Stone Jeff, Moskowitz Gordon B, Zestcott Colin A, Wolsiefer Katherine J
University of Arizona.
Lehigh University.
Stigma Health. 2020;5(1):94-103. doi: 10.1037/sah0000179.
The present research tested if having first year medical students complete active learning workshops would reduce their implicit stereotyping of Hispanics as medically noncompliant. The workshops were tested with 78-majority (White) group, 16-target minority (Hispanic, African-American and American-Indian) group, and 42-non-target minority (Asian-American and foreign born students from East Asia and Southeast Asia) group students in the 2018 and 2021 classes in the American Southwest. Prior to the workshops, students completed an implicit association test (IAT), and then participated in two workshops that covered the psychology of intergroup bias, the role of implicit bias in patient care, and activities for learning six strategies for controlling the implicit stereotyping of patients. The results showed that before the workshops, the level of implicit stereotyping of Hispanics was significant for the majority and non-target minority group students, but it was not significant for the target minority group students. After the workshops, target minority students again showed no bias, and implicit stereotyping was significantly lower for the majority group students, but not for the non-target minority students. The results suggest that the workshops may have been effective for majority group and target minority group students, but that more cultural tailoring of the materials and activities may be necessary to address implicit bias among some minority group medical students.
本研究测试了让一年级医学生参加主动学习研讨会是否会减少他们对西班牙裔患者不遵守医嘱的隐性刻板印象。在美国西南部2018级和2021级的学生中,对78名多数群体(白人)、16名目标少数群体(西班牙裔、非裔美国人和美国印第安人)以及42名非目标少数群体(亚裔美国人和来自东亚及东南亚的外国出生学生)进行了该研讨会测试。在参加研讨会之前,学生们完成了一项内隐联想测验(IAT),然后参加了两个研讨会,内容涵盖群体间偏见的心理学、内隐偏见在患者护理中的作用以及学习六种控制对患者隐性刻板印象策略的活动。结果显示,在参加研讨会之前,多数群体和非目标少数群体学生对西班牙裔的隐性刻板印象水平显著,但目标少数群体学生则不显著。参加研讨会之后,目标少数群体学生再次没有表现出偏见,多数群体学生的隐性刻板印象显著降低,但非目标少数群体学生没有。结果表明,该研讨会可能对多数群体和目标少数群体学生有效,但可能需要对材料和活动进行更多文化层面的调整,以解决一些少数群体医学生中的隐性偏见问题。