In the midst of the resurgent movement for racial justice, physicians and health care institutions should carefully look within for potential sources of racial and ethnic health disparities. In this issue of JAMA Internal Medicine, Balderston et al¹ report on differential documentation of race in the first line of the history of present illness (HPI). In 1200 admissions to an academic medical center in Richmond, Virginia, 33% of Black patients had their race documented in the first line of their admission note compared with 17% of White patients (adjusted odds ratio, 1.57; 95% CI, 1.11-2.25). Black clinicians had 58% lower odds of documenting race than White clinicians (adjusted odds ratio, 0.42; 95% CI, 0.20-0.80), and attending physicians had 2.37 times greater odds of documenting race than resident physicians (95% CI, 1.73-3.27) in adjusted analyses.