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Improving Diversity, Inclusion, and Representation
in Radiology and Radiation Oncology
Part 1: Why These Matter
a b c
Johnson B. Lightfoote, MD, MBA , Julia R. Fielding, MD , Curtiland Deville, MD ,
Richard B. Gunderman, MD, PhDd e
, Gail N. Morgan, MD ,
f g
Pari V. Pandharipande, MD, MPH , Andre J. Duerinckx, MD, PhD ,
Raymond B. Wynn, MDh, Katarzyna J. Macura, MD, PhDi
The ACR Commission for Women and General Diversity is committed to identifying barriers to a diverse
physician workforce in radiology and radiation oncology (RRO), and to offering policy recommendations to
overcome these barriers. In Part 1 of a 2-part position article from the commission, diversity as a concept and
its dimensions of personality, character, ethnicity, biology, biography, and organization are introduced. Terms
commonly used to describe diverse individuals and groups are reviewed. The history of diversity and inclusion
in US society and health care are addressed. The posteCivil Rights Era evolution of diversity in medicine is
delineated: Diversity 1.0, with basic awareness, nondiscrimination, and recruitment; Diversity 2.0, with
appreciation of the value of diversity but inclusion as peripheral or in opposition to other goals; and Diversity
3.0, which integrates diversity and inclusion into core missions of organizations and their leadership, and
leverages its potential
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