratings than non-UIM applicants., Competing Interests: Conflict of interest: The authors declare they have no competing interests.
- Published
- 2022
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