Table 1. Example of a Department Dashboard—Metrics by Pillar of EDI Action.
|
PRACTICE Care delivery and health* |
WORKFORCE Recruitment and retention |
EDUCATION Learner recruitment and training |
RESEARCH Participation and trust |
|
|
Diversity metrics |
Extent clinics attract and retain their potential diversity of patients For whom practice is attractive or not? Composition, eg, by race, ethnicity, language, insurance/SES, gender |
Proportion of BIPOC, gender, other differences relative to potential diversity for faculty, staff, learners |
Proportion of studies with minoritized participants, staff Community-engaged research participation from groups x, y, z Who does and publishes, including faculty, learners, and community members? |
|
|
Who applies, is hired, retained, succeeds, and identifies with department Does workforce draw from the range of persons in served communities? |
What learners are attracted, apply, enter, and succeed, especially those who identify as from a minoritized group? |
|||
|
Inclusion metrics |
Trust; feeling comfortable and safe; identification with the practice Survey/audit Extent a plan for change exists when problems identified |
Faculty, staff, and learner experience, eg, rate of retention, sense of belonging |
Community-engaged research projects Use of validated questions for trust and safety in research participation |
|
|
Extent recruitment process examined and becoming welcoming and equitable |
Tracked applicant and acceptance metrics; who is attracted, who is accepted, and based on what? |
|||
|
Equity metrics |
Health disparities; what disparities for whom? 8 Comparison of observed disparities with those literature suggests are common. Extent QI includes metrics for disparities and tests of change |
Extent workforce and learners say a good place to work and learn; fair and safe; mentorship and advancement opportunity |
Completed health equity or community-based research, publication, and grants Assessment of meaningful community engagement/trust in research Reach and impact of such research |
|
|
Salary equity Equity in mentorship and promotion success Leadership presence and success Reduction in minority/gender tax 9, 10, 11, 12, 13 |
Diverse learners recruited and graduated Change in learner diversity, success, experience Minoritized/URiM learners feeling equal opportunities as others |
|||
*The authors recognize that in clinical settings this can be challenging because few departments have control of the wider clinical delivery systems in which they operate.
Abbreviations: EDI, equity, diversity, and inclusion; SES, socioeconomic status; QI, quality improvement; BIPOC, Black, Indigenous, and other People of Color; URiM, underrepresented in medicine