提高公平性:通过在一般内科医疗计划居民申请流程中试用偏见减少工具来促进多样性和包容性
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
概括
医生采访者在使用偏见减少工具后,对隐性偏见的意识增加. 教学视频和纸张意识工具被优先考虑,而不是隐性关联测试,以在未来用于候选人选择.
科学领域:
- 医学教育 医学教育
- 医疗保健偏见 医疗保健偏见
- 医学中的多样性 医学中的多样性
背景情况:
- 医学数据表明,由于系统偏见,种族和性别少数群体患者的治疗结果存在差异.
- 提高边缘化群体在医疗保健中的代表性对于公平的医疗保健至关重要.
- 在一般内科 (GIM) 程序选择中,面试人员需要有效的偏见意识策略.
研究的目的:
- 评估偏见减少工具在提高面试官对隐性偏见的认识方面的有效性.
- 在GIM申请人选择过程中,评估面试官对不同偏见意识策略的偏好.
主要方法:
- 改进模型框架指导了教学视频的实施,适应的隐性关联测试 (IAT) 和纸质意识工具 (PAT).
- 参与GIM选择过程的医生面试人员进行了一项匿名在线调查.
- 用描述性统计数据和修改的情绪分析来分析调查数据.
主要成果:
- 14名采访者中有10人完成了调查,报告说在使用这些工具后,他们对隐含偏见的意识增加了.
- 与IAT (25%) 相比,教学视频 (71%) 和PAT (67%) 与报告的更高的意识相关.
- 受访者支持未来使用视频 (71%) 和PAT (67%) 比IAT (50%) 更多.
结论:
- 医生采访者更喜欢指导视频和PAT,而不是IAT,以提高偏见意识.
- 尽管人们担心 inherent面试偏见,但70%的受访者认为面试应该显著影响候选人排名.
- 建议进行一项国家研究,以制定一个框架,以减轻医学候选人面试中的偏见.
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