EM Program Directors’ Perception of “Lower 1/3rd” SLOEs in Ranking During the Matching Process

to provide support.Interns are of particular interest as IS increases during times of transition.Cross-sectional studies on IS in residents have been done but not studies focused on IS during the intern year of emergency medicine (EM) residency.Objectives: This study aimed to explore changes in IS levels and factors associated with increased experience of IS during EM intern year.We hypothesized that IS would increase at the beginning and end of intern year.Methods: This was a prospective, observational, survey-based convergent mixed methods study.Participants were voluntary samples of interns and post-graduate year (PGY) 2 residents from six EM residency programs.The Clance Imposter Phenomenon Scale (CIPS), multiplechoice demographic questions, and open-ended questions on experiences with IS were sent anonymously via email.Interns were surveyed at months zero (July 2023) and one (August 2023) and will also be surveyed at months six and twelve.PGY-2s were surveyed in July 2023 for baseline data on IS after intern year.CIPS scores were analyzed with Mann Whitney U and paired t-tests.Inductive thematic analysis was done on qualitative data.