实施旨在减轻偏见的首席居民选择流程:吸取教训
Rachel J Katz-Sidlow1, Kirsten L Roberts1, Dacone A Elliott1
1Pediatrics, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, USA.
Cureus
|December 4, 2023
概括
实施一个包容性的首席居民选择过程减轻了偏见,并得到了居民和教师的好评. 这种方法增强了学术医学领导层的多样性.
科学领域:
- 医学教育 医学教育
- 医疗保健领导力 医疗保健领导力
- 多样性和包容性的多样性和包容性
背景情况:
- 主治医院的选择过程可能是不透明和有偏见的,影响了学术医学中的多样性.
- 包容性的首席住院医生 (CR) 选择对于促进医生领导的多样性至关重要.
- 当前的CR选择方法可能会延续现有的差异.
研究的目的:
- 实施和评估旨在减轻偏见的包容性首席居民选择过程.
- 评估居民和教师对新选择过程的接受度和满意度.
主要方法:
- 开发了一个四步退出过程:提名调查,结构化访谈,临床审查和整体审查.
- 每个步骤都使用标记得分,不包括考试成绩和"适合"以最大限度地减少偏差.
- 该过程在2021-2022学年实施,随后于2023年1月进行部门调查.
主要成果:
- 在居民中,调查响应率为47%,在教师中为29%.
- 大多数居民 (64%) 和所有教师 (100%) 都满意,认为这个过程是公平和包容的.
- 近80%的居民和100%的教师支持重复这个过程.
结论:
- 一个包容性的首席居民选择过程,减轻偏见是可行的和可以接受的.
- 实施的过程显示了居民和教师的高度满意度.
- 鼓励居住计划采用包容性,减轻偏见的CR选择实践.
相关概念视频
Randomized Experiments
7.0K
The randomization process involves assigning study participants randomly to experimental or control groups based on their probability of being equally assigned. Randomization is meant to eliminate selection bias and balance known and unknown confounding factors so that the control group is similar to the treatment group as much as possible. A computer program and a random number generator can be used to assign participants to groups in a way that minimizes bias.
Simple randomization
Simple...
Simple randomization
Simple...
7.0K
Confirmation Biases
5.5K
The confirmation bias is the tendency to focus on information that confirms our existing beliefs and ignore information that is inconsistent with our expectations. For example, if you think that your professor is not very nice, you notice all of the instances of rude behavior exhibited by the professor while ignoring the countless pleasant interactions he is involved in on a daily basis. Have you ever fallen prey to the confirmation bias, either as the source or target of such bias?
5.5K
Bias
4.2K
Bias refers to any tendency that prevents a question from being considered unprejudiced. In research, bias occurs when one outcome or answer is selected or encouraged over others in sampling or testing. Bias can occur during any research phase, including study design, data collection, analysis, and publication.
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
4.2K
Bias in Epidemiological Studies
291
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
291
Blind Procedures
10.6K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
10.6K
Strategies for Assessing and Addressing Confounding
102
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
102


