Tackling the Minority Tax: A Roadmap to Redistributing Engagement in Diversity, Equity, and Inclusion Initiatives

Erynne A. Faucett, Michael J. Brenner*, Dana M. Thompson, Valerie A. Flanary

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


Academic medical centers striving to implement diversity, equity, and inclusion (DEI) and antiracism initiatives often ask faculty to volunteer substantial time to committee work, recruitment, mentoring, community, and administrative responsibilities. These requests are not in lieu of current workload and seldom count toward scholarship; the service may go unrecognized, unrewarded, and uncompensated. URiM faculty (underrepresented in medicine) providing such service thus pay a minority tax when precious time is syphoned away from career-advancing activities and personal growth. The resulting strain on available resources has social, psychological, and monetary ramifications that can undermine the long-term objectives of DEI initiatives. We examine the facets of the minority tax, consider the current state of diversity, and present a roadmap to redistribute, reform, and reduce URiM taxation through shared engagement in DEI initiatives. Key interventions include ascribing value to DEI efforts, implementing evidence-based policies to reduce bias, and promoting mentorship, sponsorship, and allyship.

Original languageEnglish (US)
Pages (from-to)1174-1181
Number of pages8
JournalOtolaryngology - Head and Neck Surgery (United States)
Issue number6
StatePublished - Jun 2022


  • AAMC
  • African American
  • American Association of Medical Colleges
  • Latino
  • Latinx
  • NIH
  • National Institutes of Health
  • Native American
  • URM
  • URiM racism
  • academic medicine
  • allyship
  • antiracism
  • bystander intervention
  • compensation
  • cultural taxation
  • diversity
  • equity
  • head and neck surgery
  • health care access
  • health care disparities
  • health inequity
  • implicit bias
  • inclusion
  • medical education
  • microaggressions
  • minority tax
  • otolaryngology
  • pipeline
  • promotion
  • psychological safety
  • social determinants of health
  • underrepresented in medicine
  • underrepresented minority

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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