Creating + Sustaining a Culture of Equity, Vitality, and Inclusion
All tools are living documents to be revised on an annual basis. Please refer back to this page for updates + new additions.
We are committed to information sharing and acknowledge this is an iterative process. Please take a look at the tool’s overview to set the stage before downloading. If you would like to adapt or adopt these tools for your own use, please cite us:
|“Adapted from Boston University Medical Group’s Office of Equity,
Vitality, and Inclusion [full name of document + origin link]”
We’d love to hear from you! Please send us any adaptations you make so we can build a collaborative community for learning + culture change. Contact us here.
Glossary for Culture Transformation
Language reflects our values and shapes our beliefs, thoughts, and actions. The Glossary for Culture Transformation builds common understanding on issues of justice, equity, and belonging through shared language. The Glossary was developed by EVI in partnership with all levels of staff, employees, students, faculty, and leadership from Boston University Medical Group (BUMG), Boston Medical Center (BMC), Boston University School of Medicine (BUSM), and all schools on the Boston University Medical Campus (BUMC). We looked to peer institutions with shared values, engaged key stakeholders and content experts, and offered an open comment period to the BUMC community and heard from 100+ people – thank you to all involved!
The Glossary includes over 100 terms to expand our awareness of the world beyond our individual identities and experiences. It aims to promote mindful use of language that affirms and centers those who have been historically and currently marginalized due to unfair systems.
We are tracking engagement via the Glossary’s interactive website platform, the Words Matter Pledge campaign, and the feedback we receive. This Glossary is a living document, reflecting the evolving nature of language. We are committed to ongoing, periodic revision to incorporate new concepts and evolving language.
Created by everyone, and for everyone, the Glossary represents the collective wisdom and diverse identities and perspectives of our BUMC community. It exists to reinforce the foundation and prioritization of justice, equity, and belonging throughout the health system.
Inclusive Language Practices
Mindful use of language in our written + verbal communications affirms structurally marginalized populations and reduces further perpetuation of unintended harm, marginalization, and inequitable outcomes. This living tool provides practical recommendations + resources to incorporate the terms defined in the Glossary for Culture Transformation. It is imperative that we consider, respect, and understand the diverse and intersecting social identities that make up our institution, patient population, and community.
Language is always evolving. We will not get it right all of the time, but we can be intentional and indicate to those around us that we acknowledge and respect all the ways in which people choose to identify.
Commitment to Operationalize Racial Equity (CORE)
The Commitment to Operationalize Racial Equity (CORE) is a tool for clinical departments and sections to integrate racial equity into decision-making. Using CORE, departments and sections establish Racial Equity teams, review data, and complete an assessment to identify their racial equity goals and actions. In 2021, 18 of 28 BUMG departments and sections submitted racial equity goals to EVI, and we will continue to coach and consult with departments and sections.
Additionally, all 28 BUMG departments and sections have identified a Racial Equity Champion, who lead racial equity work within their department or section. Champions meet monthly to discuss the integration of racial equity into practice and build a community of support and learning. Equity is as much about the process as it is the outcome, and CORE is an example of that.
Review Based Guidelines (RBG) for the Equitable Appointment of Leadership Roles
Review-Based Guidelines (RBG) for the Equitable Appointment of Leadership Roles is a tool to improve equity in the selection of leadership positions by transforming workflows and establishing fair and transparent processes.
The RBG equips department/section leadership with the tools needed to:
• establish a diverse and representative search committee
• create awareness of leadership opportunities and the processes used to appoint leaders
• actively challenge their own implicit biases
• equitably evaluate and select candidates
Five departments piloted the RBG in 2021, using sample documents and templates to tailor the tool, ultimately appointing four new leaders using the process.
“We can always do this better, and embracing a systematic, rigorous process helps us do things the right way.” – 2021 pilot program participant
BMC Clinician Vitality Survey
EVI administers the Clinician Vitality Survey annually to physicians, advanced practice providers, and trainees. We use the data to partner with BUMG, BMC, and BUSM in addressing the complex factors of systems and culture driving clinical burnout and professional fulfillment. In 2021 the survey included new questions like, “I feel that I belong here” and “There are good systems in place to ensure that I am treated with respect and dignity” to expand our understanding of what affects professional vitality.
In 2021 we had the highest response rate to date of 71%. See our summary of results sent to BUMG faculty here.
EVI, in partnership with the Wellness and Professional Vitality Advisory Council, analyzes the survey results by race, gender, and other variables to further understand how experiences across our institutions differ. Approaching wellness through an equity lens is essential to improving experiences of professional fulfillment and burnout.
Privacy Statement – learn about how we keep survey respondents’ privacy safe.
FAQs – find some common questions and answers about the Clinician Vitality Survey.