Shared Equity Leadership in an Offshore Medical School: Distributing Responsibility for Equity

This essay applies the Shared Equity Leadership (SEL) framework to an offshore MD program at a private Caribbean medical school where students complete basic sciences on an island and clinical clerkships across multiple international sites. Using SEL scholarship and de-identified institutional data, we ask how equity work is currently distributed, where gaps emerge in assessment, remediation, and mobility for historically underrepresented students in medicine, and how responsibility for equity might be more deliberately shared. The Woven model of SEL provides a lens to map existing structures like curriculum committees, CQI dashboards, advising systems, and clinical site partnerships. We propose a "who-owns-what" equity spine that clarifies roles for campus and site-level leaders. Two 90-day pilots test whether SEL can move the institution from personality-driven fixes toward routine-based, shared accountability. The paper also identifies three institutional conditions requiring transnational adaptation of SEL, offering a transferable governance model for distributed medical education programs.