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    Academic medicine policies combat discrimination but face trust issues. An evidence-informed framework emphasizes co-writing, public reporting, external oversight, and leadership commitment for greater equity and inclusion.

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    Area of Science:

    • Medical Education
    • Health Equity
    • Organizational Policy

    Background:

    • Academic medicine institutions utilize policies to address discrimination and harassment, aiming to foster diversity, equity, and inclusion (DEI).
    • Existing policies often suffer from limited awareness and reporting barriers, eroding trust in their effectiveness.
    • Lack of accountability and transparency undermines faith in policy-driven solutions for equity in academic medicine.

    Purpose of the Study:

    • To propose an evidence-informed policy framework with actionable recommendations to enhance DEI in academic medicine.
    • To address the limitations of current policies in tackling discrimination and harassment effectively.
    • To rebuild trust in policy-based solutions through improved accountability and transparency.

    Main Methods:

    • Development of an evidence-informed policy framework.
    • Incorporation of actionable recommendations for policy implementation.
    • Focus on participatory engagement, public reporting, external oversight, and leadership commitment.

    Main Results:

    • Policy co-writing through meaningful and participatory engagement is recommended.
    • Public reporting on policy effectiveness metrics is crucial for transparency.
    • Involving external organizations or adjudicators enhances accountability.
    • Strong leadership commitment is identified as essential for policy success.

    Conclusions:

    • Policies can effectively address discrimination and harassment in academic medicine.
    • An inclusive approach, incorporating participatory engagement and robust oversight, is necessary for policy efficacy.
    • Rebuilding trust requires a shift towards more transparent and accountable policy frameworks.