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Microaggressions and Implicit Bias in Hand Surgery.

Kashyap Komarraju Tadisina1, Kelly Bettina Currie1

  • 1Department of Surgery, Division of Plastic and Reconstructive Surgery, Washington University in St. Louis School of Medicine, 660 South Euclid Avenue, St Louis, MO 63110, USA.

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Summary
This summary is machine-generated.

Implicit bias and microaggressions negatively impact healthcare disparities, affecting patient-surgeon and professional interactions within Hand Surgery. Addressing these biases is crucial for promoting equity and inclusivity in the field.

Keywords:
Academic surgeryHand surgeryImplicit biasIntersectionalityMicroaggressionSurgery

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Area of Science:

  • Medical Education
  • Health Equity
  • Surgical Specialties

Background:

  • Implicit bias and microaggressions are recognized contributors to health care disparities.
  • These biases manifest in various interactions within Hand Surgery, including patient-surgeon, peer, staff, and training environments.
  • While racial and gender biases are studied, other factors like age, sexual orientation, socioeconomic status, and rank also contribute.

Purpose of the Study:

  • To examine the presence and impact of implicit bias and microaggressions within the field of Hand Surgery.
  • To highlight how these biases contribute to disparities in trainee, physician, and leadership demographics.
  • To underscore the need for cultural change and actionable strategies beyond awareness.

Main Methods:

  • Literature review and synthesis of existing research on implicit bias and microaggressions in medicine and academia.
  • Analysis of documented evidence within Hand Surgery concerning demographic disparities.
  • Qualitative assessment of interaction types where bias and microaggressions occur.

Main Results:

  • Implicit bias and microaggressions are prevalent in Hand Surgery interactions.
  • These biases contribute to documented disparities in the demographics of trainees, physicians, and leaders.
  • Evidence suggests biases extend beyond race and gender to include age, sexual orientation, socioeconomic background, and rank.

Conclusions:

  • Awareness of implicit bias and microaggressions is the first step toward combating them.
  • Systemic actions are necessary to mitigate the negative effects of bias and microaggressions.
  • A cultural shift is required to foster a more equitable and inclusive environment in Hand Surgery.