Confronting implicit bias toward patients: a scoping review of post-graduate physician curricula

作者：Sonya Gleicher, Morgen A. Chalmiers, B. Aiyanyor, Romi Jain, Nikhil V. Kotha, Kevin R. Scott, Rosemary Song, Jane M. Tram, Caresse Vuong, Jennifer C. Kesselheim · 发表于：BMC Medical Education · 年份：2022 · DOI：10.1186/s12909-022-03720-0 · 被引用次数：21 · 研究领域：Diversity and Career in Medicine、Racial and Ethnic Identity Research、Cultural Competency in Health Care

BACKGROUND: Physicians' behavior may unknowingly be impacted by prejudice and thereby contribute to healthcare inequities. Despite increasingly robust data demonstrating physician implicit bias (The Office of Minority Health. Minority Population Profiles, 2021; COVID-19 Shines Light on Health Disparities, National Conference of State Legislatures 2021), the evidence behind how to change this with training programs remains unclear. This scoping review therefore reports on the implementation, outcomes, and characteristics of post-graduate physician implicit bias curricula. METHODS: The authors conducted a literature review using scoping review methodology. They searched 7 databases in February and November 2020 for English-language academic and gray literature on implicit bias curricula for physicians at all levels of post-graduate training. Ten reviewers screened studies for eligibility independently, then extracted data from these studies and compiled it into a chart and analytical summary. RESULTS: Of the 4,599 articles screened, this review identified 90 articles on implicit bias interventions for post-graduate physicians. Inductive data analysis revealed a spectrum of educational approaches, which were categorized int o 4 educational models called Competence, Skills-Based, Social Contact, and Critical Models. The most commonly reported strength was the interactive nature of the curricula (26%), and the most frequently identified challenges were related to time and resource...