Implicit Bias Training in a Residency Program: Aiming for Enduring Effects
Implicit Bias Training in a Residency Program: Aiming for Enduring Effects
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DOI：
10.22454/fammed.2019.947255
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发表时间：
2019-09-01
期刊：
影响因子：
1.9
通讯作者：
Prasad, Shailendra
中科院分区：
文献类型：
--
作者：
Sherman, Michelle D.;Ricco, Jason A.;Prasad, Shailendra
背景和证据：隐性偏见通常以阴险的方式影响患者护理，并有可能造成重大损害。已经为卫生保健专业人员制定了一些关于内隐偏见的教育干预措施，其中许多措施促进了对个人偏见的反思，并鼓励个人意识。在试图解决种族主义和其他隐含的偏见在一个更系统的水平，在我们的家庭医学住院医师培训计划，我们的目标是提供和评估并行培训的居民和教师由一个国家expert.METHODS：培训解决了如何个人偏见和制度的不平等，有助于结构性种族主义，并教的技能管理的情况下，在一个人的专业互动的隐含偏见。培训的目的是提高机构能力，以便就隐性偏见进行重要对话。培训结束后6个月，由外部评估员进行了两次单独的1小时焦点小组讨论，一次是居民（n=18），另一次是项目教师和领导（n=13）。和机构的能力建设，持续警惕和培训有关inplicatedbiases.Conclusions：居民和教师都发现这种培训是重要的，并赋予权力。所有与会者都希望对这一专题作出持续的方案承诺。
BACKGROUND AND OBJECTIVES: Implicit bias often affects patient care in insidious ways, and has the potential for significant damage. Several educational interventions regarding implicit bias have been developed for health care professionals, many of which foster reflection on individual biases and encourage personal awareness. In an attempt to address racism and other implicit biases at a more systemic level in our family medicine residency training program, our objectives were to offer and evaluate parallel trainings for residents and faculty by a national expert.METHODS: The trainings addressed how both personal biases and institutional inequities contribute to structural racism, and taught skills for managing instances of implicit biases in one's professional interactions. The training was deliberately designed to increase institutional capacity to engage in crucial conversations regarding implicit bias. Six months after the trainings, an external evaluator conducted two separate 1-hour focus groups, one with residents (n=18) and one with program faculty and leadership (n=13).RESULTS: Four themes emerged in the focus groups: increased awareness of and commitment to addressing racial bias; appreciation of a safe forum for sharing concerns; new ways of addressing and managing bias; and institutional capacity building for continued vigilance and training regarding implicit bias.CONCLUSIONS: Both residents and faculty found this training to be important and empowering. All participants desired an ongoing programmatic commitment to the topic.