Table 2.

Research Prioritization Domains, with descriptions and leaders. These domains were decided by the Planning Committee and leaders and members were recruited in 2019.

Title	Description given to participants	Leaders
Group 1: ED screening and referral for social and access needs	EDs serve a disproportionate number of patients with health related social needs (HRSN) such as unstable housing, food insecurity and lack of transportation. Further, HRSN may contribute to increased rates of disease, delays in diagnosis and inadequate disease control, increased ED utilization and health care costs, and poor health outcomes. Although the primary function of an ED is the diagnosis and management of acute illness and injury, there is increased recognition that identifying and intervening on HRSN in the ED setting may have important value for the patient and the health care system. In this breakout session we examine three distinct, yet interconnected, aspects of HRSN screening and intervention in the ED. Using a consensus based approach that draws from an extensive literature review and expert assessment, we will identify research priorities related to following areas: (A) instruments used for screening of social and material needs in the ED, (B) implementation of social and material needs screening in the ED, and (C) interventions for patients with social and material needs in the ED.	Callan Fockele, MD, MS Herbert Duber, MD, MPH Kelly Doran, MD, MHS Richelle Cooper, MD, MSHS
Group 2: Structural Competency	In the United States, the ED has historically cared for patients who are socially disenfranchised and face significant barriers to accessing quality and affordable health care. Recent scholarship suggests that health-seeking behaviors and dependence on ED services reflect historical and structural inequities—in healthcare and US society more broadly. Taking into account this longstanding and understudied role of the ED as a safety net, it is critical that we reframe our systems of care delivery, educational curricula, and metrics of evaluation to prepare the next generation of emergency physicians to understand, identify and respond to systemic causes of health inequities in ED clinical practice. This group builds on recently developed frameworks of “structural competency” and aims to operationalize them for ED researchers and educators. The goal of this group is to propose research and educational methodologies that critically examine and address the structural difficulties faced by patients (e.g., housing, immigration status, over-policing) and to develop strategies for delivering structurally competent care.	Bisan Salhi, MD, PhD Amy Zeidan, MD
Group 3: Race, Racism, and Anti-racism	This group will discuss the current literature regarding race/racism and anti-racism in the context of EM and ED care. After a brief overview of the current literature, we will explore and discuss research priorities regarding studying and addressing racial and ethnic disparities, interventions to address implicit and explicit bias, and important next steps in the implementation of anti-racism work in EM.	Emily Cleveland-Manchanda, MD Anna Darby, MD, MPH Hannah Janeway, MD

ED = Emergency Department; HRSN = Health related social needs; EM = Emergency Medicine