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Structural Competency: What Is It, Why Do We Need It, and What Does the Structurally Competent Emergency Physician Look Like?

In this issue, Salhi et al. 1 introduce the academic emergency medicine (EM) community to the concept of “structural competency” and provide compelling rationale for why we need to move “Toward Structural Competency in Emergency Medical Education.” The authors’ objective is to translate the original concept, developed with the broader landscape of medical education in mind, into an EM-relevant framework. The authors effective link the five domains of structural competency to the ACGME EM Core Competencies and provide examples of how this framework will serve as the launch point for enhancing resident education on the social determinants of health in the clinical learning environment.