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August 27, 2026Emergency Care and MedicineOpen Access

Analysis of Patient Selection Patterns Among Female and Male Resident Physicians

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Authors

EBElise BouchalKHKimberly HellerCDChristopher Dodoo

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Overview

Retrospective chart review finds no significant gender differences in patient selection or acuity among emergency medicine residents, suggesting evaluation disparities stem from other factors.

Key Points

  • To evaluate whether male and female emergency medicine residents differ in self-assigned patient characteristics or acuity levels as an explanation for gender disparities in residency milestone ratings.
  • Conducted a single-center retrospective chart review of self-assigned patient cases (N=14,279) at an academic emergency department between September 2018 and December 2022.
  • Extracted electronic health record data regarding patient demographics, chief complaints, Emergency Severity Index triage levels, vital signs, arrival method, and procedural counts.
  • Compared continuous metrics using Student's t-test or Wilcoxon rank-sum test and categorical variables using chi-square analysis.
  • No significant differences occurred between female and male residents in patient chief complaints, demographics, arrival methods, attending physician gender (p=0.10872), or total procedures performed (p=0.23102).
  • Female residents managed patients with significantly higher baseline respiratory rates (p=0.04313) and showed a non-significant trend toward higher-acuity Emergency Severity Index levels 1–2 (p=0.07214).

Cite This Study

Bouchal et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe99110c91c1e9262146ahttps://doi.org/10.3390/ecm3030030
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