{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T04:12:59Z","timestamp":1788235979760,"version":"build-2803163510"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/100021638","name":"Social Sciences and Humanities Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100021638","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Adv in Health Sci Educ"],"DOI":"10.1007\/s10459-026-10563-7","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T01:59:20Z","timestamp":1785290360000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Publicly praised but privately undermined: the hidden costs of equity work in medical education"],"prefix":"10.1007","author":[{"given":"Jasmine","family":"Sodhi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0293-6294","authenticated-orcid":false,"given":"Rachael","family":"Pack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0412-5495","authenticated-orcid":false,"given":"Carolyn M.","family":"Melro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0767-2278","authenticated-orcid":false,"given":"Sarah","family":"Burm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"10563_CR1","doi-asserted-by":"crossref","unstructured":"Ahmed, S. (2012). On being included: Racism and diversity in institutional life. Duke University Press.","DOI":"10.1515\/9780822395324"},{"key":"10563_CR3","doi-asserted-by":"publisher","DOI":"10.1080\/17508487.2024.2404151","author":"N Barnes","year":"2024","unstructured":"Barnes, N., Hughes, B., Heggart, K. R., Farr, C., Klibbe, K., Crane, D., & Nguyen, T. H. (2024). Becoming propaganda: Critical race theory and the effect of fiction on education. Critical Studies in Education. Advance online publication. https:\/\/doi.org\/10.1080\/17508487.2024.2404151.","journal-title":"Critical Studies in Education"},{"key":"10563_CR4","doi-asserted-by":"publisher","DOI":"10.1080\/10401334.2022.2141247","author":"HC Barootes","year":"2022","unstructured":"Barootes, H. C., Huynh, A. C., Maracle, M., Istl, A. C., Wang, P., & Kirpalani, A. (2022). Reduced to my race once again: Perceptions about underrepresented minority medical school applicants in Canada and the United States. Teaching and Learning in Medicine. https:\/\/doi.org\/10.1080\/10401334.2022.2141247. Advance online publication.","journal-title":"Teaching and Learning in Medicine"},{"issue":"6","key":"10563_CR5","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1097\/00001888-200306000-00011","volume":"78","author":"BL Beagan","year":"2003","unstructured":"Beagan, B. L. (2003). Teaching social and cultural awareness to medical students: It\u2019s all very nice to talk about it in theory, but ultimately it makes no difference. Academic Medicine, 78(6), 605\u2013614. https:\/\/doi.org\/10.1097\/00001888-200306000-00011","journal-title":"Academic Medicine"},{"issue":"3","key":"10563_CR6","doi-asserted-by":"publisher","first-page":"169","DOI":"10.22454\/FamMed.2024.268466","volume":"56","author":"RM Betancourt","year":"2024","unstructured":"Betancourt, R. M., Baluchi, D., Dortche, K., Campbell, K. M., & Rodr\u00edguez, J. E. (2024). Minority tax on medical students: A review of the literature and mitigation recommendations. Family Medicine, 56(3), 169\u2013175. https:\/\/doi.org\/10.22454\/FamMed.2024.268466","journal-title":"Family Medicine"},{"key":"10563_CR7","doi-asserted-by":"crossref","unstructured":"Braun, V., & Clarke, V. (2022). Thematic analysis: A practical guide. SAGE Publications.","DOI":"10.4135\/9781036232078.n9"},{"issue":"6","key":"10563_CR8","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1111\/medu.15000","volume":"57","author":"S Burm","year":"2023","unstructured":"Burm, S., Deagle, S., Watling, C. J., Wylie, L., & Alcock, D. (2023). Navigating the burden of proof and responsibility: a narrative inquiry into Indigenous medical learners\u2019 experiences. Medical Education, 57(6), 556\u2013565.","journal-title":"Medical Education"},{"issue":"4","key":"10563_CR9","first-page":"25","volume":"14","author":"P Cameron","year":"2023","unstructured":"Cameron, P., LeBlanc, C., Mahalik, A., O\u2019Hearn, S., & Simpson, C. (2023). Head of the Class: Equity discourses related to department head appointments at one Canadian medical school. Canadian medical education journal, 14(4), 25\u201334.","journal-title":"Canadian medical education journal"},{"key":"10563_CR41","unstructured":"U. S. Congress. (2025). Report on federal policies impacting diversity, equity, and inclusion initiatives (Report No. 118\u2009\u2013\u200945). Government Publishing Office. https:\/\/www.govinfo.gov\/app\/details\/CRPT-118hrpt45"},{"issue":"11","key":"10563_CR10","doi-asserted-by":"publisher","first-page":"1472","DOI":"10.1097\/ACM.0000000000001403","volume":"91","author":"SS Conrad","year":"2016","unstructured":"Conrad, S. S., Addams, A. N., & Young, G. H. (2016). Holistic review in medical school admissions and selection: A strategic, mission-driven response to shifting societal needs. Academic Medicine, 91(11), 1472\u20131474. https:\/\/doi.org\/10.1097\/ACM.0000000000001403","journal-title":"Academic Medicine"},{"issue":"1","key":"10563_CR12","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1162\/euso_a_00009","volume":"27","author":"L Dahm","year":"2024","unstructured":"Dahm, L. (2024). Rallying \u2018round the drag: Anti-gender mobilization and the mainstreaming of the far right. European Societies, 27(1), 59\u201380. https:\/\/doi.org\/10.1162\/euso_a_00009","journal-title":"European Societies"},{"key":"10563_CR13","doi-asserted-by":"publisher","first-page":"900283","DOI":"10.3389\/fpubh.2022.900283","volume":"10","author":"CJ Esparza","year":"2022","unstructured":"Esparza, C. J., Simon, M., Bath, E., & Ko, M. (2022). Doing the work\u2014or not: The promise and limitations of diversity, equity, and inclusion in US medical schools and academic medical centers. Frontiers in Public Health, 10, 900283. https:\/\/doi.org\/10.3389\/fpubh.2022.900283","journal-title":"Frontiers in Public Health"},{"issue":"6","key":"10563_CR14","doi-asserted-by":"publisher","first-page":"e2415401","DOI":"10.1001\/jamanetworkopen.2024.15401","volume":"7","author":"CJ Esparza","year":"2024","unstructured":"Esparza, C. J., Simon, M., London, M. R., Bath, E., & Ko, M. (2024). Experiences of leaders in diversity, equity, and inclusion in US academic health centers. JAMA Network Open, 7(6), e2415401. https:\/\/doi.org\/10.1001\/jamanetworkopen.2024.15401","journal-title":"JAMA Network Open"},{"issue":"6","key":"10563_CR15","doi-asserted-by":"publisher","first-page":"1174","DOI":"10.1177\/01945998221091696","volume":"166","author":"EA Faucett","year":"2022","unstructured":"Faucett, E. A., Brenner, M. J., Thompson, D. M., & Flanary, V. A. (2022). Tackling the minority tax: A roadmap to redistributing engagement in diversity, equity, and inclusion initiatives. Otolaryngology\u2013Head and Neck Surgery, 166(6), 1174\u20131181. https:\/\/doi.org\/10.1177\/01945998221091696","journal-title":"Otolaryngology\u2013Head and Neck Surgery"},{"key":"10563_CR16","doi-asserted-by":"publisher","first-page":"1394313","DOI":"10.3389\/fsoc.2024.1394313","volume":"9","author":"S Garner","year":"2024","unstructured":"Garner, S. (2024). Counter acts: Practices of \u2018anti-anti racism\u2019 in France and the USA. Frontiers in Sociology, 9, 1394313. https:\/\/doi.org\/10.3389\/fsoc.2024.1394313","journal-title":"Frontiers in Sociology"},{"key":"10563_CR17","unstructured":"Grim, J. K., Koines, A., G\u00e1mez, R., Aguinaldo, E. R., & Crocker, J. (2025). Critical leadership for civil rights in higher education: The experiences of chief diversity officers navigating anti-DEI action. National Center for Institutional Diversity, University of Michigan. https:\/\/ncid.umich.edu\/news\/critical-leadership-for-civil-rights-in-higher-education-the-experiences-of-chief-diversity-officers-navigating-anti-dei-action\/"},{"issue":"25","key":"10563_CR19","doi-asserted-by":"publisher","first-page":"2367","DOI":"10.1056\/NEJMp2105578","volume":"385","author":"JP Guevara","year":"2021","unstructured":"Guevara, J. P., Adanga, E., Avakame, E., & Carthon, M. B. (2021). Racial and ethnic diversity at medical schools \u2014 Why aren\u2019t we there yet? The New England Journal of Medicine, 385(25), 2367\u20132369. https:\/\/doi.org\/10.1056\/NEJMp2105578","journal-title":"The New England Journal of Medicine"},{"key":"10563_CR18","doi-asserted-by":"publisher","first-page":"101922","DOI":"10.1016\/j.copsyc.2024.101922","volume":"60","author":"S G\u00fcndemir","year":"2024","unstructured":"G\u00fcndemir, S., Kanitz, R., Rink, F., Hoever, I. J., & Slepian, M. L. (2024). Beneath the surface: Resistance to diversity, equity, and inclusion (DEI) initiatives in organizations. Current Opinion in Psychology, 60, 101922. https:\/\/doi.org\/10.1016\/j.copsyc.2024.101922","journal-title":"Current Opinion in Psychology"},{"issue":"8 Suppl","key":"10563_CR20","doi-asserted-by":"publisher","first-page":"S16","DOI":"10.1097\/ACM.0000000000005245","volume":"98","author":"KE Hauer","year":"2023","unstructured":"Hauer, K. E., Park, Y. S., Bullock, J. L., & Tekian, A. (2023). My assessments are biased! Measurement and sociocultural approaches to achieve fairness in assessment in medical education. Academic Medicine, 98(8 Suppl), S16\u2013S27. https:\/\/doi.org\/10.1097\/ACM.0000000000005245","journal-title":"Academic Medicine"},{"issue":"3","key":"10563_CR21","doi-asserted-by":"publisher","first-page":"300","DOI":"10.4324\/9780429444234-2","volume":"20","author":"F Henry","year":"2017","unstructured":"Henry, F., Dua, E., Kobayashi, A., James, C., Li, P., Ramos, H., & Smith, M. S. (2017). Race, racialization and Indigeneity in Canadian universities. Race Ethnicity and Education, 20(3), 300\u2013314. https:\/\/doi.org\/10.4324\/9780429444234-2","journal-title":"Race Ethnicity and Education"},{"issue":"2","key":"10563_CR23","doi-asserted-by":"publisher","first-page":"e2254928","DOI":"10.1001\/jamanetworkopen.2022.54928","volume":"6","author":"M Ko","year":"2023","unstructured":"Ko, M., Henderson, M. C., Fancher, T. L., London, M. R., Simon, M., & Hardeman, R. R. (2023). US medical school admissions leaders\u2019 experiences with barriers to and advancements in diversity, equity, and inclusion. JAMA Network Open, 6(2), e2254928. https:\/\/doi.org\/10.1001\/jamanetworkopen.2022.54928","journal-title":"JAMA Network Open"},{"issue":"12","key":"10563_CR24","doi-asserted-by":"publisher","first-page":"1442","DOI":"10.1111\/medu.15425","volume":"58","author":"JT Lam","year":"2024","unstructured":"Lam, J. T., Coret, M., Khalil, C., Butler, K., Giroux, R. J., & Martimianakis, M. A. (2024). The need for critical and intersectional approaches to equity efforts in postgraduate medical education: A critical narrative review. Medical Education, 58(12), 1442\u20131461. https:\/\/doi.org\/10.1111\/medu.15425","journal-title":"Medical Education"},{"key":"10563_CR25","unstructured":"Liddle, H. (2025, January 28). Inside the University of Alberta\u2019s move away from equity, diversity and inclusion. University Affairs. https:\/\/www.universityaffairs.ca\/news\/news-article\/inside-the-university-of-albertas-move-away-from-equity-diversity-and-inclusion\/"},{"issue":"12 Suppl","key":"10563_CR26","doi-asserted-by":"publisher","first-page":"S98","DOI":"10.1097\/ACM.0000000000003717","volume":"95","author":"CR Lucey","year":"2020","unstructured":"Lucey, C. R., Hauer, K. E., Boatright, D., & Fernandez, A. (2020). Medical education\u2019s wicked problem: Achieving equity in assessment for medical learners. Academic Medicine, 95(12 Suppl), S98\u2013S108. https:\/\/doi.org\/10.1097\/ACM.0000000000003717","journal-title":"Academic Medicine"},{"issue":"1","key":"10563_CR27","doi-asserted-by":"publisher","first-page":"826","DOI":"10.5334\/pme.1873","volume":"14","author":"V Luong","year":"2025","unstructured":"Luong, V., Cameron, P., Brown, M. E. L., Burm, S., Fletcher, J., Kits, O., MacLeod, A., Parker, R., & Ajjawi, R. (2025). The struggle to belong for underrepresented medical students: A narrative review. Perspectives on Medical Education, 14(1), 826\u2013836. https:\/\/doi.org\/10.5334\/pme.1873","journal-title":"Perspectives on Medical Education"},{"key":"10563_CR28","unstructured":"MacDonald, H. (2018). The diversity delusion. St. Martin\u2019s Press."},{"issue":"4","key":"10563_CR29","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1007\/s40037-022-00723-x","volume":"11","author":"Z McElhinney","year":"2022","unstructured":"McElhinney, Z., & Kennedy, C. (2022). Enhancing the collective, protecting the personal: The valuable role of composite narratives in medical education research. Perspectives on Medical Education, 11(4), 220\u2013227. https:\/\/doi.org\/10.1007\/s40037-022-00723-x","journal-title":"Perspectives on Medical Education"},{"issue":"1","key":"10563_CR30","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/2194587X.2024.2441300","volume":"26","author":"BL McGowan","year":"2025","unstructured":"McGowan, B. L., Hopson, R., Epperson, L., & Leopold, M. (2025). Navigating the backlash and reimagining diversity, equity, and inclusion in a changing sociopolitical and legal landscape. Journal of College and Character, 26(1), 1\u201311. https:\/\/doi.org\/10.1080\/2194587X.2024.2441300","journal-title":"Journal of College and Character"},{"issue":"3","key":"10563_CR31","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1080\/13613324.2018.1511532","volume":"22","author":"T Mohamed","year":"2019","unstructured":"Mohamed, T., & Beagan, B. L. (2019). Strange faces\u2019 in the academy: Experiences of racialized and Indigenous faculty in Canadian universities. Race Ethnicity and Education, 22(3), 338\u2013354. https:\/\/doi.org\/10.1080\/13613324.2018.1511532","journal-title":"Race Ethnicity and Education"},{"issue":"3","key":"10563_CR32","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1080\/00043125.2022.2027723","volume":"75","author":"K Patel","year":"2022","unstructured":"Patel, K., & Wells, J. (2022). Stories of equity, diversity, and inclusion: Experiences, fears, and hopes. Art Education, 75(3), 14\u201317. https:\/\/doi.org\/10.1080\/00043125.2022.2027723","journal-title":"Art Education"},{"key":"10563_CR33","doi-asserted-by":"publisher","unstructured":"Razack, S., Hodges, B., Steinert, Y., & Maguire, M. (2015). Seeking inclusion in an exclusive process: discourses of medical school student selection. Med Educ. 2015;49(1):36\u201347. https:\/\/doi.org\/10.1111\/medu.12547","DOI":"10.1111\/medu.12547"},{"issue":"2","key":"10563_CR34","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1080\/08841233.2025.2469550","volume":"45","author":"M Reisch","year":"2025","unstructured":"Reisch, M., & Jani, J. S. (2025). Deconstructing DEI: Unmasking its complexities, contradictions, and challenges. Journal of Teaching in Social Work, 45(2), 250\u2013275. https:\/\/doi.org\/10.1080\/08841233.2025.2469550","journal-title":"Journal of Teaching in Social Work"},{"key":"10563_CR35","unstructured":"Richardson, L., & St. Pierre, E. A. (2005). Writing: A method of inquiry. In N. K. Denzin & Y. S. Lincoln (Eds.), The SAGE handbook of qualitative research (3rd ed., pp. 959\u2013978). Sage Publications."},{"key":"10563_CR36","doi-asserted-by":"publisher","unstructured":"Rodriguez, J. E., Campbell, K. M., & Pololi, L. H. (2015). Addressing disparities in academic medicine: What of the minority tax? BMC Medical Education, 15(6). https:\/\/doi.org\/10.1186\/s12909-015-0290-9","DOI":"10.1186\/s12909-015-0290-9"},{"issue":"1","key":"10563_CR37","doi-asserted-by":"publisher","first-page":"703","DOI":"10.1186\/s12909-022-03736-6","volume":"22","author":"JE Rodr\u00edguez","year":"2022","unstructured":"Rodr\u00edguez, J. E., Figueroa, E., Campbell, K. M., Washington, J. C., Amaechi, O., Anim, T., Cooper, R. A., Fernandez, L., Sanchez, J. P., & Pololi, L. H. (2022). Towards a common lexicon for equity, diversity, and inclusion work in academic medicine. BMC Medical Education, 22(1), 703. https:\/\/doi.org\/10.1186\/s12909-022-03736-6","journal-title":"BMC Medical Education"},{"issue":"7","key":"10563_CR38","doi-asserted-by":"publisher","first-page":"e2324194","DOI":"10.1001\/jamanetworkopen.2023.24194","volume":"6","author":"YB Shin","year":"2023","unstructured":"Shin, Y. B., Stojcevski, A., Dupuis-Miller, T., & Kirpalani, A. (2023). Racial and ethnic diversity in medical school admissions in Canada. JAMA Network Open, 6(7), e2324194. https:\/\/doi.org\/10.1001\/jamanetworkopen.2023.24194","journal-title":"JAMA Network Open"},{"issue":"2","key":"10563_CR39","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1007\/s10459-023-10265-4","volume":"29","author":"P Sivananthajothy","year":"2024","unstructured":"Sivananthajothy, P., Adel, A., Afhami, S., Castrogiovanni, N., Osei-Tutu, K., & Brown, A. (2024). Equity, diversity, and\u2026 exclusion? A national mixed methods study of belonging in Canadian undergraduate medical education. Advances in Health Sciences Education, 29(2), 611\u2013639. https:\/\/doi.org\/10.1007\/s10459-023-10265-4","journal-title":"Advances in Health Sciences Education"},{"key":"10563_CR40","doi-asserted-by":"crossref","unstructured":"Thomas, J. M. (2020). Diversity regimes: Why talk is not enough to fix racial inequality at universities. Rutgers University Press.","DOI":"10.36019\/9781978800458"},{"issue":"4","key":"10563_CR42","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1177\/1468794118787711","volume":"19","author":"R Willis","year":"2019","unstructured":"Willis, R. (2019). The use of composite narratives to present interview findings. Qualitative Research, 19(4), 471\u2013480. https:\/\/doi.org\/10.1177\/1468794118787711","journal-title":"Qualitative Research"},{"issue":"3","key":"10563_CR43","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1080\/10401334.2024.2354454","volume":"37","author":"TR Wyatt","year":"2025","unstructured":"Wyatt, T. R., Graves, L., & Ellaway, R. H. (2025). Those darn kids: Having meaningful conversations about learner resistance in medical education. Teaching and Learning in Medicine, 37(3), 422\u2013429. https:\/\/doi.org\/10.1080\/10401334.2024.2354454","journal-title":"Teaching and Learning in Medicine"}],"container-title":["Advances in Health Sciences Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10459-026-10563-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10459-026-10563-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10459-026-10563-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T01:59:23Z","timestamp":1785290363000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10459-026-10563-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,29]]},"references-count":40,"alternative-id":["10563"],"URL":"https:\/\/doi.org\/10.1007\/s10459-026-10563-7","relation":{},"ISSN":["1382-4996","1573-1677"],"issn-type":[{"value":"1382-4996","type":"print"},{"value":"1573-1677","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,29]]},"assertion":[{"value":"28 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by Dalhousie University\u2019s Research Ethics Board No. 2020\u20135282.","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}