Physician Pipeline and Pathway Programs: An Evidence-based Guide to Best Practices for Diversity, Equity, and Inclusion from the Council of Residency Directors in Emergency Medicine.


Improving the diversity and representation in the medical workforce requires intentional and deliberate efforts to improve the pipeline and pathway for underrepresented in medicine (UIM) applicants. Diversity enhances educational experiences and improves patient care and outcomes. Through a critical review of the literature, in this article we offer evidence-based guidelines for physician pipeline and pathway programs (PP). Recommendations are provided regarding considerations on the types of programs and surrounding implementation to ensure a sound infrastructure and framework. We believe this guide will be valuable for all leaders and faculty members seeking to grow the UIM applicant pool in our efforts to advance diversity, equity, and inclusion within medicine.





Published Version (Please cite this version)


Publication Info

Parsons, Melissa, Martina T Caldwell, Al'ai Alvarez, Dayle Davenport, Moises Gallegos, Adaira Landry, Michael Gottlieb, Sreeja Natesan, et al. (2022). Physician Pipeline and Pathway Programs: An Evidence-based Guide to Best Practices for Diversity, Equity, and Inclusion from the Council of Residency Directors in Emergency Medicine. The western journal of emergency medicine, 23(4). pp. 514–524. 10.5811/westjem.2022.2.54875 Retrieved from

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Sreeja M Natesan

Associate Professor of Emergency Medicine

Dr. Sree Natesan is an Associate Professor and Associate Program Director in the Duke University Department of Emergency Medicine. She is committed to the advancement of education, clinical teaching/feedback, and diversity, equity & inclusion (DEI). 

Regarding advancing medical education and fostering inclusive learning environments: She has had a broad clinical and research training including ACEP Teaching Fellowship, Academic Life in Emergency Medicine Faculty Incubator Program, AAMC Medical Education Research Certificate Program, Duke Educational Skills Longitudinal Mentorship Program, Duke Academy for Health Professions Education and Academic Development (AHEAD) Certificate Program, among others. She has shown herself a leader in medical education, having been awarded the CORD Junior Faculty Award, ACEP Junior Faculty Teacher Award, CORD Academy Scholar Award for Teaching and Evaluation. She is a leader on various national committees for MedEd including Council of Emergency Medicine Residency Director (CORD) Education Committee, co-Chair of the CORD Best Practices Subcommittee, Chair of CORD Academy for Scholarship Research Pillar.  Dr. Sree Natesan also serves as Chief Academic Officer for Academic Life in EM (ALiEM) Faculty Incubator Program, an international faculty development program. She is co-founder and director of the Duke GME Medical Education Leadership Track (MELT), a longitudinal resident/fellow-as-teachers program across all GME specialties, which has graduated over 150 trainees and fellows since 2018. She is also the Duke GME co-chair for the Professional Development Committee to help provide resources to all training programs at Duke. 

Regarding advancing diversity, equity, and inclusion within MedEd:  She serves as co-founder and co-chair of Duke EM Justice Equity Diversity & Inclusion (JEDI) as well as on national committees for advancing Medical Education and DEI. She is Vice Chair for the CORD DEI committee (rising Chair for 2024) and is the current secretary for SAEM ADIEM. She has helped lead institutional and national conferences on holistic review for resident recruitment, implicit bias, and upstander training against microaggression.  She has been the invited speaker within Duke, as well as speaking nationally at CORD and SAEM. She has helped to create the CORD DEI track for the CORD Academic Assembly as well as the virtual conference to help EM programs grow the diversity of their programs and create inclusive training spaces.  She is actively involved in community outreach, mentorship, and pipeline/pathline programs such as HPREP.

Her primary research interest and expertise is in clinical teaching and feedback by incorporating innovative novel strategies in the Emergency Department (ED) as well as advancing Diversity, Equity, and Inclusion. 

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