在医生助理教师和实习生中隐含和明确的种族和体重偏见
Janice Sabin1,2,3,4,5,6,7, Pamela Nagasawa1,2,3,4,5,6,7, Grace Guenther1,2,3,4,5,6,7
1Janice Sabin, PhD, MSW, is a research professor of Department of Biomedical Informatics and Medical Education, School of Medicine at University of Washington, Seattle, Washington.
概括
医生助理 (PA) 的学员和学员表现出隐含的种族和反脂肪偏见. 确定了教育差距,特别是针对不同人群和超重患者的预防者,突出了未来培训和研究的领域.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 医疗保健中的偏见
背景情况:
- 医生助理 (PA) 教育中的新兴公平,多样性和包容性计划需要基线偏差评估.
- 在PA教育工作者和学生中,在种族和体重方面隐含和明确的偏见需要进行调查.
研究的目的:
- 量化暗示和明示的种族 (黑/白) 和体重 (脂肪/薄) 偏差在PA学员和学员中的偏差.
- 确定 PA 课程中关于多样性和重量偏差的教育差异.
主要方法:
- 一项横截面研究调查了多个美国州的PA学员和学员.
- 隐式和显式的种族和反脂肪偏见使用标准化工具进行测量.
- 记录了与多样性和体重偏差相关的先前教育经验.
主要成果:
- 在受试者中发现强烈的亲白人隐性偏见 (d = 0.81),在受训者中发现中度偏见 (d = 0.43).
- 两组都显示出强烈的隐性抗脂肪偏差 (受体:d = 1.24;受训者:d = 0.76).
- 实习生报告的多样性和与体重相关的教育比教师更多.
结论:
- 与种族和体重相关的隐性偏见存在于PA学员和学员中.
- 对于有关不同人群和超重患者的预防者来说,存在一个重要的教育差距.
- 未来的PA教育应该解决已确定的偏见和多样性培训缺陷.
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