推荐信（LOR）在妇科肿瘤学（GO）住院医师培训申请人筛选中起着重要作用。LORs可以是机能性的，与能力、独立性和坚强性有关；也可以是共同的，与顺应性、合作性和共情有关。研究表明，机能性的LORs对申请人有利，使其更有可能被选中参加面试。本研究的主要目标是根据申请人的性别和种族/民族差异来确定申请GO住院医师培训的LORs的语言差异。对2018年至2020年间一所单一学术机构的所有申请进行了分析。从所有自报性别和种族/民族的申请人中提取了LORs。使用语言查询单词计数（LIWC）对机能性和共同性语言进行了分析。所有分析均使用SAS 9.4版本完成。从2018年到2020年，共有239份申请GO住院医师培训的申请提交给一所单一学术机构。有186名（78.1%）申请人自报为女性，52名（21.8%）申请人自报为男性。与男性申请人相比，女性申请人更有可能拥有更多的研究（p = 0.047）和志愿活动（p = 0.02）。在年龄、居住地理位置、美国医师资格考试分数、AOA会员资格、发表论文数量或就读于Doximitiy TOP20住院医师培训项目方面，女性申请人与男性申请人之间没有差异。有139名（60.7%）申请者自报为白人，46名（20.1%）申请者自报为亚洲人，16名（7.0%）申请者自报为黑人，19名（8.3%）申请者自报为拉丁美洲裔，9名（3.9%）申请者自报为其他人种。多元分析结果显示，为男性申请人撰写的LORs较女性申请人的机能性得分更高（p < 0.05），而女性申请人的LORs则得到了较高的共同性得分（p < 0.05）。相比于自报为白人者，自报为黑人或拉丁美洲裔的申请者的LORs被认为具有较低的机能性得分（两者p < 0.05）。根据申请人的性别和种族/民族差异，LORs存在语言差异。为白人男性申请人撰写的LORs较为多数女性和少数族裔的申请人撰写的LORs具有更高的机能性得分。为女性申请人撰写的LORs较为多数男性申请人撰写的LORs具有更高的共同性得分。由于LORs在GO住院医师培训面试甄选中起着重要作用并且存在申请人性别和种族/民族的语言差异，本研究凸显了更客观的GO住院医师培训申请程序的需求。本文的部分内容是作为专题讲演在妇科肿瘤学会上展示的。版权所有© 2023 Elsevier Inc.。保留所有权利。

Letters of recommendation (LOR) play a significant role in applicant selection for gynecologic oncology (GO) fellowship. LORs can be agentic, associated with competence, independence and strength, or communal, associated with being accommodating, cooperative and empathetic. Agentic LORs have been shown to reflect favorably on applicants, making them more likely to be selected for interview. The primary goal of this study was to determine linguistic differences in LORs for applicants applying to GO fellowship based on applicant gender and race.All applications to a single academic institution from the years 2018-2020 were analyzed. LORs were extracted from all applicants who self-reported their gender and race/ethnicity. Analysis was performed using Linguistic Inquiry Word Count (LIWC) in terms of agentic and communal language. All analysis was done using SAS version 9.4.From 2018 to 2020, there were 239 GO fellowship applications to a single academic institution. There were 186 (78.1%) applicants who identified as female and 52 (21.8%) who identified as male. Female applicants were more likely to have more research (p = 0.047) and volunteer activities (p = 0.02) than male applicants. There were no differences between female and male applicants in terms of age, geographic location of residency, USMLE scores, AOA status, number of publications or attending a Doximitiy-rated top 20 residency program. There were 139 (60.7%) applicants who identified as White, 46 (20.1%) as Asian, 16 (7.0%) as Black, 19 (8.3%) as Latinx and 9 (3.9%) as other. On multivariable analysis, LORs written for male applicants had higher agentic scores compared to females (p < 0.05), and LORs of female applicants received higher communal scores (p < 0.05). LORs for applicants who identified as Black or Latinx were found to have lower agentic scores compared to individuals who identified as White(p < 0.05 for both).There were demonstrated linguistic differences in LOR for GO fellowship based on applicant gender and race/ethnicity. LORs written for white, male applicants were more likely to have higher agentic scores compared to minority, female applicants. LORs written for female applicants were more likely to have higher communal scores. As LORs have been shown to be instrumental in GO fellowship interview selection and linguistic differences exist based on applicant gender and race/ethnicity, this study highlights the need for a more objective GO fellowship application process.Portion of this paper was presented at the Society for Gynecologic Oncology as part of a focus plenary.Copyright © 2023 Elsevier Inc. All rights reserved.