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Published on: February 16, 2011
Implicit Bias in Health Professions: From Recognition to Transformation
Javeed Sukhera1, Christopher J Watling, Cristina M Gonzalez
1J. Sukhera is associate professor of psychiatry and pediatrics and scientist, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; ORCID: http://orcid.org/0000-0001-8146-4947. C.J. Watling is professor of clinical neurological sciences and oncology and associate dean for postgraduate medical education, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. C.M. Gonzalez is associate professor of medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York. At the time of writing, she was also a scholar, Macy Faculty Scholars Program, Josiah Macy Jr. Foundation, and Amos Medical Faculty Development Program, Robert Wood Johnson Foundation.
Implicit bias training in health professions can be enhanced using transformative learning theory (TLT). This approach reframes implicit bias education as a tool for social justice and advancing health equity.
Area of Science:
- Health Professions Education
- Social Justice in Healthcare
- Bias in Medicine
Background:
- Implicit bias recognition and management curricula are increasingly used to address health disparities and promote equity.
- Current approaches to implicit bias instruction vary, yielding mixed results and facing challenges like assessment difficulties and learner resistance.
- The concept of implicit bias is relatively new and has generated controversy.
Purpose of the Study:
- To reframe implicit bias recognition and management curricula as transformative learning experiences.
- To propose Transformative Learning Theory (TLT) as a framework for designing and implementing implicit bias education in health professions.
- To position implicit bias curricula as a means to advance social justice within clinical settings.
Main Methods:
- Conceptual reframing of implicit bias curricula through the lens of Transformative Learning Theory (TLT).
- Application of TLT principles to guide the development of educational strategies for recognizing and managing implicit bias.
- Analysis of existing literature on implicit bias education, its challenges, and its potential for fostering critical consciousness.
Main Results:
- Implicit bias curricula, when viewed through TLT, can foster critical consciousness in individuals and clinical learning environments.
- TLT provides a theoretical foundation for developing more effective and impactful implicit bias educational strategies.
- Reframing implicit bias education as transformative learning highlights its role in promoting social justice.
Conclusions:
- Transformative Learning Theory offers a valuable framework for enhancing implicit bias recognition and management curricula in health professions.
- Effective implicit bias education, guided by TLT, has the potential to address health disparities and advance equity.
- Viewing implicit bias education through the lens of social justice and transformative learning can lead to more profound and lasting change.
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