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From Match to First Promotion: Gender Bias and Clinical Leadership… Top 10 Pearls From the Webinar

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By Taylor Stavely, MD and Wendy Sun, MD on behalf of SAEM Residents and Medical Students and the SAEM Academy for Women in Academic Emergency Medicine From Match to First Promotion is a collaborative new webinar The first installment of the series focused on gender bias and series from the SAEM Academy for Women in Academic clinical leadership. The panelists included a diverse group Emergency Medicine (AWAEM) and SAEM Residents and of speakers: Drs. Pooja Agrawal, Yale New Haven Health; Medical Students (RAMS). The series was created to support Jenny Castillo, Columbia University Medical Center; Kat professional development during these difficult times which Ogle, George Washington University; Taylor Stavely, Emory challenge our ability to create organic, mentor-mentee University; and Wendy Sun, Yale New Haven Health. Here relationships. Even before COVID-19, women in medicine are the top ten pearls from the webinar: have identified challenges in finding an appropriate and supportive mentor as a barrier to their advancement and promotion. Women in medicine, from the time they enter the academic pipeline as medical students to when they continue their careers as residents and faculty, encounter unique and 1. Avoid “queen bee syndrome,” a phenomenon in which women who achieve a significant leadership position or esteemed status begin to reinforce gender stereotypes, treating other women like “worker bees.” specific challenges. This series aims to provide a supportive 2. Sponsor others with your voice, especially network and educational framework for women to take on underrepresented minorities in medicine or those who these challenges from the time of match to first promotion. identify as LGBTQIA.

3. The three components of imposter syndrome include a sense of being a fraud, fear of being discovered as a fraud, and difficulty in owning success. 4. You have earned your accomplishments; they were not a fluke. Be proud! 5. Do not let fear of failure hold you back from applying for an award, job, or grant. 6. Find a trusted buddy who is attuned to the things you say and who is able to point out when imposter syndrome sets in. 7. When leading a resuscitation, set up clear roles and responsibilities beforehand. 8. As the attending, consider introducing the resident leading the code to the room so that your resident feels supported in your endorsement and the rest of the room knows to go to the resident for decision making. 9. As the attending, stand next to the resident and if direction is needed, speaking quietly in his/her ear so as to maintain his/ her position as the leader in the room. 10. If your competency is being challenged by a colleague or nurse, articulate your thought process to the person who is questioning your decision making so that you can initiate an honest conversation about the patient’s care.

ABOUT THE AUTHORS: Dr. Stavely is an emergency medicine resident at Emory University School of Medicine

Dr. Sun is an emergency medicine resident at Yale University

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