Evidence map›Paper›PMID 33782894›Full record

ArticleJournal of general internal medicine2021

"This happens all the time": a Qualitative Study of General Internists' Experiences with Discriminatory Patients.

Amarette Filut, Lacey Alexander, Alexis Ray, Kristen Pecanac, Molly Carnes

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Physician Experience of Discrimination in a Leadership and Well-Being Program.Journal of the American Board of Family Medicine : JABFM · 2025
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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 at 1 institution in 1 country.

Amarette FilutCenter for Women's Health Research, University of Wisconsin-Madison, Madison, WI, USA.
Lacey AlexanderCenter for Women's Health Research, University of Wisconsin-Madison, Madison, WI, USA.
Alexis RaySchool of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Kristen PecanacDepartments of Medicine, Psychiatry, and Industrial Engineering, University of Wisconsin-Madison, Madison, WI, USA. lund2@wisc.edu.
Molly CarnesCenter for Women's Health Research, University of Wisconsin-Madison, Madison, WI, USA. mlcarnes@wisc.edu.ORCID http://orcid.org/0000-0002-4208-0091
University of Wisconsin–Madison · US

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
NRSA Training CoreTL1TR002375 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI Vivek Prabhakaran · 2017 to 2026
$8.4M
Maximizing Investigator's Research Award: Diversifying the Scientific WorkforceR35GM122557 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI CARNES, MOLLY L. · 2017 to 2021
$1.7M
Institutional Clinical and Translational Science AwardTL1TR000429 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$1.5M
NCATS NIH HHS TL1 TR000429NCATS NIH HHS TL1 TR002375NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1 TR002373NIGMS NIH HHS R35 GM122557NIGMS NIH HHS R35GM122557NIH HHS TL1TR000429NIH HHS TL1TR002375NIH HHS UL1TR000427
6 · The paper itself

Abstract

backgroundWorkplace discrimination negatively affects physicians of color personally and professionally. Although the occurrence of discrimination from patients has been visible in social media, popular press, and personal essays, scant research exists on patients as a source of discrimination directed at physicians of color.

objectiveTo explore practicing general internists' experiences observing or interacting with patients exhibiting discriminatory behavior directed at physicians of color.

designA qualitative study with in-depth, semi-structured, one-on-one telephone interviews conducted and recorded between May and September 2019.

participantsA purposive sample of 24 general internists practicing at 12 academic health centers in the USA: 14 self-identified as White and 10 as a physician of color, which included Asian, Black, Native American, and self-identified other race. APPROACH: Four coders analyzed the transcribed and verified interview text; thematic analysis was used to inductively identify cohesive themes and subthemes. KEY

resultsAnalyses revealed four major themes: (1) assumption that a legitimate doctor is White, male, and able-bodied; (2) legacy of the Black experience; (3) working through the struggle of discrimination; and (4) ethical dilemma of providing care to discriminatory patients. In addition to discrimination from patients based on a physician's race or ethnicity, participants described experiencing or observing discrimination based on a physician's gender and disability status. Participants generally expressed a need for greater support from colleagues and more guidance from institutional policies.

conclusionsGeneral internists practicing in academic settings reported observing or experiencing discrimination from patients based on the physician's race, ethnicity, gender (or their intersection), and disability status and the ethical dilemma of providing care to such patients. These results contribute to growing evidence of the need for institutions to better support an increasingly diverse physician workforce with policies and specific guidance to help physicians respond to discrimination from patients while still providing quality care.

Indexed as

PhysiciansHumansMaleMinority GroupsQualitative ResearchWhite PeopleWorkplaceacademic medicinediscriminationphysician-patient interactionqualitative research

Identifiers

PMID33782894
PMCPMC8007052
OpenAlexW3145745468

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.