question: The devastating and disproportionate toll of the COVID-19 pandemic on communities of color has drawn attention to longstanding disparities, traceable to systemic factors that result in structural trauma. As a medical specialty, psychiatry has begun to grapple with its own history of institutional racism, with calls for a multifaceted approach to proactively address upstream institutional factors that inflict structural trauma. Psychiatric clinician leaders can play important roles in addressing these factors. This work can occur through the individual psychiatrist's targeted exertion of facets of the clinician leader role. Here, we consider a previously described clinician leadership model (the Four Factor Model) through the lens of structural inequity. We link this model to the real-world example of the city of Philadelphia's efforts to address mental health inequities, demonstrating the application of different facets of the psychiatrist's leadership to address structural trauma in the context of local government. [Psychiatr Ann. 2021;51(11):522–527.]