Evidence map›Paper›PMID 28342029›Full record

ArticleJournal of racial and ethnic health disparities2018

Self-Awareness and Cultural Identity as an Effort to Reduce Bias in Medicine.

Augustus A White, Heather J Logghe, Dan A Goodenough, Linda L Barnes, Anne Hallward, Irving M Allen, David W Green, Edward Krupat, Roxana Llerena-Quinn

Abstract read
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In one paragraph

Article in Journal of racial and ethnic health disparities, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  18. AI in Pathology: What could possibly go wrong?Seminars in diagnostic pathology · 2023
    Review
  19. Article
  20. Ten simple rules for unbiased teaching.PLoS computational biology · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Augustus A WhiteHarvard Medical School, Boston, MA, USA. Augustus_White@hms.harvard.edu.
Heather J LoggheAllies for Health, Reno, NV, USA.
Dan A GoodenoughHarvard Medical School, Boston, MA, USA.
Linda L BarnesBoston University School of Medicine and Boston University, Boston, MA, USA.
Anne HallwardTufts University School of Medicine, Portland, ME, USA.
Irving M AllenHarvard University Health Service, Cambridge, MA, USA.
David W GreenBrookside Community Health Center AND Brigham and Women's Hospital, Boston, MA, USA.
Edward KrupatHarvard Medical School, Boston, MA, USA.
Roxana Llerena-QuinnHarvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In response to persistently documented health disparities based on race and other demographic factors, medical schools have implemented "cultural competency" coursework. While many of these courses have focused on strategies for treating patients of different cultural backgrounds, very few have addressed the impact of the physician's own cultural background and offered methods to overcome his or her own unconscious biases. In hopes of training physicians to contextualize the impact of their own cultural background on their ability to provide optimal patient care, the authors created a 14-session course on culture, self-reflection, and medicine. After completing the course, students reported an increased awareness of their blind spots and that providing equitable care and treatment would require lifelong reflection and attention to these biases. In this article, the authors describe the formation and implementation of a novel medical school course on self-awareness and cultural identity designed to reduce unconscious bias in medicine. Finally, we discuss our observations and lessons learned after more than 10 years of experience teaching the course.

Indexed as

Attitude of Health PersonnelCurriculumHealthcare DisparitiesCultural CompetencyEducation, MedicalHumansCross-cultural literacyCultural anthropologyCultural competencyCultural humilityDiversityHealth disparitiesHealth equityIntersectionalityMedical educationMicroaggressionResiliency enhancementSelf-awarenessStereotypingUnconscious bias

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.