打破偏见习惯的研讨会对内科医学院的影响:一个多站点集群随机控制研究
Molly Carnes1, Jennifer Sheridan2, Eve Fine3
1M. Carnes is professor emeritus, Departments of Medicine, Psychiatry, and Industrial Engineering, University of Wisconsin-Madison, Madison, Wisconsin; ORCID: https://orcid.org/0000-0002-4208-0091 .
一个隐性偏见培训研讨会提高了教师意识和减少偏见的自我有效性,没有观察到任何伤害. 这种干预使学术医疗中心有能力解决不平等问题.
科学领域:
- 医学教育 医学教育
- 社会心理学 社会心理学
- 健康 公平 卫生 公平
背景情况:
- 文化刻板印象可以延续学术医学中的不平等.
- 建议进行隐性偏见培训,但对有效性和潜在危害的证据有限.
研究的目的:
- 评估学术医学教师为期3小时的隐性偏见研讨会的有效性.
- 评估研讨会对克服基于刻板印象的偏见和改善工作环境的影响.
主要方法:
- 一个多站点集群随机对照研究,涉及19个医学部门的8657名教师.
- 在线调查评估了基线和研讨会后3个月的偏见意识,行为变化和分裂气候.
主要成果:
- 干预组的教师表现出对个人偏见脆弱性,偏见减少自我有效性和采取行动减少偏见的认识增加.
- 研讨会没有影响整体气候或倦怠,但稍微改善了对尊重部门会议的看法.
结论:
- 一个单一的研讨会促进意识,并提供基于刻板印象的隐性偏见的策略,似乎是安全和有益的.
- 这种干预可以使教师能够解决和打破学术医疗中心的偏见习惯.
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