My pending exodus from academic medicine after 15 years is prompted by my belief that the institutional and systemic racism so obvious to me would never be fully acknowledged, much less addressed. This belief was formed after several experiences that left me — a Black woman — feeling stifled, unheard, unvalidated, unsupported, and concerned for my health.1 Too often, academic medical institutions’ idea of addressing institutional and systemic racism begins and ends with naming a titular diversityequity- inclusion chief. Every so often, they tout their racial and ethnic diversity, not mentioning that it resides primarily in janitorial and food services, while historically underrepresented groups remain largely absent on the path to full professorship and division chiefdom.