CINXE.COM

<!DOCTYPE html><html lang="en-US"><head><title>Just a moment...</title><meta http-equiv="Content-Type" content="text/html; charset=UTF-8"><meta http-equiv="X-UA-Compatible" content="IE=Edge"><meta name="robots" content="noindex,nofollow"><meta name="viewport" content="width=device-width,initial-scale=1"><style>*{box-sizing:border-box;margin:0;padding:0}html{line-height:1.15;-webkit-text-size-adjust:100%;color:#313131;font-family:system-ui,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,Noto Sans,sans-serif,Apple Color Emoji,Segoe UI Emoji,Segoe UI Symbol,Noto Color Emoji}body{display:flex;flex-direction:column;height:100vh;min-height:100vh}.main-content{margin:8rem auto;max-width:60rem;padding-left:1.5rem}@media (width <= 720px){.main-content{margin-top:4rem}}.h2{font-size:1.5rem;font-weight:500;line-height:2.25rem}@media (width <= 720px){.h2{font-size:1.25rem;line-height:1.5rem}}#challenge-error-text{background-image:url(data:image/svg+xml;base64,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);background-repeat:no-repeat;background-size:contain;padding-left:34px}@media (prefers-color-scheme:dark){body{background-color:#222;color:#d9d9d9}}</style><meta http-equiv="refresh" content="390"></head><body class="no-js"><div class="main-wrapper" role="main"><div class="main-content"><noscript><div class="h2"><span id="challenge-error-text">Enable JavaScript and cookies to continue</span></div></noscript></div></div><script>(function(){window._cf_chl_opt={cvId: '3',cZone: "jamanetwork.com",cType: 'managed',cRay: '919bca5e2b76a027',cH: '05yae7nSqIa8qP9lT9mpZf6qjJ7jcJOqTJt.cxOMciU-1740864992-1.2.1.1-zpvLoj1HnqMbM2uDgY_VtGHPKP8hEAs0eql2seAKlTcxcC7xogWTLk04OcI8BOM2',cUPMDTk: "\/collections\/46387\/equity-diversity-and-inclusion?__cf_chl_tk=H9bRBa58GZiNpGSEgHPJo7zAu0OVW6jxwXPmhNYl2N8-1740864992-1.0.1.1-ALDJbwBpUKau.8izErkVWKDQK7OTrM1zcpj0XivSRms",cFPWv: 'b',cITimeS: '1740864992',cTTimeMs: '1000',cMTimeMs: '390000',cTplC: 0,cTplV: 5,cTplB: 'cf',cK: "",fa: "\/collections\/46387\/equity-diversity-and-inclusion?__cf_chl_f_tk=H9bRBa58GZiNpGSEgHPJo7zAu0OVW6jxwXPmhNYl2N8-1740864992-1.0.1.1-ALDJbwBpUKau.8izErkVWKDQK7OTrM1zcpj0XivSRms",md: "JCdUAbQaSOUbNbo5zDox4E9YEFgPEZw8lM1RiAWQGos-1740864992-1.2.1.1-RoiVW6VPoFlXHOWlYksN8UARAFtqGNDR1CriraqsMoGklW1_iGKtZLgA6ioNzhmfaTL2M_IiUFtrjLf4g3FPb8CrDgbY_sSHf66zUjgqkE7JOdPKEgnU8Waz1EM7MLQ89ohS5pMI9Y_FdT1VouMZERKqsBti_ciKvttpNaE1ZjsXhPdxUBYVXsz.z_5_i5NGXiCt8Ma8E7yDatRTRSAxIsX9UQ2PfDk8jYyaF7oq8TYe7LUO6cw3kKx9V4lDAt2_OzwWxyiSBzFe8g5Y7M0UQU5wJB6B4rBYh_wYS4xE7rBKX.rt_J8qGUFCxt51yPesg8bIvLc9tmAawP0BW7qrg814noevx8P.sMWcnhgIz7XcnFVpf_5qCaI7g1xlubDAfDFmoTX1f2MsOiphrv8oznaPxtrqRTKzKyhBC_xbGqK.i7.Cks_FwOYvzmb4a4XOddt38TJwfdVA0BYTgoPkPO0c6BAMWv_7TGbPnFqUzWdWEh2pCoeW6EgaPn8TNGPTyI299KRSb3kyqK_noGcNJlhtcfukNW40rXNbmrV9lM6qeFXmtvVezVe_J1Tfw4WzwXm_NkWyeqE05g52jFMzpkwXHRzm_QZ6eieLJy9Bbbn29ouj.ie53WzKKFqq35EirW9hrWCJ45OtfWnXOsftM2FgrDxllR7qKQ9_EC3Hv.G_CN9Wr4xuXctOfrbWk.PvHaqOCgpdY.qD2aqLtyZ5hyB7AEoyPenSbFMhrH4y3YvztmRoUatU3Sf5i3W9w7nhH7frtc89PSQexr2QmDdADIDrSLNzqykgZYaQAsVKyJpcTo1._nzfr2NDkBnEc7w1trg3bETQeYcSZiAevKK70nNLgkuL6AxH1djbjCOw3pgLBhGIiXMZsk56iAyQbGsMr076xfCBSby2a1nj6AJil1Fl0dqAIr24DBLPiLg5OPU7JQxO5R2bwBRxLBp7Hjr0vUPn6lJmKxf2f83ykX1VLPB9IVsE0rNVMo0p96azAWxq_R_qXylq0WTKY5jt7XcoZvJceYMQPhTchtKVnGVF9iy.206z1n4x2W729TK6GHkSQC9j9Eaf4J7MogkwnsxXeaHqU6hqvyen94z_ve3gay14emIlF2hlVQ4ha5afAjzup9hiP49IPZUbKNp1nVvvSK0VvYgGmqCXsDfyC6Hs77_.JyVPWDqlB6LW42JSD26mSjNRD6.uLmCZqKqritbBVcTzuodlIqf2OrK_TzbuxBUSbsgl8yC69ocPPirfFIA_pj5Rj6yt.XNEFv.US5tGG2.uzK9NPbxa7jIj8yoiHwpm4.KsX4wAuJec5d9o9g_h_m0Pe0rQBqTao5LKaCyE",mdrd: "jvLmXRB5MMlauP6Pdh7WQu6HLFte1OftZiVK34lWWus-1740864992-1.2.1.1-K28bq0iQoBx4ff9jSZLTwPqAEpC9uTnd5nPGPBTBxQJde1viag8bShGFeyITQGYDFk7nauOWgPhHwMU2CTRFnHULNld26kAiyyx7h3VvYv2H8kw7lTnT9ZBcIAmtVqupH9ocJZEfrst1f6msfJXiQPRpYaETUDXSMbYDxgcF1Zw6KHzUJK712CLHIc2u9_i21WeWE8lffFZCb3nMvaOT4PYBm7LIO1FxNMpgzQSA6jPn5bgZVl9.nORR2fKqnel2wwllAMAPD0Lrmg1GLpUOYt7wwwzoVdm1tfRQriRzhn.xwn4p_EA9HVYuwbZ.UQKbhH_ulRF1rcCJkU6uSpPhAj6rZoSeqnKQBmRJS1q0FZFVrOmuOAMB2gtnweEvsrN1DN5Qc5_YKkUYrZ6cpLVooMbc29McqstGbvozr4Rg6yHD0RQ3ryfEN0vcSAXEAsIN9wwP5UpqJm4iewppZ2.PghoStWeBql4oQBrs1sJyidmYlcXFvEROP4hV4OTzri3M9.twrVUBA94ojZDzSWcMtotg2IAmzDhyXY2BekLakMcSwntkUtnxXRmC3UlC6wDzMqZmMYV7ZcVHttJsE3OtLL.FuFZ9GVN.UG2EU.q0ECRlv_eUJtgA2UILsgnKw6TsNc2SJQXRhOgEeSc_mdBJQdejAMBDyLFvpSBmpdJlKKBoiUp3kvAJq5Ym7CeUCR5A.ohQYrjabaeVzCi9v2O2.iJ_CqQoNSPWw9DyL_z4a8jajY7Gx.faICr3rTEwBbmOFJbZcP2VF_HiwJYdNz6Eb0uF_tUTHhcmMOqF843Z2dRf5qG39r9V.i62S5Ik1O_daL3d7Dbm_ryDoVBNrN21kXMNGd2.xfWV33JtZUHWXE0PsnPEACGFVk7IPJEoKe7l.o8fkxfEyXmnf1i9FpFZC4Fq.2xI2ZTIULPOQc.JPrFvpTfCTOYNYnQ1Fdad0swOY5yUItDNYyMrUPP8.3pK5IGKXNPWFg2MY02aM_JMqJlCfYJkr1sxR4Zsy9zlgTwcsy75mlRKY28GpM6cf73jrp14l2.e9nnr2Bjc6PIOjD79uMT2rAcTeX0CmzWjGi7jpEQ.li1auvMfEa12bBOGirnyUKGZln4fiD91Vq_LUQhp3KJJtebdVoHVytpQm9SGN7W1S2pxe.Swx7YGtnAxV5De0xdebC.a2QJexKd_SCax.J.E0JS37vURI.FssOxo9NRrZ0xgcilLNFd_CKyMt4YHWd2RyxIhVg3PoijYonpI2F8ugZZTsViCFMBRA_f3n8ao92T2iPeMc0GQ5i_VDPQ2Ot7vhU6fZqTUUtzwAKeUEssRtjcPJVXd1YhqIhkkDr6_CXWKBWXXIeEyo7M9kpTCGPCXO_o549Hh3hxJB4Nf7qVgr.hV0DMCzpbvTQyPWtIWRGvclFfh1VdCZxpSVnPPrZo7OlrNuxuFZcoI944mbUw6MMXYt4Ypwuq6tCygdwxtzl_1jr9PHJAaMLYBOP7fFaf4nqcHU36rkyudmHp3GVW8mH6YBXGIDrKctwmtIKO1G93b6Xy34QJ.49Fl7CuHs6FI3r8lr9ylv1LhA7WAHlabgA__SZFHgK8v4KKoNUML9iKbfXYLaP6uaLkZ18dbEOYPT8NazNowUx5DDcpTiJCb.x0EANUo.IaOrcmO_I9oGZPpjVTpRKqV_3m9vd7tiFNy5d3r0L6qDd2d0zXaz.UoZ2bYkWPPmE00ivy4Ltn3gC7L4WClZ0Qt_4qxDLuSyatzToIf8d4_neCAAdpuep1yZu7KTnIhs3Ip.AO_V.VY8mzIojr2eX5rLNaqLQ2xQeYuw_Mn4Q1JE5tstrpni9OrzfvyUZAhh7cUcDgvv.M1QrP3kLiBGsGEpCStulbs8qVRl_KWDrPb9J2t6VZoZPVbdJ2lKbELp9ntsPeRE3MpWUODjx8n4YhPSjI_GYP1bcKT0WZ1UySIxhb0VZQaTPb958DF8r4sed1qnDB7"};var cpo = document.createElement('script');cpo.src = '/cdn-cgi/challenge-platform/h/b/orchestrate/chl_page/v1?ray=919bca5e2b76a027';window._cf_chl_opt.cOgUHash = location.hash === '' && location.href.indexOf('#') !== -1 ? '#' : location.hash;window._cf_chl_opt.cOgUQuery = location.search === '' && location.href.slice(0, location.href.length - window._cf_chl_opt.cOgUHash.length).indexOf('?') !== -1 ? '?' : location.search;if (window.history && window.history.replaceState) {var ogU = location.pathname + window._cf_chl_opt.cOgUQuery + window._cf_chl_opt.cOgUHash;history.replaceState(null, null, "\/collections\/46387\/equity-diversity-and-inclusion?__cf_chl_rt_tk=H9bRBa58GZiNpGSEgHPJo7zAu0OVW6jxwXPmhNYl2N8-1740864992-1.0.1.1-ALDJbwBpUKau.8izErkVWKDQK7OTrM1zcpj0XivSRms" + window._cf_chl_opt.cOgUHash);cpo.onload = function() {history.replaceState(null, null, ogU);}}document.getElementsByTagName('head')[0].appendChild(cpo);}());</script></body></html>