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Despite decades-long calls for increasing racial and ethnic diversity, the medical profession continues to exclude members of Black or African American, Hispanic or Latinx, and Indigenous groups.

To describe US medical school admissions leaders’ experiences with barriers to and advances in diversity, equity, and inclusion.

This qualitative study involved key-informant interviews of 39 deans and directors of admission from 37 US allopathic medical schools across the range of student body racial and ethnic composition. Interviews were conducted in person and online from October 16, 2019, to March 27, 2020, and analyzed from October 2019 to March 2021.

Participant experiences with barriers to and advances in diversity, equity, and inclusion.

Among 39 participants from 37 medical schools, admissions experience ranged …