关键词: Diversity equity implicit bias inclusion interactive learners perioperative trainees training unconscious bias

来  源:   DOI:10.46374/volxxvi_issue1_ehie   PDF(Pubmed)

Abstract:
UNASSIGNED: Providers\' unconscious biases reinforce health disparities through negative direct patient care and interactions with colleagues.
UNASSIGNED: We created a workshop grounded in Critical Race Theory and the importance of different intersectionalities to improve medical trainees\' self-assessment of their implicit biases in curated facilitated spaces.
UNASSIGNED: A total of 44 UCSF first-year clinical anesthesiology residents (CA-1) (95% response rate) and 23 surgery residents in their research year (77% response rate) participated in this workshop over 4 separate sessions in September 2020 and 2021. Quantitative data from a pre-/post-workshop survey was analyzed via a paired t test to evaluate our workshop\'s effectiveness. Feedback on efficacy was obtained by coding themes from our survey\'s open-ended questions.
UNASSIGNED: The workshop was evaluated positively by a total of 65 of 67 participants in the post-workshop survey. On a 5-point Likert scale, participants self-reported they agreed that their unconscious biases affect their clinical interactions from a pre-workshop mean of 3.3 (SD ± 1.32) to a post-workshop mean of 3.9 (SD ± 0.87, P = .008).
UNASSIGNED: Our findings suggest that this workshop was effective for perioperative residents and can be extrapolated to all residents by tailoring the workshop to their respective work environments.
摘要:
提供者的无意识偏见通过负面的直接患者护理和与同事的互动来加剧健康差异。
我们创建了一个以关键种族理论为基础的研讨会,以及不同交叉性的重要性,以提高医疗学员对他们在策划便利空间中的内隐偏见的自我评估。
共有44名UCSF第一年临床麻醉住院医师(CA-1)(95%的反应率)和23名手术住院医师在其研究年度(77%的反应率)参加了本次研讨会。通过配对t检验分析了研讨会前/后调查的定量数据,以评估我们研讨会的有效性。通过对我们调查的开放式问题的主题进行编码,获得了关于功效的反馈。
在研讨会后调查中,67名参与者中的65名参与者对研讨会进行了积极评价。在李克特5分的量表上,参与者自我报告,他们一致认为,他们的无意识偏差会影响他们的临床互动,从研讨会前的平均值3.3(SD±1.32)到研讨会后的平均值3.9(SD±0.87,P=.008).
我们的研究结果表明,该研讨会对围手术期居民有效,并且可以通过根据各自的工作环境定制研讨会来推断所有居民。
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