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Medical students reflected on explicit bias toward patients experiencing obesity, smoking, or low socioeconomic status. This analysis highlights the need for faculty training and curriculum development to foster cultural humility and empathy in patient care.

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Area of Science:

  • Medical Education
  • Social Sciences in Medicine
  • Healthcare Disparities

Background:

  • Explicit bias in patient-doctor relationships can negatively impact care.
  • Fourth-year medical students' perspectives on bias are crucial for understanding and addressing these issues.
  • The
  • Self and Culture
  • online elective provided a platform for students to explore their biases.

Purpose of the Study:

  • To analyze themes of explicit bias in patient-doctor interactions expressed by medical students.
  • To identify the impact of these biases on the patient-doctor relationship and patient experience.
  • To explore strategies for mitigating bias and promoting positive patient care.

Main Methods:

  • Thematic analysis of 283 student reflections (849 entries) from 2013-2016.
  • Analysis focused on identifying explicit biases and their impact on patient care.
  • Examination of language used to attribute bias (external vs. internal).

Main Results:

  • Common themes of explicit bias included patients with obesity, smokers, and those from low socioeconomic backgrounds.
  • Bias negatively affected patient-doctor relationships, trust, treatment, and overall patient experience.
  • Students identified strategies for positive impact, including patient partnership and education, and noted external attribution of bias.

Conclusions:

  • Reflection on explicit bias promotes personal insight among medical students.
  • Faculty training is essential for facilitating crucial conversations about bias and its impact.
  • Curriculum development should prioritize experiences with marginalized populations to cultivate cultural humility and empathy.