When best intentions aren't enough: helping medical students develop strategies for managing bias about patients.
When best intentions aren't enough: helping medical students develop strategies for managing bias about patients.
复制标题
当最好的意图还不够时：帮助医学生制定管理患者偏见的策略。
DOI：
10.1007/s11606-009-1243-y
复制
发表时间：
2010
影响因子：
5.7
通讯作者：
Haidet,Paul
中科院分区：
文献类型：
--
作者：
Teal,CaylaR;Shada,RachelE;Gill,AnneC;Thompson,BrittaM;Fruge,Ernest;Villarreal,GracielaB;Haidet,Paul
Introduction/AimsImplicit偏倚会影响医患互动，改变治疗建议，并使健康差异永久化。医学教育工作者需要提高学生对偏见对医疗保健影响的认识的方法。SettingSeventy-two三年级医学生志愿者参加了关于偏见的促进小组讨论。Program DescriptionWe测试了一种教育干预措施，以促进小组讨论。项目评估我们评估了反思性讨论如何影响学生对识别和管理策略的识别。他们对病人的潜在偏见67%的学生（n = 48）在会后确定了替代策略。卡方分析表明，从会前到会后，这些策略的分布发生了显著变化，包括内部反馈和人道主义的使用减少，而反思、消除焦虑等策略的使用相应增加。可能是有效的教育工具，可以促进学生对遭遇中的偏见进行反思，并愿意与同事讨论潜在的偏见，这对减少健康差距具有重要意义。
Introduction/AimsImplicit bias can impact physician–patient interactions, alter treatment recommendations, and perpetuate health disparities. Medical educators need methods for raising student awareness about the impact of bias on medical care.SettingSeventy-two third-year medical student volunteers participated in facilitated small group discussions about bias.Program DescriptionWe tested an educational intervention to promote group-based reflection among medical students about implicit bias.Program EvaluationWe assessed how the reflective discussion influenced students’ identification of strategies for identifying and managing their potential biases regarding patients. 67% of the students (n = 48) identified alternate strategies at post-session. A chi-square analysis demonstrated that the distribution of these strategies changed significantly from pre-session to post-session, including reductions in the use ofinternal feedbackandhumanismand corresponding increases in the use ofreflection,debriefingandotherstrategies.DiscussionGroup-based reflection sessions, with a provocative trigger to foster engagement, may be effective educational tools for fostering shifts in student reflection about bias in encounters and willingness to discuss potential biases with colleagues, with implications for reducing health disparities.