315 © Springer International Publishing AG, part of Springer Nature 2019 M. L. Martin et al. (eds.), Diversity and Inclusion in Quality Patient Care, https://doi.org/10.1007/978-3-319-92762-6_43 Chapter 43 Female Resident R. Lane Coffee Jr., Susan Sawning, and Cherri D. Hobgood Case Scenario A 60-year-old male presents to the emergency department with a chief complaint of chest pain and shortness of breath (SOB) for 2 h. Review of Symptoms The 2 h of SOB is associated with diaphoresis and central chest pain that radiates to the back. The patient states the pain is dull and unrelenting. He reports nausea - one attempt to vomit which was unsuccessful. The patient has experienced pain like this before while working, but it has always resolved with rest. Past Medical History Type II diabetes mellitus (DM), hypertension. R. L. Coffee Jr. (*) · C. D. Hobgood Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN, USA e-mail: rlcoffee@iu.edu; chobgood@iu.edu S. Sawning University of Louisville School of Medicine, Louisville, KY, USA e-mail: susan.sawning@louisville.edu