From Awareness to Action: Assessing Internal DEIJ Practices Within The Gender Equity Initiative in Global Surgery (GEIGS)

Background: Diversity, equity, inclusion and justice (DEIJ) are essential in cultivating an equitable global surgical ecosystem, ensuring that diverse voices are represented, power structures balanced and opportunities are accessible to all. While external DEIJ initiatives are often prioritized, internal assessments remain limited. To bridge the gap between awareness and action, we conducted an internal evaluation of DEIJ strengths and gaps within The Gender Equity Initiative in Global Surgery (GEIGS), an international, trainee-led organization affiliated with the Program in Global Surgery and Social Change at Harvard Medical School. Methodology: A questionnaire consisting of Likert scale and open-ended questions was distributed to GEIGS’ 2024-25 steering committee members. The questionnaire was developed internally based on key DEIJ principles. Responses were analyzed using descriptive and thematic analysis. Participation was voluntary and anonymous. Results: Out of 36 members, 26 responded (72%), with the majority identifying as cisgender women (85.7%). Most respondents (92.9%) reported no experienced bias, and 71.4% perceived no power imbalances. A significant correlation was found between leadership accountability and inclusivity measures (p<0.05). Thematic analysis highlighted key areas for improvement, including the need for increased male allyship (21%) and structured DEIJ initiatives, such as regular feedback and training (29%). Strengths included cultural sensitivity (76%) and accessible meetings (41%), but certain challenges remain, particularly regarding unclear DEIJ reporting channels (43.6%). Conclusion: Our study highlights the strengths and challenges of DEIJ practices within GEIGS. While the small sample size is a limitation, expanding future assessments to past members and ensuring ongoing evaluation will enhance understanding and refine the DEIJ framework for broader application.