In this issue of Pediatrics, Montez et al found the trend in proportions of underrepresented in medicine (URiM) trainees was unchanged in pediatric residencies (16%) and decreased for pediatric subspecialty fellows from 2007 through 2019 (14.2% to 13.5%). Importantly, URiM representation among pediatric trainees was far lower than that of the US population.

As a community of pediatricians, we have long asserted the importance of a diverse pediatric workforce and have issued multiple calls to this end.2–4  The thoughtful analysis of the data compiled by Montez et al compels us to question why we have not achieved our goal. The authors highlight the challenges we face in URiM recruitment and retention across the spectrum of training. These challenges have previously been presented as a “leaky pipeline.” This metaphor has been challenged5,6  because it can inadvertently place the responsibility for leaving science,...

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