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Background: Despite increased recruitment of Latina medical students, the percentage of Latina physicians has remained stagnant, suggesting unique retentive barriers affecting this population. Discriminatory experiences involving bias may contribute to difficulties in the retention and advancement of Latinas in medicine. This qualitative analysis aimed to explore thematic barriers prevalent among Latinas throughout their medical training in the United States. Methods: An anonymous online survey was distributed to Latinas in the continental United States from June 22 to August 12, 2022. Eligibility criteria included self‐identifying as Hispanic/Latina, female/woman, and being currently enrolled in or graduated from medical school, residency, or fellowship in the United States in the past 10 years. Content and thematic analyses were done on 602 responses across seven open‐ended survey questions. Results: Data were categorized into three main themes: (1) barriers stemming from limited social, cultural, and financial capital; (2) experiences of discrimination, bias, and perceptions of being undervalued; and (3) burdens resulting in notable mental health challenges such as depression and anxiety. Many women questioned their place in medicine throughout training and the value of the sacrifice and trauma endured. Conclusion: This is the first qualitative study evaluating the experiences of Latinas throughout medical training, revealing that they experience disproportionate barriers and discriminatory experiences from both colleagues and patients. Despite calls to enhance institutional climates of diversity, there continues to be an acute need for the reform of medical education to promote an inclusive culture and provide adequate mentorship to marginalized trainees. Despite improvements in recruitment of Latina medical students, the percentage of Latina physicians has remained stagnant, suggesting unique barriers to retention and career advancement. This is the first qualitative study to evaluate the experiences of Latinas throughout medical training, revealing experiences of disproportionate barriers and discriminatory experiences. Plain Language Summary: Latinos make up approximately 20% of the US population, yet only 3% of practicing physicians in the United States identify as Latina.There have been increasing efforts to increase diversity among medical school matriculants, but the percentage of Latina physicians remains stagnant, suggesting barriers to retaining and advancing Latinas in the medical field.Our qualitative study is the first of its kind to describe the experience of Latinas in medical education in the United States. We highlight thematic barriers to this population's success and detail the biases they face throughout medical training that culminated in substantial mental health inflictions for Latinas in medicine. [ABSTRACT FROM AUTHOR]

1. Describe the benefits of a longitudinal model of specialty-aligned inpatient palliative care for patients with advanced liver disease. 2. Understand key areas of need to improve end-of-life care delivery for patients with advanced liver disease. We explored perspectives on a longitudinal specialty-aligned palliative care intervention for hospitalized patients with advanced liver disease (AdvLD) through qualitative interviews with patients, caregivers, and inpatient clinicians. Respondents highlighted that longitudinal palliative care delivery promoted trust and facilitated serious illness conversations and symptom management for hospitalized patients with AdvLD. Areas of ongoing need included improving transitional and end-of-life care. Hospitalized patients with advanced liver disease (AdvLD) experience substantial symptom burden, frequent readmissions, and high mortality, yet palliative care is underutilized for this population. We explored the benefits and areas of ongoing need of a longitudinal specialty-aligned palliative care intervention for hospitalized patients with AdvLD through qualitative interviews with patients, caregivers, and inpatient clinicians. Between 6/2022-9/2022, we conducted individual interviews with recently hospitalized adult (age ≥18) patients with AdvLD, their caregivers and their inpatient clinicians (internal medicine, hepatology, critical care, transplant surgery, palliative care) enrolled in an inpatient palliative care clinical trial. We asked participants their perspectives regarding delivery of longitudinal specialty-aligned inpatient palliative care to enrolled patients. We conducted a team-based qualitative thematic analysis using a multistage iterative approach, including both prefigured and emergent dimensions. Nineteen individuals (3 patients, 3 caregivers, 13 clinicians) participated in interviews. Benefits of the intervention were identified across all participant groups. Respondents highlighted the value of the palliative care team providing longitudinal care across multiple readmissions, which provided a broader picture understanding of the patients and their disease trajectory to inpatient teams and their caregivers. The longitudinal model of care resulted in trust from all participants, which facilitated serious illness conversations and inpatient symptom management of pain, depression, and anxiety by the palliative care team. Areas of ongoing need varied across participant groups. Clinicians highlighted a need for improved care coordination to allow for ongoing palliative care delivery in the outpatient setting. All participant groups highlighted the need to improve management of refractory ascites and hepatic encephalopathy at end-of-life. A longitudinal model of specialty-aligned palliative care promoted trust and facilitated serious illness conversations and symptom management for hospitalized patients with AdvLD. Next steps include developing processes and education to improve transitional and end-of-life care of patients with AdvLD. Models of Palliative Care Delivery / Scientific Research [ABSTRACT FROM AUTHOR]