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The Sick Bias
1Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale New Haven Hospital, New Haven, CT, USA.
The Yale Journal of Biology and Medicine
|October 4, 2021
Summary
Trainees experienced patient evaluation challenges during the COVID-19 pandemic. A "sick bias" approach, prioritizing assessment of sickness, is crucial, but provider biases can worsen health inequities.
Area of Science:
- Medical Education
- Patient Care
- Health Equity
Background:
- The COVID-19 pandemic presented unique challenges for medical trainees.
- Initial patient evaluations significantly impact patient outcomes.
- Provider biases can influence clinical decision-making.
Purpose of the Study:
- To share a trainee's perspective on patient evaluations during the COVID-19 pandemic.
- To highlight the importance of a
- sick bias
- approach in patient triage.
- To examine how provider biases affect health inequities.
Main Methods:
- Perspective piece based on trainee experience.
- Analysis of initial patient evaluation processes.
- Discussion of the
- sick bias
- concept.
Main Results:
- Trainees encountered difficulties in initial patient assessments during the pandemic.
- A
- sick bias
- approach is valuable for effective patient triage.
- Provider biases, both explicit and implicit, can exacerbate health disparities.
Conclusions:
- Adopting a
- sick bias
- mindset is essential for trainees.
- Addressing provider biases is critical to mitigating health inequities in patient care.
- Trainee experiences offer insights into improving clinical practice.
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