There exists a gender gap in the evaluations of emergency medicine (EM) residents’ competency on the Accreditation Council for Graduate Medical Education (ACGME) milestones. This study examines qualitative differences in the feedback that male and female residents received from attending physicians to better understand the gender gap in evaluations. The study revealed qualitative differences in the kind of feedback that male and female EM residents received from attending physicians. The findings suggest that attending physicians should endeavor to provide male and female residents with consistent feedback and guard against gender bias in their perceptions of residents’ capabilities.