A. Calhoun is an adult/child psychiatry resident, Yale Child Study Center, New Haven, Connecticut.
I. Genao is the graduate medical education director for diversity and inclusion and associate professor of medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
Acad Med. 2022 Jun 1;97(6):790-792. doi: 10.1097/ACM.0000000000004562. Epub 2021 Dec 14.
The concept of implicit bias has arguably laid the groundwork for uncomfortable discussions surrounding race in academic medicine, but its effectiveness in changing racist behavior and systems remains unclear. Terms like implicit bias, while perhaps more palatable than other concepts to some, may result in confusion and divert time from meaningful reconceptualization and creation of effective antiracism initiatives. This Invited Commentary contends that the term implicit bias is inadequate for addressing racism because it is too broad; does not necessarily lead to a change in racist behaviors; assumes that racism is unconscious, aggressor-centered, and individual-focused; and implies that everyone suffers equally in a racist system. The authors illustrate why terms like implicit bias are inadequate in combatting racism in medicine and suggest alternate terminology to use while engaging in antiracism work in academic medicine.
隐性偏见的概念可以说是为围绕学术医学中的种族问题展开的不愉快讨论奠定了基础，但它在改变种族主义行为和制度方面的有效性仍不清楚。像隐性偏见这样的术语，虽然对某些人来说可能比其他概念更容易接受，但可能会导致混淆，并分散人们从有意义的重新概念化和创建有效的反种族主义倡议的时间。本文认为，隐性偏见这一术语不足以解决种族主义问题，因为它太宽泛；不一定会导致种族主义行为的改变；假设种族主义是无意识的、以攻击者为中心的和以个人为中心的；并暗示在种族主义制度中，每个人都同样受到影响。作者举例说明了为什么像隐性偏见这样的术语在医学领域对抗种族主义是不够的，并建议在学术医学领域从事反种族主义工作时使用替代术语。
