In 2002, The Institute of Medicine identified provider-held unconscious bias as one of the 3 root causes for racial or ethnic health disparities, with access and mistrust being the other two.  As part of the Department of Medicine’s Anti-Racism Strategy, we will begin to address provider-held unconscious or implicit bias during Term 1 2021 of the MGPO Quality Incentive Program. QI Program-eligible physicians will be asked:

1. To take the Race ('Black-White') implicit association test (IAT). 15-20 min
2. To participate in a case-based module to learn about unconscious or implicit bias and understand its impact on the delivery of clinical care. This module will include a discussion of microaggressions and provide a framework to address microaggressions. 30 min
3. To provide 3 changes to their practice that they will implement based on this learning 5-10 min

Further Reading:

• Gender Discrimination in Knee Osteoarthritis and TKA_OConnor_2011_Clin Orthop Relat Res
• Identification of Racial Inequities in Access to Spec Inpt HF Care at an AMC_Eberly_2019_Circulation
• Implicit Bias in Health Care_The Joint Commission_2016
• Implicit Bias in Healthcare Professionals- A Systemic Review_FitzGerald_2017_BMC Medical Ethics
• Physicians' Perceptions of People with Disability and Their Health Care_Iezonni_2021_Health Affairs
• Strategies to Mitigate Clinician Implicit Bias Against Sexual and Gender Minority Pts_McDowell_2020_Psychosomatics
• The Associations of Clinicians' Implicit Attitudes about Race w Medical Visit Comm and Pt Ratings of Interpersonal Care_Cooper_2012_Am J Public Health
• The Effect of Race and Sex on Physicians' Recommendations for Cardiac Cath_Schulman_1999_NEJM
• Unequal Treatment-Confronting Racial and Ethnic Disparities in Health Care_Smedley_2003_IOM
• Weight Bias in Grad School Admissions_Burmeister_2013_Obesity
• Racial Microaggressions in Everyday Life, Implications for Clinical Practice_Sue_2007_Am Psychologist
• Responding to Microaggressions (folder)