Holistic Review, Mitigating Bias, and Other Strategies in Residency Recruitment for Diversity, Equity, and Inclusion: An Evidence-based Guide to Best Practices from the Council of Residency Directors in Emergency Medicine.

Abstract

Advancement of diversity, equity, and inclusion (DEI) in emergency medicine can only occur with intentional recruitment of residency applicants underrepresented in medicine (UIM). Shared experiences from undergraduate and graduate medical education highlight considerations and practices that can contribute to improved diversity in the resident pool, such as holistic review and mitigating bias in the recruitment process. This review, written by members of the Council of Residency Directors in Emergency Medicine (CORD) Best Practices Subcommittee, offers best practice recommendations for the recruitment of UIM applicants. Recommendations address pre-interview readiness, interview approach, and post-interview strategies that residency leadership may use to implement holistic review and mitigate bias for recruitment of a diverse class.

Department

Description

Provenance

Subjects

Humans, Emergency Medicine, Education, Medical, Graduate, Internship and Residency

Citation

Published Version (Please cite this version)

10.5811/westjem.2022.3.54419

Publication Info

Gallegos, Moises, Adaira Landry, Al'ai Alvarez, Dayle Davenport, Martina T Caldwell, Melissa Parsons, Michael Gottlieb, Sreeja Natesan, et al. (2022). Holistic Review, Mitigating Bias, and Other Strategies in Residency Recruitment for Diversity, Equity, and Inclusion: An Evidence-based Guide to Best Practices from the Council of Residency Directors in Emergency Medicine. The western journal of emergency medicine, 23(3). pp. 345–352. 10.5811/westjem.2022.3.54419 Retrieved from https://hdl.handle.net/10161/28585.

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Scholars@Duke

Natesan

Sreeja M Natesan

Associate Professor of Emergency Medicine

Dr. Sreeja Natesan is an Associate Professor and Associate Program Director in the Department of Emergency Medicine at Duke University. Her academic mission is centered on advancing clinical teaching and feedback, fostering inclusive learning environments, and transforming medical education through innovation, leadership, and intentional engagement.

Regarding advancing medical education and fostering inclusive learning environments: Dr. Natesan has completed extensive training in clinical education and research, including the ACEP Teaching Fellowship, AAMC Medical Education Research Certificate Program, Academic Life in Emergency Medicine (ALiEM) Faculty Incubator, Duke Educational Skills Longitudinal Mentorship Program, Duke AHEAD Certificate Program, and the AAMC LEAD Program. These experiences have equipped her to lead at the intersection of bedside teaching and faculty development.

She has received numerous awards for educational excellence, including the CORD Junior Faculty Award, ACEP Junior Faculty Teaching Award, CORD Academy Scholar Award for Teaching and Evaluation, and the CORD Academy for Scholarship Education Leadership Award. Most recently, she was honored with the Duke School of Medicine Master Teacher Award (2025).

Nationally, Dr. Natesan serves on the CORD Education Committee, is Co-Chair of the CORD Best Practices Subcommittee, and is the former Chair of the CORD Academy for Scholarship. She also held senior leadership roles with ALiEM, including serving as Chief Academic Officer for the ALiEM Faculty Incubator Program, a global initiative for faculty development in academic emergency medicine.

At Duke, she is the co-founder and director of the Medical Education Leadership Track (MELT)—a longitudinal, interdepartmental "residents-as-teachers" program spanning all GME specialties. Since its inception in 2018, MELT has graduated over 200 residents and fellows. She also serves as Co-Chair of the Duke GME Professional Development Committee, supporting faculty and trainee growth across the institution.

Regarding advancing culture, engagement, and inclusion within MedEd: Dr. Natesan is deeply committed to building inclusive, equitable medical education environments. She is the co-founder and co-chair of the Duke Emergency Medicine Culture, Engagement, and Inclusion (CEI) Committee, which drives departmental efforts to cultivate belonging, address structural inequities, and improve the learning climate.

Nationally, she is the Chair of the CORD DEI Committee and the current President of SAEM’s Academy for Diversity and Inclusion in Emergency Medicine (ADIEM). In these roles, she has led initiatives that focus on holistic review in residency recruitment, implicit bias education, and upstander training to interrupt microaggressions and foster psychological safety. She has delivered invited lectures both within Duke and at national forums such as CORD Academic Assembly and SAEM.

Dr. Natesan also co-developed the CORD DEI Track and a national virtual conference aimed at equipping emergency medicine programs with tools to create inclusive training spaces. Her efforts extend beyond academic settings to community outreach, mentorship, and pipeline/pathline programs, including HPREP, which promote access and opportunity for historically excluded groups in medicine.


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