文章基本信息

标题：An Evaluation of Implicit Bias Training in Graduate Medical Education
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作者：Utsha Khatri ; Amy Zeidan ; Michael LaRiviere 等
期刊名称：MedEdPublish
电子版ISSN：2312-7996
出版年度：2019
卷号：8
期号：2
页码：1-15
DOI：10.15694/mep.2019.000109.1
出版社：Association for Medical Education in Europe (AMEE)
摘要：Objective: Mounting evidence reveals that health care disparities stem from a combined effect of structural bias within our health system and the unconscious bias of well-intentioned health care professionals. The authors designed and evaluated a novel educational intervention to introduce the concept of unconscious bias to front-line providers.Methods: The authors designed and implemented an educational curricula for providers from three different programs at a single large, urban, tertiary-care academic institution. The intervention consisted of participants taking the implicit attitudes test (IAT), which was followed by a facilitated discussion. The discussion was audio recorded, transcribed, and coded for emerging themes. An online survey assessed participant awareness of these topics before and after the intervention and was analyzed using paired t-tests.Results: The authors analyzed the results by focus group. There were 19 participants in Focus Group 1 (FG1), 6 in Focus Group 2 (FG2), and 42 in Focus Group 3 (FG3). The majority of participants were white, between the ages of 26 to 35 and female. When analyzed in aggregate, authors found a statistically significant improvement in self-reported domains on whether the intervention changed participant understanding of healthcare disparities and implicit bias. While the authors’ qualitative results indicated varying acceptance of the implicit attitude test, most participants acknowledged that implicit bias exists.Conclusion: Our educational intervention was successful at engaging front-line clinicians on the role of implicit bias on the development of health care disparities. However, prior to scaling our intervention to other institutions, many improvements should be considered including session structure, choice of facilitator and introduction of strategies to mitigate biases in clinical practice.
关键词：Implicit Bias; Healthcare Disparities; Interprofessional Education; Graduate Medical Education