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It Can Be Done! A Skills-Based Elective in Implicit Bias Recognition and Management for Preclinical Medical Students
- Source :
- Acad Med
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- Purpose Students perceive bias in learning environments. Curricula targeting implicit bias recognition and management increase student awareness and achieve strategy identification, but fall short of actual skill development to address bias. In light of this gap, the authors developed and evaluated a skills-based elective to recognize and manage implicit bias in the learning environment. Method Nine 1.5-hour sessions were delivered to 15 first-year medical students from 2017 to 2019. An evidence-based conceptual framework and transformative learning theory informed the instructional design; it incorporated active learning exercises. Skills assessment occurred through direct observation of student performances in role-play exercises. Using thematic analysis, the authors conducted a program evaluation based on focus groups with students and data from notes taken by the investigative team. Results Students engaged with all aspects of instruction, including role-plays. Authors identified 3 themes from the program evaluation: (1) Student engagement can be enhanced, (2) Instruction is empowering, and (3) It (addressing bias in one's own and witnessed encounters) can be done! Analysis additionally highlighted opportunities for improvement and lessons learned. Conclusions This innovative course achieved skill development and practice for medical students in implicit bias recognition and management as it pertains to 3 facets of clinical care present at every stage of a health professional's career. These include interpersonal encounters, advocating for patients when bias is perceived in witnessed encounters with peers and supervisors, and addressing comments made by others within the learning environment. Outcomes could inform novel, skills-based curricula across the spectrum of health professions training and practice.
- Subjects :
- Program evaluation
Students, Medical
020205 medical informatics
Student engagement
02 engineering and technology
Interpersonal communication
Article
Education
03 medical and health sciences
0302 clinical medicine
0202 electrical engineering, electronic engineering, information engineering
Humans
030212 general & internal medicine
Qualitative Research
Medical education
Instructional design
Learning environment
General Medicine
Focus Groups
Transformative learning
Active learning
New York City
Clinical Competence
Curriculum
Thematic analysis
Psychology
Prejudice
Education, Medical, Undergraduate
Subjects
Details
- ISSN :
- 10402446
- Volume :
- 95
- Database :
- OpenAIRE
- Journal :
- Academic Medicine
- Accession number :
- edsair.doi.dedup.....fd78b3d4cf03c9e9c2f1593770e8d46d