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Re-defining gender diversity through an equitable and inclusive lens


Gender diversity in radiology has centered on the societal construct of the gender binary, with significant work focused on increasing the number of women in radiology. Along with this critically important goal, it is imperative that we acknowledge gender is more expansive than a binary category because it represents a spectrum of gender identities. The discussion of this spectrum is lacking in our conversations around gender diversity and equity in radiology. Addressing equity for people of all gender identities is beneficial for us all. We define three key areas of focus: (1) improving fundamental knowledge about gender diversity and application of this knowledge in education, (2) recruiting and retaining gender-diverse physicians and (3) specific diversity, equity and inclusion (DEI) policy to support gender-affirming environments. Improved understanding and inclusion of the full spectrum of gender in these areas will improve diversity and equity, and, in turn, enhance creativity and innovation in radiology.

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  1. Human Rights Campaign (n.d.) We are here: understanding the size of the LGBTQ+ community. Accessed 14 Jan 2022

  2. Rider GN, McMorris BJ, Gower AL et al (2018) Health and care utilization of transgender and gender nonconforming youth: a population-based study. Pediatrics 141:e20171683

  3. Kidd KM, Sequeira GM, Douglas C (2021) Prevalence of gender-diverse youth in an urban school district. Pediatrics 147:e2020049823

    Article  Google Scholar 

  4. Association of American Medical Colleges (2020) Matriculating student questionnaire: 2020 all schools summary report. Accessed 14 Jan 2022

  5. Human Rights Campaign (2020) Healthcare equality index 2020. Accessed 14 Jan 2022

  6. Grimstad FW, Stowell JT, Gaddis M (2020) Survey of experiences of transgender and gender nonbinary patients during imaging encounters and opportunities for improvement. AJR Am J Roentgenol 215:1136–1142

  7. Botsford J, Allen B, Andert B et al (2018) Meeting the healthcare needs of transgender, nonbinary, and gender expansive/nonconforming youth in Wisconsin: a report of the 2017 Wisconsin Transgender Youth Community Needs Assessment. Accessed 14 Jan 2022

  8. Human Rights Campaign (n.d.) Glossary of terms. Accessed 14 Jan 2022

  9. National LGBT Health Education Center (2016) Affirmative care for transgender and gender non-conforming people: best practices for front-line health care staff. Accessed 14 Jan 2022

  10. (n.d.) Resources on personal pronouns. Accessed 14 Jan 2022

  11. Winter S, Diamond M, Green J et al (2016) Transgender people: health at the margins of society. Lancet 388:390–400

  12. James SE, Herman JL, Rankin S et al (2016) The report of the 2015 U.S. transgender survey. National Center for Transgender Equality. Accessed 14 Jan 2022

  13. Rafferty J, Committee on Psychosocial Aspects of Child and Family Health, Committee on Adolescence et al (2018) Ensuring comprehensive care and support for transgender and gender-diverse children and adolescents. Pediatrics 142:e20182162

    Article  Google Scholar 

  14. Obedin-Malier J, Goldsmith ES, Stewart L et al (2011) Lesbian, gay, bisexual, and transgender –related content in undergraduate medical education. JAMA 306:971–977

  15. Human Rights Campaign (n.d.) The National LGBTQIA+ Health Education Center website. Accessed 14 Jan 2022

  16. Americo L, Ramjit A, Wu M et al (2019) Health care disparities in radiology: a primer for resident education. Curr Probl Diagn Radiol 48:108–110

  17. Safdar NM (2019) An introduction to health disparities for the practicing radiologist. J Am Coll Radiol 16:542–546

    Article  Google Scholar 

  18. American College of Radiology (2019) ACR bulletin: embracing diversity. Accessed 03 Feb 2022

  19. Society for Pediatric Radiology (2021) General information and governance. Accessed 14 Jan 2022

  20. Lightfoote JB, Fielding JR, Deville C et al (2014) Improving diversity, inclusion, and representation in radiology and radiation oncology part 1: why these matter. J Am Coll Radiol 11:673–680

  21. Acosta D (2020) Achieving excellence through equity, diversity and inclusion. Association of American Medical Colleges. Accessed 14 Jan 2022

  22. Dimant OE, Cook TE, Greene RE, Radix AE (2019) Experiences of transgender and gender nonbinary medical students and physicians. Transgend Health 4:209–216

    Article  Google Scholar 

  23. The Joint Commission (2011) Advancing effective communication, cultural competence, and patient- and family-centered care for the lesbian, gay, bisexual, and transgender (LGBT) community: a field guide. The Joint Commission, Oak Brook

    Google Scholar 

  24. American Medical College Application Service (2020) 2020 AMCAS applicant guide. Association of American Medical Colleges. Accessed 14 Jan 2022

  25. Said JT (2020) What’s in a wristband: a novel hospital policy for transgender youth. LGBTQ Policy Journal: a Harvard Kennedy School student publication. Accessed 14 Jan 2022

  26. Stowell JT, Zavaletta VA, Carroll EF, Grimstad FW (2021) Multidisciplinary approach to imaging for gender-affirming surgery: engaging surgeons, radiologists, and patients to ensure a positive imaging experience. Ann Transl Med 9:610

    Article  Google Scholar 

  27. Department of Health and Human Services: Centers for Medicare and Medicaid Services (2015) Medicare and Medicaid Programs; electronic health record incentive program — stage 3 and modifications to meaningful use in 2015–2017. Fed Regist 80:200.

  28. Human Rights Campaign (2018) Healthcare equality index 2018. Accessed 14 Jan 2022

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Correspondence to Ashishkumar K. Parikh.

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Zavaletta, V., Allen, B.J. & Parikh, A.K. Re-defining gender diversity through an equitable and inclusive lens. Pediatr Radiol 52, 1743–1748 (2022).

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  • Diversity
  • Education
  • Gender
  • Radiology