RCC values the opinions and needs of all parties involved in care and includes self-awareness of clinicians; knowledge of patients, research participants, colleagues, and partners; engaged, participatory communication; mutual respect; and shared values and identities. Addressing structural competency requires an awareness of inequities, community partnerships, transparency, increased funding for health disparities work, and health care and research workforce, participation, and leadership that reflect the diversity of the population. Together, these approaches can help improve trust in health care and biomedical research.