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2025 SAEMF/CDEM Innovations in Undergraduate Emergency Medicine Education Grant $5,000 Emergency departments in rural settings have long faced a shortage of board-certified emergency physicians, particularly in comparison to urban or suburban practice environments. Literature showed that rural placements are helpful for residents’ decision to practice in rural areas. However, prior studies designed to determine the factors that drive medical students’ intent to practice in a rural setting have largely focused on the primary care specialty of family medicine, most of which were conducted outside of the United States. In an environment where emergency medicine (EM) resident graduates from ACGME accredited residencies are at an all-time high, understanding the factors that lead to choosing rural practice is of the utmost importance. The long-term goal of this project is to gain a better understanding of the variables related to choosing to practice EM in a rural environment, which will be utilized in improving EM programs to address EM physician workforce imbalance issues. Presenter: Robert Tennill, MD Board of Trustees of Southern Illinois University