Elevating equity: advancing diversity and inclusivity through trialing bias reduction tools in the general internal
Dominic Mudiayi1, Farha Shariff2, Lindsay Bridgland3
1Division of General Internal Medicine, University of Alberta, Edmonton, AB, Canada. mudiayi@ualberta.ca.
BMC Medical Education
|November 5, 2024
Summary
Physician interviewers showed increased awareness of implicit bias after using bias reduction tools. The instructional video and paper awareness tool were preferred over the implicit association test for future use in candidate selection.
Area of Science:
- Medical Education
- Healthcare Bias
- Diversity in Medicine
Background:
- Medical data indicates disparities in patient outcomes for racial and gender minorities due to systemic biases.
- Enhancing representation of marginalized groups in healthcare is crucial for equitable care.
- There is a need for effective bias awareness strategies for interviewers in General Internal Medicine (GIM) program selection.
Purpose of the Study:
- To evaluate the effectiveness of bias reduction tools in increasing interviewer awareness of implicit biases.
- To assess interviewer preferences for different bias awareness strategies during GIM applicant selection.
Main Methods:
- The Model of Improvement framework guided the implementation of an instructional video, an adapted Implicit Association Test (IAT), and a Paper Awareness Tool (PAT).
- An anonymous online survey was administered to physician interviewers involved in the GIM selection process.
- Descriptive statistics and a modified sentiment analysis were used to analyze survey data.
Main Results:
- 10 out of 14 interviewers completed the survey, reporting increased awareness of their implicit biases after using the tools.
- The instructional video (71%) and PAT (67%) were associated with higher reported awareness compared to the IAT (25%).
- Interviewers supported future use of the video (71%) and PAT (67%) more than the IAT (50%).
Conclusions:
- Physician interviewers favored the instructional video and PAT over the IAT for bias awareness.
- Despite concerns about inherent interview biases, 70% of respondents believe interviews should significantly influence candidate ranking.
- A national study is recommended to develop a framework for mitigating biases in medical candidate interviews.
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