What can a journal editorial team do to strive for equity in health professions education publishing? Leading by example

Representation gaps in medical education publishing are widely recognized and may be attributed to epistemic injustice, defined as ‘wrong done to someone in their capacity as a knower.’ Although peer review is meant to ensure ‘rigor,’ some quality assurance practices can inadvertently silence entire populations and impede understanding of a field’s foundational concepts. To honor our journal’s commitment to equitable knowledge production, a diversity, equity, and inclusion working group at Teaching and Learning in Medicine (TLM) reimagined rigor to include striving for a ‘more equitable, diverse, and inclusive research system.’ We implemented structural peer review reform at TLM by adapting Hogan et al.’s Dimensionality and R4P framework for health equity, prioritizing change in our communication with contributors. Since implementation, our journal has received feedback expressing appreciation for humanity and personal connection in our peer review, and we have observed increased publications from geographically marginalized authors. We believe our outcomes result from respecting marginalized authors’ authority to pursue their own interests, concerns, and successes with respect to knowledge production. We believe our approach can be adopted by other peer-reviewed journals. We invite application and critique of our framework to advance community development in creating relevant, accessible, and equitable knowledge production for all people.