Evidence map›Paper›PMID 32889927›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2020

It Can Be Done! A Skills-Based Elective in Implicit Bias Recognition and Management for Preclinical Medical Students.

Cristina M Gonzalez, Sydney A Walker, Natalia Rodriguez, Elisa Karp, Paul R Marantz

Registry-linked trialAbstract read
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05165888 (Targeting Bias to Reduce Disparities in End of Life Care), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

NCT05165888 nacompletednot on this mapstarted 2022, after this paper: background citation

Targeting Bias to Reduce Disparities in End of Life Care: Clinician Communication Behavior in Simulated Patient Encounters Study

TypeinterventionalSponsorMontefiore Medical CenterRan2022 to 2024Enrolled22ConditionsTerminal Illness, Critical IllnessArmsCommunication and Bias Mitigation Training, Communication skills training
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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  6. Review
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  11. Flipping the hidden curriculum to transform pain education and culture.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Article
  12. Review
  13. Review
  14. Battling Bias in Primary Care Encounters: Informatics Designs to Support Clinicians.Extended abstracts on Human factors in computing systems. CHI Conference · 2022
    Article
  15. Article
  16. Implicit Bias Recognition and Management: Tailored Instruction for Faculty.Journal of the National Medical Association · 2021
    Article
  17. Article
  18. Review
  19. Article
  20. 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

5 authors.

Cristina M GonzalezC.M. Gonzalez is professor of medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York.
Sydney A WalkerS.A. Walker is a medical student, Oregon Health and Sciences University School of Medicine, Portland, Oregon.
Natalia RodriguezN. Rodriguez is a medical student, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Elisa KarpE. Karp is a resident at Jacobi Medical Center, Bronx, New York.
Paul R MarantzP.R. Marantz is associate dean, Clinical Research Education, and professor, Department of Medicine and Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.

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
Institutional Career Development CoreKL2TR002558 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MARANTZ, PAUL R · 2018 to 2022
$2.7M
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
NRSA Training CoreTL1TR002557 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MARANTZ, PAUL R · 2018 to 2022
$1.0M
Does Implicit Bias Influence Medical Decision-Making? Developing and Validating Novel Models and Outcome MetricsK23MD014178 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GONZALEZ, CRISTINA M · 2019 to 2023
$853k
AHRQ HHS R25 HS023199NCATS NIH HHS KL2 TR002558NCATS NIH HHS TL1 TR002557NCATS NIH HHS UL1 TR002556NIMHD NIH HHS K23 MD014178
6 · The paper itself

Abstract

purposeStudents perceive bias in learning environments. Curricula targeting implicit bias recognition and management increase student awareness and achieve strategy identification, but fall short of actual skill development to address bias. In light of this gap, the authors developed and evaluated a skills-based elective to recognize and manage implicit bias in the learning environment.

methodNine 1.5-hour sessions were delivered to 15 first-year medical students from 2017 to 2019. An evidence-based conceptual framework and transformative learning theory informed the instructional design; it incorporated active learning exercises. Skills assessment occurred through direct observation of student performances in role-play exercises. Using thematic analysis, the authors conducted a program evaluation based on focus groups with students and data from notes taken by the investigative team.

resultsStudents engaged with all aspects of instruction, including role-plays. Authors identified 3 themes from the program evaluation: (1) Student engagement can be enhanced, (2) Instruction is empowering, and (3) It (addressing bias in one's own and witnessed encounters) can be done! Analysis additionally highlighted opportunities for improvement and lessons learned.

conclusionsThis innovative course achieved skill development and practice for medical students in implicit bias recognition and management as it pertains to 3 facets of clinical care present at every stage of a health professional's career. These include interpersonal encounters, advocating for patients when bias is perceived in witnessed encounters with peers and supervisors, and addressing comments made by others within the learning environment. Outcomes could inform novel, skills-based curricula across the spectrum of health professions training and practice.

Indexed as

Clinical CompetenceCurriculumEducation, Medical, UndergraduateFocus GroupsHumansNew York CityPrejudiceQualitative ResearchStudents, Medical

Identifiers

PMID32889927
PMCPMC7686093

What OpenQuestion holds

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Registered trials

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.