InterSECT e150 Stroke June 2019 qualifications or achievements.” Gross underrepresentation of women in leadership positions in the business world—also known as the trouble in the C-suite (where C stands for chief executive)—has been widely popularized in the recent years as one of the root causes of gender disparities throughout the industry. With fewer women leaders, there are fewer opportunities for creative team building, equitable models of networking, and opportunities for mentorship that nurtures diverse talent for the future. There is less precedence for success and fewer role models for future women leaders. Statistics published in the Harvard Law School Forum on Corporate Governance and Financial Regulations in 2018 show that women hold a diminutive percentage of business leadership roles, with only≈ 14% C-suite executive, 11% Board member, 3.8% Board Chair, and 4.5% chief executive officer positions held by women. Almost canonically across the different segments and sectors of society, female representation drops more than 50% while moving from the entry-level to top leadership positions. Similar attrition is also noted in the health care sector, where the pipeline of women leaders dries up, with only≈ 18% of hospital chief executive officers and 4% of healthcare chief executive officers positions being held by women. Although the data are lacking on the effect of glass ceiling on other minority groups in academic medicine, we speculate that it may be most limiting for the women of color represented in leadership.