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莫尔豪斯医学院案例研究:无偏见和歧视的师生关系。

Morehouse School of Medicine Case Study: Teacher-Learner Relationships Free of Bias and Discrimination.

机构信息

M.L. Elks is senior associate dean, Educational Affairs, professor of medical education, and professor of medicine, Morehouse School of Medicine, Atlanta, Georgia.

K. Johnson is associate professor of medicine, Morehouse School of Medicine, Atlanta, Georgia.

出版信息

Acad Med. 2020 Dec;95(12S Addressing Harmful Bias and Eliminating Discrimination in Health Professions Learning Environments):S88-S92. doi: 10.1097/ACM.0000000000003678.

Abstract

Bias can impact all aspects of human interactions and have major impacts on the education and evaluation of health care professionals. Health care and health professions education, being very dependent on interpersonal interactions and learning as well as on the assessment of interpersonal behaviors and skills, are particularly susceptible to the positive and negative effects of bias. Even trained and experienced evaluators can be affected by biases based on appearance, attractiveness, charm, accent, speech impediment, and other factors that should not play a role in the assessment of a skill. At the Morehouse School of Medicine, elements in the curriculum and the milieu help decrease the burden of bias experienced by learners. In addition, many of the learners develop knowledge, skills, and attitudes that appear to assist them with navigating bias in other learning or practice environments. In this case study, the authors reflect on these elements and how they can be replicated in other settings. According to the authors, modifying the learning environment to enhance and sustain relationships is key in addressing toxic bias.

摘要

偏见会影响人际交往的各个方面,对医疗保健专业人员的教育和评估产生重大影响。医疗保健和医疗保健专业教育非常依赖人际互动和学习,以及对人际行为和技能的评估,因此特别容易受到偏见的积极和消极影响。即使是经过培训和有经验的评估者也可能受到基于外貌、吸引力、魅力、口音、言语障碍等因素的偏见的影响,而这些因素不应该在技能评估中发挥作用。在莫尔豪斯医学院,课程和环境中的元素有助于减轻学习者所经历的偏见负担。此外,许多学习者还培养了知识、技能和态度,这些似乎有助于他们在其他学习或实践环境中应对偏见。在这个案例研究中,作者反思了这些因素以及如何在其他环境中复制这些因素。作者认为,修改学习环境以加强和维持关系是解决有毒偏见的关键。

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