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Mitigating Implicit Racial Bias in the Clinical Setting: A Qualitative Study of Family Medicine Residents

Implicit racial bias (IB) in physicians contributes to racial health inequities. Health profession trainees are not consistently trained to address IB. This phenomenological study explored Family Medicine (FM) residents’ experience of applying strategies to mitigate IB during home visits (HVs) to ho...

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Detalles Bibliográficos
Autor principal: Goroncy, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8680830/
http://dx.doi.org/10.1093/geroni/igab046.344
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author Goroncy, Anna
author_facet Goroncy, Anna
author_sort Goroncy, Anna
collection PubMed
description Implicit racial bias (IB) in physicians contributes to racial health inequities. Health profession trainees are not consistently trained to address IB. This phenomenological study explored Family Medicine (FM) residents’ experience of applying strategies to mitigate IB during home visits (HVs) to homebound older adults. FM residents completed pre-work related to IB, applied strategies to mitigate IB during HVs, then completed written reflections and commitments-to-change (CTC). A two-month survey assessed completion of targeted changes and barriers faced. Researchers completed a thematic analysis identifying five themes: Response to IAT, barriers, strategies, value of HVs and mindfulness. All residents’ stated level of CTC remained the same (9/9, 100%) and 8/9 residents (89%) had partially or fully implemented their intended change at 2 months. Residents continued applying newly-learned strategies two months after training with transference to other clinical settings and bias types. These findings can facilitate development of clinically-based IB curricula with lasting impacts.
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spelling pubmed-86808302021-12-17 Mitigating Implicit Racial Bias in the Clinical Setting: A Qualitative Study of Family Medicine Residents Goroncy, Anna Innov Aging Abstracts Implicit racial bias (IB) in physicians contributes to racial health inequities. Health profession trainees are not consistently trained to address IB. This phenomenological study explored Family Medicine (FM) residents’ experience of applying strategies to mitigate IB during home visits (HVs) to homebound older adults. FM residents completed pre-work related to IB, applied strategies to mitigate IB during HVs, then completed written reflections and commitments-to-change (CTC). A two-month survey assessed completion of targeted changes and barriers faced. Researchers completed a thematic analysis identifying five themes: Response to IAT, barriers, strategies, value of HVs and mindfulness. All residents’ stated level of CTC remained the same (9/9, 100%) and 8/9 residents (89%) had partially or fully implemented their intended change at 2 months. Residents continued applying newly-learned strategies two months after training with transference to other clinical settings and bias types. These findings can facilitate development of clinically-based IB curricula with lasting impacts. Oxford University Press 2021-12-17 /pmc/articles/PMC8680830/ http://dx.doi.org/10.1093/geroni/igab046.344 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Goroncy, Anna
Mitigating Implicit Racial Bias in the Clinical Setting: A Qualitative Study of Family Medicine Residents
title Mitigating Implicit Racial Bias in the Clinical Setting: A Qualitative Study of Family Medicine Residents
title_full Mitigating Implicit Racial Bias in the Clinical Setting: A Qualitative Study of Family Medicine Residents
title_fullStr Mitigating Implicit Racial Bias in the Clinical Setting: A Qualitative Study of Family Medicine Residents
title_full_unstemmed Mitigating Implicit Racial Bias in the Clinical Setting: A Qualitative Study of Family Medicine Residents
title_short Mitigating Implicit Racial Bias in the Clinical Setting: A Qualitative Study of Family Medicine Residents
title_sort mitigating implicit racial bias in the clinical setting: a qualitative study of family medicine residents
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8680830/
http://dx.doi.org/10.1093/geroni/igab046.344
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