Evidence map›Paper›PMID 30993612›Full record

ArticleJournal of general internal medicine2019

A Qualitative Study of New York Medical Student Views on Implicit Bias Instruction: Implications for Curriculum Development.

Cristina M Gonzalez, Maria L Deno, Emily Kintzer, Paul R Marantz, Monica L Lypson, Melissa D McKee

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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

24 citing papers in PubMed.

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  14. Implicit Bias Recognition and Management: Tailored Instruction for Faculty.Journal of the National Medical Association · 2021
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  16. Article
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  20. It Can Be Done! A Skills-Based Elective in Implicit Bias Recognition and Management for Preclinical Medical Students.Academic medicine : journal of the Association of American Medical Colleges · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Cristina M GonzalezAlbert Einstein College of Medicine, Bronx, NY, USA. crgonzal@montefiore.org.
Maria L DenoLa Universidad Iberoamericana, Santo Domingo, Dominican Republic.
Emily KintzerMontefiore Medical Center-Weiler Division, 1825 Eastchester Road, DOM 2-76, Bronx, NY, 10461, USA.
Paul R MarantzAlbert Einstein College of Medicine, Bronx, NY, USA.
Monica L LypsonOffice of Academic Affiliations, Veterans Administration, Washington, D.C., USA.
Melissa D McKeeAlbert Einstein College of Medicine, Bronx, NY, USA.

Funding

CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Education and training program in patient-centered outcomes researchR25HS023199 · AHRQ · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MARANTZ, PAUL R · 2014 to 2018
$2.5M
Strengthening Behavioral & Social Science in Medical School Education (R25)R25HD068835 · NICHD · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI GRUPPUSO, PHILIP A., JOO, PABLO · 2011 to 2015
$1.1M
Clinical and Translational Science AwardKL2TR001071 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHAMOON, HARRY · 2013 to 2017
$968k
Clinical and Translational Science AwardTL1TR001072 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHAMOON, HARRY · 2013 to 2017
$909k
AHRQ HHS R25 HS023199NCATS NIH HHS KL2 TR001071NCATS NIH HHS TL1 TR001072NCATS NIH HHS UL1 TR001073NCATS NIH HHS UL1 TR002556NICHD NIH HHS R25 HD068835
6 · The paper itself

Abstract

backgroundFor at least the past two decades, medical educators have worked to improve patient communication and health care delivery to diverse patient populations; despite efforts, patients continue to report prejudice and bias during their clinical encounters. Targeted instruction in implicit bias recognition and management may promote the delivery of equitable care, but students at times resist this instruction. Little guidance exists to overcome this resistance and to engage students in implicit bias instruction; instruction over time could lead to eventual skill development that is necessary to mitigate the influence of implicit bias on clinical practice behaviors.

objectiveTo explore student perceptions of challenges and opportunities when participating in implicit bias instruction. APPROACH: We conducted a qualitative study that involved 11 focus groups with medical students across each of the four class years to explore their perceptions of challenges and opportunities related to participating in such instruction. We analyzed transcripts for themes. KEY

resultsOur analysis suggests a range of attitudes toward implicit bias instruction and identifies contextual factors that may influence these attitudes. The themes were (1) resistance; (2) shame; (3) the negative role of the hidden curriculum; and (4) structural barriers to student engagement. Students expressed resistance to implicit bias instruction; some of these attitudes are fueled from concerns of anticipated shame within the learning environment. Participants also indicated that student engagement in implicit bias instruction was influenced by the hidden curriculum and structural barriers.

conclusionsThese insights can inform future curriculum development efforts. Considerations related to instructional design and programmatic decision-making are highlighted. These considerations for implicit bias instruction may provide useful frameworks for educators looking for opportunities to minimize student resistance and maximize engagement in multi-session instruction in implicit bias recognition and management.

Indexed as

Attitude of Health PersonnelBiasCurriculumAdultEducation, MedicalFemaleFocus GroupsHumansMaleNew YorkQualitative ResearchStudents, MedicalYoung Adultcurriculum developmenthealth disparitiesimplicit biasmedical educationunconscious bias

Identifiers

PMID30993612
PMCPMC6502892

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.