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Helping medical learners recognise and manage unconscious bias toward certain patient groups.
MedLine Citation:
PMID:  22150199     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Medical Education 2012: 46: 80-88 Context  For the last 30 years, developments in cognitive sciences have demonstrated that human behaviour, beliefs and attitudes are shaped by automatic and unconscious cognitive processes. Only recently has much attention been paid to how unconscious biases based on certain patient characteristics may: (i) result in behaviour that is preferential toward or against specific patients; (ii) influence treatment decisions, and (iii) adversely influence the patient-doctor relationship. Partly in response to accreditation requirements, medical educators are now exploring how they might help students and residents to develop awareness of their own potential biases and strategies to mitigate them. Methods  In this paper, we briefly review key cognition concepts and describe the limited published literature about educational strategies for addressing unconscious bias. Discussion  We propose a developmental model to illustrate how individuals might move from absolute denial of unconscious bias to the integration of strategies to mitigate its influence on their interactions with patients and offer recommendations to educators and education researchers.
Authors:
Cayla R Teal; Anne C Gill; Alexander R Green; Sonia Crandall
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Medical education     Volume:  46     ISSN:  1365-2923     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605655     Medline TA:  Med Educ     Country:  -    
Other Details:
Languages:  ENG     Pagination:  80-88     Citation Subset:  -    
Copyright Information:
© Blackwell Publishing Ltd 2012.
Affiliation:
Office of Undergraduate Medical Education, Baylor College of Medicine, Houston, Texas, USA Department of Medicine, Baylor College of Medicine, Houston, Texas, USA Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA Department of Medical Ethics, Baylor College of Medicine, Houston, Texas, USA The Disparities Solution Center, Massachusetts General Hospital, Boston, Massachusetts, USA Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA Department of Physician Assistant Studies, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
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