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Decreasing Ageism Bias Through an Interprofessional Clinical Simulation Experience.

Melissa Gilroy1,2,3,4,5,6,7, Stephen Carp1,2,3,4,5,6,7, Sean Griech1,2,3,4,5,6,7

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Summary

Ageism is prevalent in healthcare students, influencing discharge decisions. A clinical simulation with interprofessional education effectively reduced this bias, improving clinical judgment among physician assistant and physical therapy students.

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Area of Science:

  • Medical Education
  • Gerontology
  • Healthcare Bias

Background:

  • Ageism is a concern within healthcare education.
  • Investigating the prevalence of ageism among health sciences students is crucial.

Purpose of the Study:

  • To determine if ageism exists in healthcare students.
  • To evaluate the effectiveness of interprofessional education (IPE) with standardized patients in mitigating ageism.

Main Methods:

  • A nonequivalent, mixed-methods, pretest-post-test design was employed.
  • Ninety-one healthcare students participated.
  • Ageism instruments, discharge recommendations, and debriefing assessments were utilized.

Main Results:

  • Prevalence of ageism was observed in 80% of students favoring younger patients.
  • The intervention significantly reduced age bias (P < .001).
  • Discharge decisions shifted from age-based to clinical and patient-centered rationale.

Conclusions:

  • Implicit ageism is prevalent in physician assistant and physical therapy students, affecting discharge planning.
  • IPE utilizing clinical simulation and standardized patients is an effective strategy for bias mitigation.