In the evolving landscape of clinical research, increasing diversity, equity, and access has become a pressing priority. A Clinical and Translational Science Institute (CTSI) at a leading Tier 1 research university is spearheading a range of innovative initiatives designed to break down barriers and create more inclusive research environments. Led by key figures such as the institute’s regulatory specialist and chief operating officer, these efforts demonstrate that meaningful change is not only possible but necessary to improve both research outcomes and patient care.
Shifting Paradigms: The Power of Storytelling
At the heart of the CTSI’s efforts is the belief of real change coming from deep, personal engagement. The regulatory specialist, who also chairs the Diversity and Cultural Competency Council, has helped implement various programs aimed at fostering these connections. One such initiative, the “Black Voices Storytelling Event,” gives Black research professionals the space to share their experiences in the biomedical field.
This storytelling approach goes beyond traditional workshops on racism and microaggressions. By hearing the lived experiences of others, participants can reflect on their own biases and deepen their understanding of systemic issues in research and healthcare. These events provide “a real, meaningful way to make that shift for the better,” offering participants an opportunity to listen, reflect, and grow.
A Curriculum for Change
Beyond storytelling, the university has developed an anti-racism curriculum, available to both faculty and students. This resource offers a mix of self-paced learning and course modules to integrate into existing curricula. It challenges participants to engage in introspection, and encourages them to use lessons learned as tools for progress. This curriculum is an essential part of creating a more equitable research environment, providing individuals with the knowledge and skills necessary to recognize and dismantle barriers in clinical research.
Breaking Down Barriers in Clinical Trials
While improving education and awareness is critical, the CTSI is also tackling the practical barriers limiting participation in clinical trials. According to the institute’s chief operating officer, one of their primary goals is to reduce barriers to participation in clinical research for people from all walks of life. This includes rethinking how research studies are designed, ensuring they are accessible to underrepresented populations, and addressing the specific needs of diverse communities.
One powerful example of this work came when the regulatory specialist helped a clinician redesign a study targeting newly arrived Haitian immigrants for tuberculosis screening. The original study saw no enrollment because materials were translated into Creole rather than Haitian Creole. Once the materials were updated, and the clinician was relocated to a more private area for consultations, participation increased significantly. This simple change not only improved study enrollment but also had a broader impact on participants’ quality of life, as they began receiving help with other issues like food and housing insecurity.
Empowering Individuals to Drive Change
One of the key takeaways from the work at the CTSI is the importance of empowering individuals to take action. The regulatory specialist exemplifies this principle, having approached leadership at the university with ideas for increasing inclusivity. As the chief operating officer points out, institutional leadership plays a critical role in supporting such initiatives. Leaders must be willing to “knock the boundaries off” traditional roles, allowing passionate individuals to innovate and lead change.
This empowerment extends beyond the university. Through co-mentoring circles, the CTSI collaborates with other institutions, creating spaces where researchers can engage in meaningful conversations about diversity, equity, and inclusion. These circles offer a safe environment for participants to explore their own biases, share experiences, and work together to advance inclusivity in clinical research.
Expanding the Reach of Inclusivity in Research
The work being done at this Tier 1 research university is just the beginning. The initiatives piloted there are starting to gain traction across other institutions. Programs like co-mentoring circles and culturally sensitive recruitment practices are being adopted by universities and health systems nationwide. The vision is not just to make this particular university more inclusive, but to spread these best practices across the country.
Ultimately, the goal is to embed diversity, equity, and access into the very fabric of research institutions. The hope is this work will become such an ingrained part of institutional culture, specialized roles like the regulatory specialist’s will no longer be necessary. When inclusion becomes second nature, the research community will have succeeded in making a lasting, meaningful impact.
The CTSI’s approach at this leading research university serves as a powerful example for other institutions. Through storytelling, curriculum development, and breaking down practical barriers, they are showing real change is possible when individuals are empowered to lead. For other institutions looking to follow in these footsteps, the message is clear: provide the tools and support necessary for individuals to drive change, create brave spaces for open conversations, and always focus on the needs of the entire population. When diversity and inclusion are prioritized, not only does clinical research become
