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Objective: To delineate the use of gender-biased language in letters of recommendation for Obstetrics and Gynecology fellowships and its impact on applicants.

Design: Fellowship letters of recommendation from 4 Obstetrics and Gynecology specialties at a single institution in 2020 were included.

Primary Outcome: frequency of agentic and communal language in letters of recommendation using Linguistics Inquiry Word Count software.

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