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Cognitive bias results from limitations in thinking and information processing, leading to systematic errors in judgment. Conversely, motivational bias stems from personal desires or emotions, causing distortions in perception to align with self-interest. Motivational bias influences how individuals perceive and attribute causes to events, often shaped by personal needs, goals, and self-esteem preservation. This bias can distort judgment, leading to inaccurate assessments of success, failure,...
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Hindsight bias leads you to believe that the event you just experienced was predictable, even though it really wasn’t. In other words, you knew all along that things would turn out the way they did. Can you relate this to the phrase "Hindsight is 20/20" now? 
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Down to the Last Dollar: Utilizing a Virtual Budgeting Exercise to Recognize Implicit Bias.

Christin Traba1, Aditi Jain2, Kimberly Pianucci3

  • 1Assistant Professor, Department of Pediatrics, Rutgers New Jersey Medical School.

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Summary

Medical students used a budgeting exercise to understand poverty's health impacts and reflect on biases. This simulation effectively raised awareness of social determinants of health.

Keywords:
BiasCase-Based LearningDiversityFood InsecuritiesHealth EquityInclusionOnline/Distance LearningPovertySocial Determinants of HealthVirtual Learning

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Area of Science:

  • Medical Education
  • Social Determinants of Health
  • Implicit Bias

Background:

  • Social determinants of health and implicit bias are crucial in medical education.
  • Didactic methods alone are insufficient for teaching these concepts.
  • Novel approaches are needed to illustrate the impact of poverty on health.

Purpose of the Study:

  • To develop and evaluate a small-group budgeting exercise for medical students.
  • To simulate the impact of poverty and food insecurity on family health.
  • To facilitate reflection on implicit biases related to patients experiencing poverty.

Main Methods:

  • A virtual, interactive budgeting exercise was conducted with third-year pediatric clerkship students.
  • Students managed a simulated budget for a single parent facing poverty.
  • Small-group discussions and faculty-led debriefings facilitated reflection on encountered biases.

Main Results:

  • 75 students completed the exercise; 61 finished the post-evaluation survey.
  • 94%-98% of students reported that the exercise met its objectives.
  • 98% of students felt the discussion increased their awareness of biases; 95% found the virtual format easy to use.

Conclusions:

  • The simulated budgeting exercise offers a cost-effective, engaging virtual learning experience for medical students.
  • It can be implemented at preclerkship or clerkship levels.
  • The activity promotes reflection on biases and enhances understanding of poverty's health implications.