title: Residents' awareness of racial and ethnic disparities in cardiovascular care.
abstract: OBJECTIVE
  To characterize attitudes of residents toward racial/ethnic disparities in health care and to explore the effect of a simple intervention to improve awareness of these disparities.
  
  
  METHODS
  The authors surveyed residents in internal and emergency medicine rotating through the Coronary Care Unit of a major teaching hospital about their attitudes toward disparities in cardiovascular care before and after an intervention that fostered discussion of evidence for the existence of disparities, possible causes of disparities, and clinically focused approaches to quality improvement tailored to the residents' practice environment.
  
  
  RESULTS
  Before the intervention, 35% of residents agreed that racial/ethnic disparities might occur for patients within the US health care system in general, and only 7% agreed that patients they personally treated might experience racial/ethnic disparities in healthcare. These proportions increased significantly after the intervention: 85% agreement at level of US health care system and 32% at the level of individual practice (P < .001). Changes in awareness did not differ by sex, postgraduate year of training, race/ethnicity, reported prior diversity training, or plans to subspecialize.
  
  
  CONCLUSIONS
  Awareness of racial/ethnic disparities in care among residents remains low, particularly at the level of individual practice, but is amenable to intervention.
authors.forename: S Ryan
authors.initials: SR
authors.lastname: Greysen
authors.forename: Bruce
authors.initials: B
authors.lastname: Siegel
authors.forename: Vickie
authors.initials: V
authors.lastname: Sears
authors.forename: Allen
authors.initials: A
authors.lastname: Solomon
authors.forename: Karen
authors.initials: K
authors.lastname: Jones
authors.forename: Elizabeth H
authors.initials: EH
authors.lastname: Bradley