When best intentions aren't enough: helping medical students develop strategies for managing bias about patients.
OBJECTIVE
Implicit bias can impact physician-patient interactions, alter treatment recommendations, and perpetuate health disparities. Medical educators need methods for raising student awareness about the impact of bias on medical care.


METHODS
Seventy-two third-year medical student volunteers participated in facilitated small group discussions about bias.


METHODS
We tested an educational intervention to promote group-based reflection among medical students about implicit bias.


RESULTS
We assessed how the reflective discussion influenced students' identification of strategies for identifying and managing their potential biases regarding patients. 67% of the students (n = 48) identified alternate strategies at post-session. A chi-square analysis demonstrated that the distribution of these strategies changed significantly from pre-session to post-session (chi(2)(11) = 27.93, p < 0.01), including reductions in the use of internal feedback and humanism and corresponding increases in the use of reflection, debriefing and other strategies.


CONCLUSIONS
Group-based reflection sessions, with a provocative trigger to foster engagement, may be effective educational tools for fostering shifts in student reflection about bias in encounters and willingness to discuss potential biases with colleagues, with implications for reducing health disparities.
Teal
Cayla R
CR
Houston VA HSR&D Center of Excellence, Michael E. DeBakey VA Medical Center, Houston, TX, USA. cteal@bcm.edu
Shada
Rachel E
RE
Gill
Anne C
AC
Thompson
Britta M
BM
Frugé
Ernest
E
Villarreal
Graciela B
GB
Haidet
Paul
P
D001291:Attitude of Health Personnel / Q000208:ethnology*; D054521:Cultural Competency / Q000523:psychology*; D054625:Healthcare Disparities; D006801:Humans; D033182:Intention; D011287:Prejudice; D013337:Students, Medical / Q000523:psychology*