Chen Rebecca P, Tang Janette, Hill Weller LaMisha N, Boscardin Christy K, Ehie Odinakachukwu A
The authors are at the University of California, San Francisco, in San Francisco, CA. and are Medical Students in the School of Medicine. is Adjunct Associate Professor in the Department of OB/GYN. is Professor in the Department of Medicine and Anesthesia. is Clinical Associate Professor in the Department of Anesthesia and Perioperative Care.
J Educ Perioper Med. 2024 Mar 20;26(1):E721. doi: 10.46374/volxxvi_issue1_ehie. eCollection 2024 Jan-Mar.
Providers' unconscious biases reinforce health disparities through negative direct patient care and interactions with colleagues.
We created a workshop grounded in Critical Race Theory and the importance of different intersectionalities to improve medical trainees' self-assessment of their implicit biases in curated facilitated spaces.
A total of 44 UCSF first-year clinical anesthesiology residents (CA-1) (95% response rate) and 23 surgery residents in their research year (77% response rate) participated in this workshop over 4 separate sessions in September 2020 and 2021. Quantitative data from a pre-/post-workshop survey was analyzed via a paired test to evaluate our workshop's effectiveness. Feedback on efficacy was obtained by coding themes from our survey's open-ended questions.
The workshop was evaluated positively by a total of 65 of 67 participants in the post-workshop survey. On a 5-point Likert scale, participants self-reported they agreed that their unconscious biases affect their clinical interactions from a pre-workshop mean of 3.3 (SD ± 1.32) to a post-workshop mean of 3.9 (SD ± 0.87, = .008).
Our findings suggest that this workshop was effective for perioperative residents and can be extrapolated to all residents by tailoring the workshop to their respective work environments.
医疗服务提供者的无意识偏见通过负面的直接患者护理以及与同事的互动加剧了健康差距。
我们举办了一个基于批判种族理论以及不同交叉性的重要性的工作坊，以在精心策划的促进性空间中提高医学实习生对其隐性偏见的自我评估。
2020年9月和2021年，共有44名加州大学旧金山分校的第一年临床麻醉住院医师（CA-1）（回复率95%）和23名处于研究年的外科住院医师（回复率77%）参加了这个分4个独立场次的工作坊。通过配对t检验分析工作坊前后调查的定量数据，以评估我们工作坊的有效性。通过对调查开放式问题的主题进行编码来获得关于效果的反馈。
在工作坊后的调查中，67名参与者中有65名对工作坊给予了积极评价。在5点李克特量表上，参与者自我报告称，他们同意自己的无意识偏见会影响临床互动，从工作坊前的平均3.3分（标准差±1.32）提高到工作坊后的平均3.9分（标准差±0.87，P = .008）。
我们的研究结果表明，这个工作坊对围手术期住院医师有效，并且通过根据各自的工作环境调整工作坊，可以推广到所有住院医师。
