• Alexa R Lindley, Colbey Ricklefs, Amanda Kost, Davis G Patterson, David V Evans, Daytheon Sturges, Ian M Bennett, and Jeanne Cawse-Lucas.
• Department of Family Practice, University of British Columbia, Vancouver, BC, Canada.
• Fam Med. 2025 Jan 1; 57 (1): 202720-27.

Background And ObjectivesInstitutional racism causes worse health outcomes for patients of racial/ethnic minority groups via limited access to health care, disparities in quality of care delivered, and lack of physician diversity. Increased attention to racism in 2020 led many medical institutions to examine their diversity, equity, and inclusion (DEI) efforts. In the context of increased national attention to health equity, this study sought to investigate the current status of DEI infrastructure by evaluating leadership and support related to DEI in family medicine departments in 2020 and 2021.MethodsWe analyzed department and chair characteristics as well as departmental DEI infrastructure (ie, leadership and actions) from Association of Departments of Family Medicine survey data in 2020 (data collected from June to September 2020) and 2021 (data collected from September to December 2021). We performed multiple regression analyses to evaluate whether department characteristics or specific DEI activities were associated with increased DEI infrastructure in 2021 compared to 2020.ResultsOf the 165 department chairs sent the survey in both 2020 and 2021, 56 (33.9%) responded both years. Departments with a designated DEI leader increased from 42.9% in 2020 to 60.7% in 2021, but about 40% of departments lacked key supports for this position (ie, funding, staff support, and a pathway for advancement). Regression analysis did not demonstrate associations between independent variables and three measures of departmental DEI activities.ConclusionsThis study demonstrates that designated leadership for DEI work increased in family medicine departments between 2020 and 2021.

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