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Virtual Communication Across Differences: Development of a Workshop on Managing Patient Bias.
Monica Zewdie1, Margaret Duval2, Chang Liu3
1M. Zewdie is a medical student, University of Virginia School of Medicine, Charlottesville, Virginia.
Medical students trained in responding to patient bias and racism showed increased confidence in communication skills. This virtual curriculum is feasible, affordable, and effective for preparing future physicians.
Area of Science:
- Medical Education
- Health Equity
- Communication Skills Training
Background:
- Racial discrimination and patient bias are prevalent in healthcare.
- Few medical schools offer curricula addressing patient bias and racism.
- There is a need to equip medical students with skills to navigate these challenging interactions.
Purpose of the Study:
- To design and implement a virtual communication class for medical students.
- To train students in responding effectively to patient bias and racism.
- To assess the impact of the training on student confidence and skills.
Main Methods:
- A virtual communication class was developed focusing on patient bias and racism.
- Students participated in didactic sessions and practiced scenarios with actors.
- Motivational interviewing techniques were used to guide student responses.
- Faculty provided direct feedback on student performance.
Main Results:
- Student confidence significantly increased in exploring patient intentions (P=.026).
- Confidence improved in navigating conversations with biased patients (P=.019).
- Students showed enhanced confidence in using nonverbal empathy skills (P=.031).
- Many students reported this as their first exposure and practice opportunity.
Conclusions:
- Training medical students to respond to patient bias and racism is feasible, affordable, and effective.
- The curriculum positively impacted student confidence in handling sensitive discussions.
- Integrating such training into medical school programs is strongly encouraged.
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