Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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The aim of this study is to elucidate the unique challenges faced by pediatric emergency medicine (PEM) physicians from racial/ethnic groups underrepresented in medicine (URiM). ⋯ Those URiM in PEM face subtle racial discrimination at an institutional, peer, and patient level. The stress caused by this discrimination may further contribute to physician burnout in PEM. While URiMs adopt individual resilience strategies, their unique challenges suggest the need for departmental and institutional efforts to promote greater diversity and inclusion for physician wellness, retention, and quality patient care.
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Comparing undocumented Latinx immigrants (UDLI), Latinx citizens/residents (LCR), and non-Latinx citizens/residents (NLCR), we sought to assess rates of crime victimization, fear of reporting crimes, causes of this fear, and whether political rhetoric from the U.S. President had changed the reporting of crimes. ⋯ Fear of reporting crimes is common in ED patients. The most common fear in UDLI is fear of discovery and deportation. Political rhetoric against immigrants contributes to this fear.
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Career paths leading to department chair positions are elusive. Women represent only 11% of academic emergency department (ED) chairs. It is unclear whether the pathway to chair is different for men and women; the characteristics, achievements, and qualifications among those who become ED chairs is unknown. ⋯ While the majority of chairs held prior leadership roles in ED operations, only one in five women chairs did, suggesting gender differences in the path to chair attainment. These differences in paths may contribute to persistent gender disparities in ED chairs and may be influenced by career path choices, implicit bias, and structural barriers.