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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
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Using artistic-narrative to stimulate reflection on physician bias.
Paula T Ross1, Monica L Lypson
1a Office of Medical Student Education , University of Michigan Medical School , Ann Arbor , Michigan , USA.
Teaching and Learning in Medicine
|October 16, 2014
Summary
Medical students gained self-awareness of physician bias by reflecting on an artistic-narrative about sickle cell disease. This approach fostered empathy and recognized how bias contributes to healthcare disparities.
Area of Science:
- Medical Education
- Healthcare Disparities
- Physician Bias
Background:
- Physician bias significantly impacts patient care and health outcomes.
- Limited research exists on methods to enhance physician self-awareness regarding bias and stereotypes.
- Addressing physician bias is crucial for equitable healthcare delivery.
Purpose of the Study:
- To explore how second-year medical students reflected on an artistic-narrative presentation.
- To investigate student perceptions of culture and patient-provider relationships in healthcare.
- To understand the impact of narrative and art on medical student awareness of bias.
Main Methods:
- Qualitative interpretive thematic content analysis of 75 student essays.
- Essays were selected from 320 second-year medical student reflections on an artistic-narrative.
- Analysis focused on students' perceptions of culture and the patient-provider relationship.
Main Results:
- Students acknowledged physician bias in pain management.
- The exercise fostered empathetic views toward patients as individuals.
- Students recognized how biased beliefs contribute to healthcare disparities.
Conclusions:
- Integrating art, narrative, and reflection enhances medical students' self-awareness of bias.
- This pedagogical approach helps students identify how assumptions influence patient care.
- Findings suggest a pathway to mitigate bias and improve patient outcomes.
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