Implicit Associations and Academia - SOHM Library

Implicit Associations and Academia - SOHM Library

Unconscious Bias: What Every Hospitalist Should Know Source: The Team Vanessa Durand, DO Jorge Ganem, MD

Anika Kumar, MD Kimberly Reynolds, MD Disclosures All presenters for this workshop have

no financial relationships to disclose or Conflicts of Interest (CIO) to resolve. Objectives Define bias Define unconscious bias

Utilize Implicit Association Test as a tool to measure unconscious bias Share stories of how unconscious bias plays out in practice Small group sharing

Implicit Association Test CLAP INSECTS or Unpleasant words TAP FLOWERS or Pleasant words Wasp

Poison Tulip Enjoy Implicit Association Test CLAP INSECTS or Pleasant words TAP FLOWERS or Unpleasant

words Wasp Poison Tulip Enjoy Definitions Bias: Positive or negative evaluation of one group and its members relative to another

Expression vs. Cognitive Process Expression Direct I like men more than womenI like men more than women Indirect Sitting closer to a man than a woman at a meeting Cognitive Process

Explicit Bias Implicit Bias Biases Explicit Bias Implicit Bias

Person is aware of his/her positive or negative evaluation of a group, believes that value to be correct. Person holds a positive or negative mental attitude at an unconscious level towards a person, thing, or

group. Manifests as overt discrimination Manifestations are subtle and often unintentional.

Considered by general society to be unacceptable Not making eye contact Speaking over someone in a meeting

These associations are automatic outside of the realm of consciousness. Implicit Bias and Academia Am J Public Health, 2015 Implicit Bias and Academia JGIM, 2007 Implicit Bias and Academia

Am J Public Health, 2012 We all have biases, and although they are unconscious, it is important to work toward recognizing them so that we can work toward consciously mediating them. Personal Story Dr. Jorge Ganem Small Group Discussion

Summary Implicit Bias having bias is inherently human. It doesnt make you a Racist Bad person

Hypocrite Acknowledgments Maya Eady, MD References 1. Green, A. R., Carney, D. R., Pallin, D. J., Ngo, L. H., Raymond, K. L., Iezzoni, L. I., & Banaji, M. R. (2007). Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. Journal of general internal medicine, 22(9), 1231-1238

2. Penner, L. A., Dovidio, J. F., West, T. V., Gaertner, S. L., Albrecht, T. L., Dailey, R. K., & Markova, T. (2010). Aversive racism and medical interactions with Black patients: A field study. Journal of Experimental Social Psychology,46(2), 436-440. 3. Haider, A. H., Sexton, J., Sriram, N., Cooper, L. A., Efron, D. T., Swoboda, S., & Cornwell, E. E. (2011). Association of unconscious race and social class bias with vignette-based clinical assessments by medical students. JAMA,306(9), 942-951. 4. Pletcher, M. J., Kertesz, S. G., Kohn, M. A., & Gonzales, R. (2008). Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments. Jama, 299(1), 70-78. 5. Banaji, M. R., & Greenwald, A. G. (2013). Blindspot: Hidden biases of good people. Delacorte Press. 6. Sabin, J. A., & Greenwald, A. G. (2012). The influence of implicit bias on treatment recommendations for 4 common pediatric conditions: pain, urinary tract infection, attention deficit hyperactivity disorder, and asthma. American journal of public health, 102(5), 988-995. 7. Blair, I. V., Steiner, J. F., Fairclough, D. L., Hanratty, R., Price, D. W., Hirsh, H. K., & Havranek, E. P. (2013).

Clinicians implicit ethnic/racial bias and perceptions of care among black and Latino patients. The Annals of Family Medicine, 11(1), 43-52. 8. Greenwald, A. G., McGhee, D. E., & Schwartz, J. L. (1998). Measuring individual differences in implicit cognition: the implicit association test. Journal of personality and social psychology, 74(6), 1464. 9. Lane, K. A., Banaji, M. R., Nosek, B. A., & Greenwald, A. G. (2007). Understanding and using the implicit association test: IV. Implicit measures of attitudes, 59-102. 10. Dasgupta, N., & Greenwald, A. G. (2001). On the malleability of automatic attitudes: combating automatic prejudice with images of admired and disliked individuals. Journal of personality and social psychology, 81(5), 800. 11. Lebrecht, et al. (2009). Perceptual Other Race Training Reduces Implicit Racial Bias. PloS ONE, 4(1),

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