ace and gender-based disparities in health care leadership 1-4 may negatively affect the health of marginalized patients. 5,6 Diverse leadership is an integral step in establishing equitable health care institutions that serve the needs of all community members. 7 Many barriers prevent racialized people, women and gender nonbinary individuals from attaining leadership positions, including reduced access to networking opportunities, 8-10 discrimination from patients and colleagues 2,11-13 and an institutional culture that views white, male leaders as most effective. 14,15 The intersectional effects of discrimination may intensify these barriers for racialized women and nonbinary people. 16,17 Fundamentally, diversity and inclusion in our institutions is important on the basis of basic human rights for all people. 18 Health care leadership in Europe and the United States is thought to lack gender and racial diversity. [19][20][21][22] The degree to which these imbalances exist across Canadian health care institutions is not clear. Despite past evidence that men hold a disproportionate number of health care leadership positions in Canada, 23,24 a recent study noted gender parity among leaders of provincial and terri torial ministries of health. 25 Among university faculty 26,27 and administration, 28 racialized individuals appear to be under-represented, suggesting that a similar trend may exist in health care leadership.Race and gender can be studied in many ways. 29 Perceived race is a measure of "the race that others believe you to be," and these assessments "influence how people are treated and form the basis of racial discrimination including nondeliberate actions