Background Physicians’ behavior may unknowingly be impacted by prejudice and thereby contribute to healthcare inequities, so it is imperative that physicians learn to recognize and minimize implicit bias. Despite increasingly robust data demonstrating physician implicit bias,1,2 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 into 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 resources available (53%). Half of the interventions discussed facilitator preparation, and the majority (62%) evaluated outcomes using pre and post self-assessments. Conclusions Medical educational interventions should be based on robust data and theory. This review provides a comprehensive synthesis of the literature on physician implicit bias curricula, which can support medical educators by serving as a platform for data, recommendations, and examples of implicit bias training. With more effective and evidence-based implicit bias programs, physicians can help diminish healthcare inequities.
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