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The redistribution of several oil portraits of physician leaders from an auditorium at Brigham and Women’s Hospital to other locations has been the source of much debate on social media. Such portraits—ubiquitous in academic medical institutions—speak of pride, achievement, and institutional history, but to some, represent a lack of gender and racial diversity in academic leadership. To others, the portraiture represents the hierarchical structures in academic medicine that disproportionately reward physician leaders and leave the diverse contributions of the healthcare workforce under-recognized. The gap between the face of leadership and the healthcare workforce that educates, researches, and delivers care has been increasingly obvious in recent years. Women and minorities have made major contributions in medicine, but have typically been under-recognized, under-promoted, and denied access to positions of power. According to the 2014 Association of American Medical Colleges report, although approximately half of medical school graduates in the USA were women, only 16% of medical school deans were women.1 The statistics in Canada are even more concerning; data from the 2015 Canadian Medical Education Statistics revealed that 55% of Canadian medical school graduates were women, yet only one dean and two chairs of medicine across the country were women.2
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