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Following Colleague's Comments On Racism, 'JAMA' Editor's Resignation Came With $500,000 Payout

The fallout from a Journal of the American Medical Association deputy editor's 2021 remarks on systemic racism resulted in a nearly half-million-dollar behind-the-scenes payout to JAMA's then-editor in chief, who resigned following the incident.

The episode sparked broader discussion of the alleged failures of the American Medical Association and its academic journals to confront structural racism internally and in wider society. Edward Livingston, the deputy editor, made the comments on a JAMA podcast that was subsequently promoted by the journal's Twitter account, eventually spurring an investigation by the AMA. In accordance with standard investigative practice, the AMA placed Howard Bauchner, then

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The fallout from a Journal of the American Medical Association deputy editor's 2021 remarks on systemic racism resulted in a nearly half-million-dollar behind-the-scenes payout to JAMA's then-editor in chief, who resigned following the incident.

The episode sparked broader discussion of the alleged failures of the American Medical Association and its academic journals to confront structural racism internally and in wider society. Edward Livingston, the deputy editor, made the comments on a JAMA podcast that was subsequently promoted by the journal's Twitter account, eventually spurring an investigation by the AMA. In accordance with standard investigative practice, the AMA placed Howard Bauchner, then JAMA's top editor, on administrative leave in late March 2021. Come June, the AMA and Bauchner announced he would resign from the position at the end of the month. A federal filing prepared for the Internal Revenue Service shows that Bauchner and the AMA inked a separation agreement that eventually netted Bauchner $496,934 in "contractual separation payments" from the AMA by the end of 2021.

In an AMA statement at the time announcing Bauchner's resignation, he wrote that he remained "profoundly disappointed in myself for the lapses that led to the publishing of the tweet and podcast. Although I did not write or even see the tweet, or create the podcast, as editor-in-chief, I am ultimately responsible for them."

"To advance equity in medicine, my contributions will be best accomplished in other venues. The best path forward for the JAMA Network, and for me personally, is to create an opportunity for new leadership at JAMA," Bauchner continued.

The incident that sparked the furor occurred on February 23, 2021, when a 16-minute episode, "Structural Racism for Doctors — What Is It?" was published to the podcast feed of "JAMA Clinical Reviews." Billed as an explainer for those skeptical of the concept of structural racism, the episode, hosted by Livingston, who was then JAMA's deputy editor for clinical reviews and education, featured an interview with a public-health-system administrator. Livingston, who is white, said in the interview that "structural racism is an unfortunate term. Personally, I think taking racism out of the conversation will help. Many of us are offended by the concept that we are racist."

A tweet on March 4 of that year from the journal's account promoting the episode in turn launched the matter into viral prominence: "No physician is racist, so how can there be structural racism in health care? An explanation of the idea by doctors for doctors in this user-friendly podcast" followed by the host and guest's handles.

Shortly thereafter, JAMA deleted the tweet, and a minute-long audio file of an apology from Bauchner replaced the original podcast episode. "Comments made in the podcast were inaccurate, offensive, hurtful, and inconsistent with the standards of JAMA," Bauchner told listeners. "We are instituting changes that will address and prevent such failures from happening again."

In the week that followed, Bauchner "asked for, received and accepted the resignation" of Livingston, and the investigation began.

Attempts to reach Bauchner at Boston University's Chobanian & Avedisian School of Medicine, where he is a professor of pediatrics and public health, were unsuccessful. An AMA representative wrote that the organization had "nothing to add," in response to a request for comment. "The AMA does not comment on personnel matters."

Prior to Bauchner's split with the AMA, base compensation for the editor in chief totaled $956,000 in 2020, plus a $50,000 bonus. In addition to his separation payments, Bauchner earned an additional $582,000 from base pay in 2021, plus $16,000 in unspecified, but still taxable compensation. The AMA's filings with the IRS do not specify the exact terms of its agreement with Bauchner, and so it is unclear if he was owed additional separation payments in the years after 2021.

Kirsten Bibbins-Domingo, an epidemiologist and researcher, took over as the editor in chief of JAMA and the JAMA Network on July 1, 2022. She is the first person of color to serve as the journal's top editor. In an interview with the executive editor of STAT, a news publication focused on science, health, and biotech, Bibbins-Domingo said "the issues that were so prominent to place JAMA in the news were not surprising issues. They're not unique to JAMA."

Livingston's Trial Blazers For Kids Continues To Support Innovative Pediatric Cancer Research Treatments

This article is being published as part of a series recognizing the many local organizations that help Livingston thrive and provide high-quality services that residents have come to expect year-round. To read more about this series, CLICK HERE. 

LIVINGSTON, NJ — Nearly four years after 14-year-old Livingston resident Jake Kestler lost his battle with glioblastoma, one of the most deadly forms of brain cancer, his friends and family continue to keep his memory alive through Trial Blazers for Kinds, a nonprofit organization established in his name to help finance innovative pediatric cancer research.

Although Jake survived Leukemia at seven years old thanks to his sister Lily, who was five years old at the time that she donated life-saving bone marrow, his family received another devastating diagnosis a few short years later that the young teen was unable to defeat.  

Jake's parents, Joshua and Gallite, founded Trial Blazers for Kids after discovering how many more treatments available to adults suffering from cancer than there are for children and teens. Despite battling his own cancer at the time, Jake was determined to ensure that Trial Blazers for Kids would create better treatment opportunities for kids like him in the future.

By hosting fundraising programs and events throughout the year such as the upcoming, Trial Blazers for Kids has been able to fund two clinical trials since 2021 and is currently in the processing of funding its third trial.

On May 7, Trial Blazers will host its first Team Jake All Star Day featuring a softball/baseball clinic and Homerun Derby for local youth ages 9 to 12. (CLICK HERE to learn more or to register for this event.) 

The event will be held in conjunction with the Livingston Little League and the Livingston High School baseball and softball teams.

These programs have continuously paid tribute to Jake by playing in his honor as "Team Jake" since the year prior to his death. Jake was a diehard Yankee fan and loved nothing more than his experience with the Livingston Little League program.

"Team Jake" was born when Jake played on the Yankees in the Major League division of the Little League and all of his teammates wore jerseys with his favorite number (seven) and "Team Jake" on the back. Signs and banners were also placed around the Northland and Meadowbrook baseball fields displaying the "Team Jake" and "Knock Cancer Out of the Park" logos to bring awareness to the initial campaign started in his honor that year. Prior to Trial Blazers for Kids, the Knock Cancer Out of the Park campaign was started at Livingston Little League for the purpose of increasing pediatric cancer awareness and raising money for research at Memorial Sloan Kettering Cancer Center.

Since then, Trial Blazers for Kids has continued to raise much-needed funds toward cancer research and clinical trials in various ways.

With Lily Kestler and Sarah Blatt at the helm as founders and co-presidents, members of the Livingston High School Trial Blazers Club recently collected LEGO sets, stickers and Play-Doh that were distributed along with cards they made to patients of the pediatric oncology department at Memorial Sloan Kettering.

Additionally, Heritage Middle School recently hosted its second annual staff versus students basketball game in support of Trial Blazers for Kids, and the Mixology Livingston clothing store recently held a shopping event with a portion of in-store and online proceeds donated toward the cause.

During its annual holiday party at the Crystal Plaza, the Livingston Police Benevolent Association (PBA) Local 263 also presented a donation to Trial Blazers for Kids as a result of the department's No Shave November campaign, during which officers spread funds and awareness for men's health issues such as prostate and testicular cancers by not shaving during that month.

As his son continues to inspire individuals and organizations throughout the area, Joshua often speaks of Jake as his hero because of his son's optimism and determination to live his to life to the fullest—never complaining throughout his illnesses and always thinking of ways to better the lives of future generations.

To contribute, volunteer or collaborate with Trial Blazers for Kids, contact Jake's parents at josh@trialblazers.Org or visit the foundation's website BY CLICKING HERE.  

Don't miss important news in Livingston. CLICK HERE to subscribe for free, or follow us on Facebook and on Twitter at @LivingstonTAP. 

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Division Of Academic General Pediatrics

The faculty and staff of the Division of Academic General Pediatrics at Baylor College of Medicine, are committed to high-quality, equitable, and patient-centered primary care achieved through evidence-based practice, innovative research, education, and advocacy. 

Expert state-of-the-art and comprehensive clinical care is provided in numerous settings and programs: Primary Care Pediatrics at the Palm Center, Pasadena Pediatric and Adolescent Health Center, the Centers for Children and Women (Greenspoint, Southwest), Second Opinion Clinic, Complex Care Program (Main Campus, West Campus), Mobile Clinic Program, and United Healthcare Diagnostic Odyssey Program.

In addition to the breadth and depth of the clinical care provided by the Division of Academic General Pediatrics, we have a strong commitment to scholarly and research excellence. Research activities cover the spectrum of randomized controlled trials, prospective observational studies, multi-centered database studies, quality improvement, and various retrospective analyses. Areas of active study include childhood obesity, social determinants of health, health equity, immunization surveillance, telemedicine, health literacy, disaster preparedness for children with medical complexity, workforce diversity, and medical education. The division is supported by numerous research grant awards from NIH, PCORI, AHRQ, HRSA, Robert Wood Johnson Foundation, and local funders. 

Educational activities and scholarship are critical to the Division of Academic General Pediatrics. Our team is engaged in a wide variety of educational programs with learners of all levels, including medical students, residents, fellows, and our faculty colleagues. We serve as the continuity clinical sites for the majority of trainees in the Baylor Pediatrics Residency Program. We sponsor the Primary Care Leaders Evaluating and Addressing Disparities (LEAD) residency program, a three-year categorical pediatric training program that focuses on Pediatric Primary Care of Underserved and Vulnerable populations. We also sponsor a three-year Academic General Pediatric Fellowship Program that combines masters-level training in education and research methodology with diverse teaching opportunities in a variety of settings.

Advocacy and community engagement also define the Division of Academic General Pediatrics. Our team has been actively engaged in areas of vaccine policy, Medicaid coverage, immigrant health, food insecurity, and e-cigarette use among adolescents.

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