Rodríguez et al. BMC Medical Education (2022) 22:703
https://doi.org/10.1186/s12909-022-03736-6
DATABASE
Towards a common lexicon for equity,
diversity, and inclusion work in academic
medicine
José E. Rodríguez
1*
, Edgar Figueroa
2
, Kendall M. Campbell
3
, Judy C. Washington
4
, Octavia Amaechi
5
,
Tanya Anim
6
, Kari-Claudia Allen
7
, Krys E. Foster
8
, Maia Hightower
1
, Yury Parra
9
, Maria H. Wusu
10
,
William A. Smith
11
, Mary Ann Villarreal
1
and Linda H. Pololi
12
Abstract
Differential rewarding of work and experience has been a longtime feature of academic medicine, resulting in a
series of academic disparities. These disparities have been collectively called a cultural or minority “tax,” and, when
considered beyond academic medicine, exist across all departments, colleges, and schools of institutions of higher
learning–from health sciences to disciplines located on university campuses outside of medicine and health. A shared
language can provide opportunities for those who champion this work to pool resources for larger impacts across the
institution. This article aims to catalog the terms used across academic medicine disciplines to establish a common
language describing the inequities experienced by Black, Latinx, American Indian/Alaska Native and Native Hawai-
ian/Other Pacific Islander, Women, and other underrepresented people as well as queer, disabled, and other histori-
cally marginalized or excluded groups. These ideas are specific to academic medicine in the United States, although
many can be used in academic medicine in other countries. The terms were selected by a team of experts in equity,
diversity, and inclusion, (EDI) who are considered national thought leaders in EDI and collectively have over 100 years
of scholarship and experience in this area.
Keywords: Equity, Diversity, Inclusion, Medical education, Special populations, Underserved populations, Minority
faculty
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Background
Minority or (minoritized) faculty experiences are well
documented in the academic medicine space as well as
on the greater health sciences campuses [1–6]. Tese
experiences have been collectively called “taxes,” or
“taxation” and they are disproportionately felt by under-
represented faculty in academic medicine regardless
of institution type [1, 6]. Examples of these experiences
include: minoritized faculty participating in more unpaid
diversity eforts, being the targets of racism, isolation,
lack of honest efective mentorship, increased clinical
responsibilities when compared to non-minority peers,
and being considered for promotion later and less often
than their non-minoritized peers. Tese taxes are also
described as a subsidy for non-underrepresented faculty
in academic medicine or a “majority subsidy” [1]. With
increasing eforts at universities across the country to
address issues of equity, diversity, inclusion and anti-
racism, it has become clear that there is a need to estab-
lish a common vocabulary and shared understanding
for faculty and other individuals conducting research in
this area. Much of the literature, as well as these terms,
is grounded in the context of academic medicine in the
Open Access
*Correspondence: jose.rodriguez@hsc.utah.edu
1
University of Utah Health, 26 S 2000 E, 5750B EHSEB, Salt Lake City, UT 84112,
USA
Full list of author information is available at the end of the article