Vice Chair of Education, Department of Radiology, Duke University Medical Center, Durham, North Carolina.
Department of Radiology, Mayo Clinic, Rochester, Minnesota.
J Am Coll Radiol. 2021 Jan;18(1 Pt B):161-165. doi: 10.1016/j.jacr.2020.06.028.
Widespread implementation of the Implicit Association Test has revealed that most doctors, and many radiologists, hold implicit racial bias. Because implicit bias is thought to drive discrimination, it has emerged as a primary explanation for radiology's ongoing racial disparity. In this critical review of the literature, which includes empirical studies of radiology resident selection, the authors argue that implicit bias is a universal human instinctual characteristic, but one that humans have the capacity to override through more deliberative thought processes. Overstating the validity of the Implicit Association Test, and the role of implicit bias in causing radiology's racial disparities, is unwarranted, unhelpful, and potentially distracting from addressing actual causes and real solutions.
广泛实施内隐联想测试表明,大多数医生,甚至许多放射科医生,都存在内隐种族偏见。由于内隐偏见被认为是导致歧视的原因,因此它已成为放射科持续存在种族差异的主要解释。在对文献的批判性回顾中,包括对放射科住院医师选拔的实证研究,作者认为内隐偏见是人类普遍的本能特征,但人类有能力通过更深思熟虑的思维过程来克服它。夸大内隐联想测试的有效性,以及内隐偏见在导致放射科种族差异方面的作用,是没有根据的、无益的,并且可能会分散人们对内隐偏见实际原因和真正解决方案的注意力。