• Robert Primavesi, Catherine Patocka, Adam Burcheri, Alexandre Coutin, Alexandre Morizio, Amir Ali, Anjali Pandya, Austin Gagné, Bobby Johnston, Brent Thoma, Constance LeBlanc, Frédéric Fovet, John Gallinger, Juan Mohadeb, Mirna Ragheb, Sandy Dong, Sheila Smith, Taofiq Oyedokun, Tate Newmarch, Vanessa Knight, and Tamara McColl.
• Montreal General Hospital, McGill University, Montreal, QC, Canada. robert.primavesi@mcgill.ca.
• CJEM. 2023 Jul 1; 25 (7): 550557550-557.

ObjectivesThis call to action seeks to improve emergency care in Canada for equity-deserving communities, enabled by equitable representation among emergency physicians nationally. Specifically, this work describes current resident selection processes and makes recommendations to enhance the equity, diversity, and inclusion (EDI) of resident physician selection in Canadian emergency medicine (EM) residency programs.MethodsA diverse panel of EM residency program directors, attending and resident physicians, medical students, and community representatives met monthly from September 2021 to May 2022 via videoconference to coordinate a scoping literature review, two surveys, and structured interviews. This work informed the development of recommendations for incorporating EDI into Canadian EM resident physician selection. At the 2022 Canadian Association of Emergency Physicians (CAEP) Academic Symposium, these recommendations were presented to symposium attendees composed of national EM community leaders, members, and learners. Attendees were divided into small working groups to discuss the recommendations and address three conversation-facilitating questions.ResultsSymposium feedback informed a final set of eight recommendations to promote EDI practices during the resident selection process that address recruitment, retention, mitigating inequities and biases, and education. Each recommendation is accompanied by specific, actionable sub-items to guide programs toward a more equitable selection process. The small working groups also described perceived barriers to the implementation of these recommendations and outlined strategies for success that are incorporated into the recommendations.ConclusionWe call on Canadian EM training programs to implement these eight recommendations to strengthen EDI practices in EM resident physician selection and, in doing so, help to improve the care that patients from equity-deserving groups receive in Canada's emergency departments (EDs).© 2023. The Author(s), under exclusive licence to Canadian Association of Emergency Physicians (CAEP)/ Association Canadienne de Médecine d'Urgence (ACMU).

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