Successful Leaders

Demonstrate System / Critical Thinking

  • •E.g., gender-based analysis+:

    •be cognisant of how gender is the most fundamental source of differentiation we make of people;

    •be critical – challenge assumptions and ideas of gender neutrality;

    •be systematic – by applying this lens consistently and thoroughly and be transparent

Encourage and Support Innovation

Orient Themselves Strategically to the Future

Champion and Orchestrate Change

EDI-Informed System Transformation

Ivy Lynn Bourgeault, University of Ottawa & Canadian Health Workforce Network

Successful leaders think systemically to help achieve System Transformation, the final S in the LEADS Framework. System transformation is not only focused on the health system, but also on systems that perpetuate inequity, lack of diversity, and exclusion within the health system, be that sexism, racism, ableism, classism, ageism or settler colonialism. This can be daunting for health leaders but it builds on the previous elements of the LEADS Framework. By leading from where they are presently situated, successful leaders can champion and orchestrate systemic change. The first capability, systems thinking, can be augmented through tools such as Gender-Based Analysis Plus (GBA+), where the plus refers to other EDI dimensions of visible minority and Indigenous status, and disability, among others. A GBA+ perspective encourages leaders to be cognisant of the forms of differentiation, to challenge commonly held assumptions (i.e., unconscious bias) and to systematically apply this lens consistently and transparently across all leadership activities. The federal Department for Women and Gender Equality (WAGE), formerly Status of Women Canada, hosts a number of GBA+ tools as a starting point. EDI-informed systems transformation requires leaders to move beyond their own leadership journey and develop capabilities to strategically assess which key societal structures pose the strongest barriers to EDI and to strategically orient themselves to support innovation and champion change.

United Kingdom, Other/Mixed, Leaders, Leadership, Workplace Environment, Bias, Healthcare, Mixed, Article, Gender, EDI, Discrimination, Race Ivy Bourgeault United Kingdom, Other/Mixed, Leaders, Leadership, Workplace Environment, Bias, Healthcare, Mixed, Article, Gender, EDI, Discrimination, Race Ivy Bourgeault

Seeking aspiring black and minority ethnic leaders: NHS England Midlands leadership programme for nurses and midwives aims to improve representation of black and minority ethnic staff in senior roles

The NHS England Midlands has initiated a leadership program for nurses and midwives with the goal of enhancing the representation of black and minority ethnic staff in senior roles within the organization.

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United States, Other/Mixed, Leaders, Leadership, Workplace Environment, Engage Others, Bias, Discrimination, Health Science, Mixed, Article, Gender, EDI Ivy Bourgeault United States, Other/Mixed, Leaders, Leadership, Workplace Environment, Engage Others, Bias, Discrimination, Health Science, Mixed, Article, Gender, EDI Ivy Bourgeault

LGBTQ+ in Orthopaedics: Creating an Open and Inclusive Environment

The article highlights challenges LGBTQ+ individuals face in orthopaedic healthcare, citing discrimination and lack of diversity and training. It advocates for an inclusive environment through awareness, mentorship, and policy changes, promoting equality and improving patient care.

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United States, Other/Mixed, Leaders, Leadership, Workplace Environment, Engage Others, Bias, Health Science, Mixed, Article, Gender, EDI, Discrimination Ivy Bourgeault United States, Other/Mixed, Leaders, Leadership, Workplace Environment, Engage Others, Bias, Health Science, Mixed, Article, Gender, EDI, Discrimination Ivy Bourgeault

Achieving Gender Equity in Physician Compensation and Career Advancement: A Position Paper of the American College of Physicians

This article highlights solutions that can help promote gender equality and fight against existing barriers and disparities which prevent women from academic advancement in medicine.

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United States, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Workplace Environment, Micro Aggressions, Health Science, Article, Gender, EDI, Race, Mixed Ivy Bourgeault United States, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Workplace Environment, Micro Aggressions, Health Science, Article, Gender, EDI, Race, Mixed Ivy Bourgeault

The Path Forward: Using Metrics to Promote Equitable Work Environments

This paper addresses how women are underrepresented in medicine, particularly in leadership roles and the barriers that they face because of their race, gender and ethnicities. It presents metrics that institutions and professional organizations can use to monitor in implementing EDI.

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United States, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI, Race Ivy Bourgeault United States, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI, Race Ivy Bourgeault

Ensuring equity, diversity, and inclusion in the Society for Vascular Surgery: A report of the Society for Vascular Surgery Task Force on Equity, Diversity, and Inclusion

This article examines EDI particularly in the Vascular Surgery field. It promtes equal access to leadreship and opportunities within the domain independently of the professional's characteristics.

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Other, Other/Mixed, Leaders, Leadership, Discrimination, Bias, General, Race, Article, Gender, EDI Ivy Bourgeault Other, Other/Mixed, Leaders, Leadership, Discrimination, Bias, General, Race, Article, Gender, EDI Ivy Bourgeault

When the River Runs Dry: Leadership, Decolonisation and Healing in Occupational Therapy.

This paper puts emphasis on decolonisation, which implies dismantling the current system and practices and promotes accessible leadership of Indigenous people in Australia and New Zealand.

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Canada, NS, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI, Race Ivy Bourgeault Canada, NS, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI, Race Ivy Bourgeault

African Nova Scotian nurses' perceptions and experiences of leadership: a qualitative study informed by Black feminist theory.

This study addresses anti-Black racism in health care practice and leadership positions of African Nova Scotian nurses.

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Canada, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI Ivy Bourgeault Canada, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI Ivy Bourgeault

Canadian Association of Radiologists Commitment to Equity, Diversity and Inclusion in Canadian Radiology.

This article examines the commitment of the Canadian Association of Radiologists to including EDI into the workplace.

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Canada, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI Ivy Bourgeault Canada, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI Ivy Bourgeault

Gender imbalance amongst promotion and leadership in academic surgical programs in Canada: A cross-sectional Investigation.

This paper examines the representation of women surgeons in academic leadership positions across Canadian universities.

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Canada, AB, Other/Mixed, Leaders, Engage Others, Leadership, Discrimination, Micro Aggressions, Bias, Workplace Environment, Mixed, Article, Race, Gender, EDI, Healthcare Ivy Bourgeault Canada, AB, Other/Mixed, Leaders, Engage Others, Leadership, Discrimination, Micro Aggressions, Bias, Workplace Environment, Mixed, Article, Race, Gender, EDI, Healthcare Ivy Bourgeault

Equity, Diversity, and Inclusion moments to raise Equity, Diversity, and Inclusion literacy among physician leaders.

This article developed a framework which allows physician leaders to understand existing disparities and barriers that favor inequity in medicine.

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Canada, ON, Other/Mixed, Leaders, Engage Others, Leadership, Discrimination, Micro Aggressions, Bias, Workplace Environment, Healthcare, Mixed, Article, Gender Ivy Bourgeault Canada, ON, Other/Mixed, Leaders, Engage Others, Leadership, Discrimination, Micro Aggressions, Bias, Workplace Environment, Healthcare, Mixed, Article, Gender Ivy Bourgeault

Women's Participation in Leadership Roles in a Single Canadian Paramedic Service.

This article asseses women participation in leadership roles in paramedicine and concludes that women are underrepresented in leadership roles.

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Canada, Other/Mixed, Everyone, Engage Others, Leadership, Discrimination, Micro Aggressions, Bias, Health Science, Mixed, Article, Race, Gender, EDI Ivy Bourgeault Canada, Other/Mixed, Everyone, Engage Others, Leadership, Discrimination, Micro Aggressions, Bias, Health Science, Mixed, Article, Race, Gender, EDI Ivy Bourgeault

Leadership for change: how medical associations are working toward equity, diversity, and inclusion.

The first paper in the four-paper series "Leadership for change"presents the Canadian Association of Emergency Physicians frameworks, EDI strategies and institutional programs.

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Canada, SK, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Healthcare, Race, Article Ivy Bourgeault Canada, SK, Other/Mixed, Leaders, Leadership, Discrimination, Bias, Healthcare, Race, Article Ivy Bourgeault

Building More Bridges: Indigenous leadership in a study assessing the impact of distance to care on markers of quality HIV care in Saskatchewan

This paper discusses how Indigenous living with HIV in Saskatchewan can play a major role in HIV research and HIV care.

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United States, Other/Mixed, Leaders, Engage Others, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI Ivy Bourgeault United States, Other/Mixed, Leaders, Engage Others, Leadership, Discrimination, Bias, Health Science, Mixed, Article, Gender, EDI Ivy Bourgeault

Misconceptions about women in leadership in academic medicine

This paper analyzes four misconceptions about women in leadership positions in academic medicine as well as other issues such as gender pay gap in the field.

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Canada, Other/Mixed, Everyone, Engage Others, Leadership, Discrimination, Micro Aggressions, Bias, Health Science, Mixed, Article, Race, Gender, EDI Ivy Bourgeault Canada, Other/Mixed, Everyone, Engage Others, Leadership, Discrimination, Micro Aggressions, Bias, Health Science, Mixed, Article, Race, Gender, EDI Ivy Bourgeault

Leadership for change: a step-by-step pathway for developing local capacity for equity, diversity and inclusion.

The fourth paper of the "Leadership for change" series examines what local institutions can do to focus on EDI.

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United States, Other/Mixed, Leaders, Engage Others, Leadership, Bias, Health Science, Mixed, Article, Race, Gender, EDI, Discrimination Ivy Bourgeault United States, Other/Mixed, Leaders, Engage Others, Leadership, Bias, Health Science, Mixed, Article, Race, Gender, EDI, Discrimination Ivy Bourgeault

Women’s leadership in academic medicine: a systematic review of extent, condition and interventions

This paper explores barriers that women leaders in academic medicine are facing and analyzes the impact of leadership programs on their careers.

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Other, Other/Mixed, Everyone, Micro Aggressions, Healthcare, Mixed, Article, Discrimination, Bias Ivy Bourgeault Other, Other/Mixed, Everyone, Micro Aggressions, Healthcare, Mixed, Article, Discrimination, Bias Ivy Bourgeault

Using vignettes about racism from health practice in Aotearoa to generate anti-racism interventions

This paper examines racism, microaggressions and discrimintaion in New Zealand. It presents anti-racism interventions on micro, meso and macro levels.

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