Cultural Competency Training in Emergency Medicine Oren J Mechanic MD, MPH, Nicole M Dubosh MD, Carlo L Rosen MD, Alden M Landry MD MPH INTRODUCTION OBJECTIVES METHODS RESULTS Preliminary response rate is 31.4% Results show that 69.8% of residency programs include cultural competency in residency didactics. Only 16.2% of these programs include residency education on all topics of interest, including race and ethnicity, gender identity and sexual orientation, patients with limited English proficiency (LEP), and social determinants of health. 41.5% of programs have training for faculty, primarily utilizing lectures or didactics. 94.3% of programs are interested in a universal open- source cultural competency curriculum. The objective of this study is to assess residency and faculty exposure to formal cultural competency programs and future plans for diversity education. A short survey was sent to all 168 ACGME program directors through the Council of Emergency Medicine Residency Directors (CORD) listserv. The survey included drop-down response options in addition to open-ended input. Descriptive and bivariate analyses were used to analyze the data. Race and ethnicity, gender identity and sexual orientation, patients with limited English proficiency, and social determinants of health The Emergency Department is widely regarded as the epicenter of medical care for diverse patients with vastly different co-morbidities and pathologies. Physicians must be aware of the cultural diversity of the patient population they care for to appropriately address their medical needs. A better understanding of residency-preparedness in cultural competency education leads to better training opportunities and care. CONCLUSION Most programs have made efforts to better resident education in regards to cultural competency. There are gaps, however, in types of cultural competency training and many programs have expressed interest in a universal open-source tool to improve cultural competency for Emergency Medicine residents. Our next steps are to attempt to implement such a program that has already been developed and disseminate to programs. Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine Beth Israel Deaconess Medical Center, Boston, MA Official hospital of the Boston Red Sox RESULTS No Conflicts of Interest to Disclose Length of program 71.7% 3 years 28.3% 4 years Do you have a didactic curriculum with CC? 69.8% Yes 30.2% No Of those with curriculum, does your program include: 78.4% Race/Ethnicity 62.2% Gender Identity and Sexual Orientation (LBTQ) 32.4% Patients with Limited English Proficiency 62.2% Social Determinants of Health What kind of training is provided: 16.2% Web-based modules and lectures 89.2% Lectures/didactics 18.9% Journal Club 13.5% Other (Sim, Community Immersion) Do you have a way to measure resident comfort with cultural competency? 3.8% Yes Do you have a plan for increasing diversity within your residents in regards to race and ethnicity, gender and sexual orientation (LBTQ)? 67.9% Yes 28.3% No 22.6% Unsure If there were an open source of information for cultural competency training for emergency medicine, would you be interested in this tool? 94.3% Yes

Cultural Competency Training in Emergency Medicine Oren J Mechanic MD, MPH, Nicole M Dubosh MD, Carlo L. Rosen MD, Alden M Landry MD MPH SURVEY Harvard Affiliated Emergency Medicine Residency, Department of Emergency Medicine Beth Israel Deaconess Medical Center, Boston, MA Official hospital of the Boston Red Sox No Conflicts of Interest to Disclose