How Clinicians and Educators Can Mitigate Implicit Bias in Patient Care and Candidate Selection in Medical Education.
How Clinicians and Educators Can Mitigate Implicit Bias in Patient Care and Candidate Selection in Medical Education.
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临床医生和教育者如何减轻医学教育中患者护理和候选候选人选择的隐性偏见。
DOI：
10.34197/ats-scholar.2020-0024ps
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发表时间：
2020-06-23
期刊：
影响因子：
1.9
通讯作者：
Capers Q 4th
中科院分区：
文献类型：
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作者：
Capers Q 4th
为了帮助我们驾驭一个复杂的世界，我们的潜意识会根据我们的经验进行特定的群体联想。医生也不能幸免于这些隐含的关联或偏见，这可能会导致医生在不知不觉中将某些人口统计群体与负面概念联系在一起，如危险、不遵守规定和能力较低。这些偏见可能会以潜在损害患者的方式影响临床决策，并可能不公平地影响某些代表性不足群体中候选人的医学院、住院医生和奖学金申请程序。为了最大限度地减少隐性偏见对患者护理和医疗专业多样性的潜在负面影响，医生领导有责任理解偏见，并如何有意识地超越它们。这篇文章讨论了隐性偏见在医疗保健和学生/学员选择中的潜在影响，并回顾了研究证实的工具，以减少一对一互动中的隐性偏见。
In an attempt to help us navigate a complex world, our unconscious minds make certain group associations on the basis of our experiences. Physicians are not immune to these implicit associations or biases, which can lead physicians to unknowingly associate certain demographic groups with negative concepts, like danger, noncompliance, and lower competence. These biases can influence clinical decision making in ways that potentially harm patients and may unfairly influence the medical school, residency, and fellowship application processes for candidates in certain underrepresented groups. To minimize the potential negative impact of implicit biases on patient care and diversity in the medical profession, physician-leaders have a responsibility to understand biases and how to consciously override them. This article discusses the potential impact of implicit bias in health care and student/trainee selection and reviews research-proven tools to reduce implicit bias in one-on-one interactions.