Why Bias Matters in Medicine: Qualitative Insights from Anonymous, Online Reports

Cerdeña, Jessica P.; Rehman, Tehreem

doi:10.1016/j.jnma.2019.10.004

Cited by 6 publications

(5 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Table 1, we feature anonymous narratives from minoritized and otherwise oppressed trainees-provided voluntarily on request and included here with permission-that offer examples of how perceived lapses in professionalism may impact trainee careers and obfuscate student strengths with respect to patient-centered competencies. 25 We argue that "professionalism" serves as an intentionally opaque catchall to hinder access to the advantages afforded through medical training and group membership. 26 In that same study of professionalism lapses among medical trainees, remediation efforts rarely targeted relationships with patients, 24 suggesting prioritization of informal "backstage" and "offstage" socialization into the medical profession, rather than "onstage" patient-and community-oriented conduct.…”

Section: Professionalism As Policingmentioning

confidence: 96%

Resculpting Professionalism for Equity and Accountability

et al. 2022

View full text Add to dashboard Cite

Recent controversies over the characteristics of "professionalism" and its enforcement by medical educators underscore the racialized and gendered norms implicit in this practice. In this essay, we describe the ways nebulous definitions of "professionalism" imbue White, cisgender, straight, and able-bodied standards to police the boundaries of belonging in medicine. As such, marginalized trainees remain unfinished sculptures, forced to chisel away dimensions of experience and expression to conform to "professional" standards. We seek to resculpt professionalism in a way that centers patients and trainees currently at the margins. This will strengthen the increasingly diverse workforce and ensure that they can effectively address the needs of patients often excluded from quality care.

show abstract

Section: Professionalism As Policingmentioning

confidence: 96%

Resculpting Professionalism for Equity and Accountability

et al. 2022

View full text Add to dashboard Cite

show abstract

“…8,9,18 Reasons for this underrepresentation have been attributed to structural racism, gender and implicit bias, promotion disparities, funding disparities, lack of mentorship, diversity pressures, and lack of UIMs in leadership positions. [10][11][12][13][14] Nationally, racial differences in clinical outcomes are well established and expected to worsen, and it will probably take a more diverse biomedical workforce to help overcome these disparities. 15 Although African Americans, Latinx, Indigenous Americans (including Indigenous Alaskans and Indigenous Hawaiians), and mainland Puerto Ricans are more likely to perform health disparities research, 15 they are traditionally underrepresented in the biomedical workforce relative to their numbers in the general population.…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Career Development Program for Underrepresented in Medicine Scholars in Academic Neurology

et al. 2021

View full text Add to dashboard Cite

Background:The Training in Research for Academic Neurologists to Sustain Careers and Enhance the Numbers of Diverse Scholars (TRANSCENDS) program is a career advancement opportunity for individuals underrepresented in biomedical research, funded by the National Institute and Neurological Disorders and Stroke; and American Academy of Neurology (AAN).Objective:To report on qualitative and quantitative outcomes in TRANSCENDS.Design:Early career individuals (neurology fellows and junior faculty) from groups underrepresented in medicine were competitively selected from a national pool of applicants (2016-2019). TRANSCENDS activities comprised an online Clinical Research degree program, monthly webinars, AAN meeting activities, and mentoring. Participants were surveyed during and after completion of TRANSCENDS to evaluate program components.Outcomes:Of 23 accepted scholars (comprising four successive cohorts), 56% were women; 61% Hispanic/Latinx, 30% Black/African American, 30% assistant professors. To date, 48% have graduated the TRANSCENDS program and participants have published 180 peer-reviewed articles. Mentees' feedback noted that professional skills development (i.e., manuscript and grant writing), networking opportunities, and mentoring were the most beneficial elements of the program. Stated opportunities for improvement included: incorporating a mentor-the-mentor workshop, providing more transitional support for mentees in the next stage of their careers, and requiring mentees to provide quarterly reports.Conclusions:TRANSCENDS is a feasible program for supporting underrepresented in medicine neurologists towards careers in research and faculty academic appointments attained thus far have been sustained. While longer term outcomes and process enhancements are warranted, programs like this may help increase the numbers of diverse academic neurologists, and further drive neurological innovation.

show abstract

“…18,46,47 Reasons for this underrepresentation may include implicit biases, funding disparities, lack of mentorship, and lack of UIMs in leadership positions. [48][49][50][51][52][53] Diverse teams tend to be more creative than homogeneous teams because of the richness of varying approaches and experiences. Beyond the potential benefits of a more diverse health care workforce is the notion that at least in the United States, its national population demographics will change dramatically in the next 50 years to be more racially and ethnically heterogeneous.…”

Section: Developing Stroke Disparities Researchers In the United Statesmentioning

confidence: 99%

The 2021 William Feinberg Award Lecture Seeking Glocal Solutions to Cerebrovascular Health Inequities

Ovbiagele

2022

Stroke

View full text Add to dashboard Cite

Global and local (“glocal”) disparities in stroke incidence, prevalence, care, and mortality are persistent, pervasive, and progressive. In particular, the disproportionate burden of stroke in people of African ancestry compared to most other racial/ethnic groups around the world has been long standing, is expected to worsen, and so far, has defied solution, largely because conventional risk factors likely account for less than half of the Black versus White disparity in stroke outcomes. While hypotheses such as a differential impact or inadequate evaluation of traditional risk factors by race have been suggested as potentially key factors contributing to lingering racial/ethnic stroke disparities, relatively understudied novel risk factors such as psychosocial stress, environmental pollution, and inflammation; and influences of the social determinants of health are gaining the most attention (and momentum). Moreover, it is increasingly recognized that while there is a lot still to understand, there needs to be a major shift from incessantly studying the problem, to developing interventions to resolve it. Resolution will likely require targeting multilevel factors, considering contemporaneous cross-national and cross-continental data collection, creating scalable care delivery models, jointly addressing care quality and community drivers of stroke occurrence, incorporating policy makers in planning/dissemination of successful interventions, and investing in robust transdisciplinary research training programs that address the interrelated issues of health equity and workforce diversity, and regional capacity building. To this end, our international multidisciplinary team has been involved in conducting several epidemiological studies and clinical trials in the area of stroke disparities, as well as executing career enhancing research training programs in the United States and Africa. This award lecture paper shares some of the lessons we have learnt from previous studies, presents objectives/design of ongoing initiatives, and discusses plans for the future.

show abstract

Why Bias Matters in Medicine: Qualitative Insights from Anonymous, Online Reports

Cited by 6 publications

References 41 publications

Resculpting Professionalism for Equity and Accountability

Resculpting Professionalism for Equity and Accountability

Career Development Program for Underrepresented in Medicine Scholars in Academic Neurology

The 2021 William Feinberg Award Lecture Seeking Glocal Solutions to Cerebrovascular Health Inequities

Contact Info

Product

Resources

About