对隐性关联测试的防御性反应和隐性偏差缓解培训中的偏差意识
Janice Sabin1, Eric Mick2, Ethan Eisdorfer3
1Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, WA, USA.
Advances in medical education and practice
|March 24, 2025
概括
临床学习者表现出适度的隐性偏见,并倾向于认为自己比同龄人少偏见. 近20%的人对隐性关联测试 (IAT) 结果做出了防御性反应,强调了需要培养自我反思和安全的教育策略的需要.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 健康 公平 卫生 公平
背景情况:
- 使用隐性关联测试 (IAT) 的隐性偏见教育可能无意中导致学习者处于防御状态.
- 提高对偏见的自我意识是关键目标,但学习者的反应需要仔细考虑.
研究的目的:
- 评估偏见意识,与同龄人相对偏见的自我感知,以及临床学习者的隐式/显式偏见.
- 检查这些学习者对IAT结果的防御反应的速度和相关性.
主要方法:
- 这是一项涉及内部医学,家庭医学专科医生和护理实践博士学生的横截面研究.
- 数据收集包括隐式和显式偏见,偏见意识,优于平均水平的感知和对IAT反的反应.
主要成果:
- 观察到中度隐性偏见,特别是在种族和种族比较中偏爱白人.
- 学习者认识到社会和医疗保健偏见,但不是个人偏见,18%的人对IAT结果表现出防御性.
- 参与者始终认为自己的偏见水平低于同事的偏见水平.
结论:
- 临床学习者具有隐含的偏见和关于偏见的"比平均水平更好"的自我认知.
- 很大一部分学习者对IAT反有防御性的反应,需要进行教育干预,以促进安全反思.
- 未来的隐性偏见培训应该优先创造一个安全的环境,以减轻防御性和增强学习.
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