دورية أكاديمية

Health Care Students' Perceptions of Bias During Their Clinical Training and Insights on Mitigating It.

التفاصيل البيبلوغرافية
العنوان: Health Care Students' Perceptions of Bias During Their Clinical Training and Insights on Mitigating It.
المؤلفون: Parvez M; Mehnaz Parvez, MBBS, MS, is an associate professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota..; Lisa Barnes, MPAS-PAC, is a physician assistant, Colon & Rectal Surgery Associates, Minneapolis, Minnesota.; Rebecca Gonzalez, MPAS-PAC, is a physician assistant, Spine and Orthopedic Center, Santa Barbara, California.; Keanna Prestegaard, MPAS-PAC, is a physician assistant, Summit Orthopedics, Woodbury, Minnesota.; Tara J. Rick, PhD, MPAS-PAC, is a physician assistant, University of Minnesota Physicians, Greater Minneapolis - St. Paul Area Research Associate in Cancer Survivorship, University of Minnesota, Minneapolis, Minnesota. She is also an adjunct professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota., Barnes L; Mehnaz Parvez, MBBS, MS, is an associate professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota..; Lisa Barnes, MPAS-PAC, is a physician assistant, Colon & Rectal Surgery Associates, Minneapolis, Minnesota.; Rebecca Gonzalez, MPAS-PAC, is a physician assistant, Spine and Orthopedic Center, Santa Barbara, California.; Keanna Prestegaard, MPAS-PAC, is a physician assistant, Summit Orthopedics, Woodbury, Minnesota.; Tara J. Rick, PhD, MPAS-PAC, is a physician assistant, University of Minnesota Physicians, Greater Minneapolis - St. Paul Area Research Associate in Cancer Survivorship, University of Minnesota, Minneapolis, Minnesota. She is also an adjunct professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota., Gonzalez R; Mehnaz Parvez, MBBS, MS, is an associate professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota..; Lisa Barnes, MPAS-PAC, is a physician assistant, Colon & Rectal Surgery Associates, Minneapolis, Minnesota.; Rebecca Gonzalez, MPAS-PAC, is a physician assistant, Spine and Orthopedic Center, Santa Barbara, California.; Keanna Prestegaard, MPAS-PAC, is a physician assistant, Summit Orthopedics, Woodbury, Minnesota.; Tara J. Rick, PhD, MPAS-PAC, is a physician assistant, University of Minnesota Physicians, Greater Minneapolis - St. Paul Area Research Associate in Cancer Survivorship, University of Minnesota, Minneapolis, Minnesota. She is also an adjunct professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota., Prestegaard K; Mehnaz Parvez, MBBS, MS, is an associate professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota..; Lisa Barnes, MPAS-PAC, is a physician assistant, Colon & Rectal Surgery Associates, Minneapolis, Minnesota.; Rebecca Gonzalez, MPAS-PAC, is a physician assistant, Spine and Orthopedic Center, Santa Barbara, California.; Keanna Prestegaard, MPAS-PAC, is a physician assistant, Summit Orthopedics, Woodbury, Minnesota.; Tara J. Rick, PhD, MPAS-PAC, is a physician assistant, University of Minnesota Physicians, Greater Minneapolis - St. Paul Area Research Associate in Cancer Survivorship, University of Minnesota, Minneapolis, Minnesota. She is also an adjunct professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota., Rick TJ; Mehnaz Parvez, MBBS, MS, is an associate professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota..; Lisa Barnes, MPAS-PAC, is a physician assistant, Colon & Rectal Surgery Associates, Minneapolis, Minnesota.; Rebecca Gonzalez, MPAS-PAC, is a physician assistant, Spine and Orthopedic Center, Santa Barbara, California.; Keanna Prestegaard, MPAS-PAC, is a physician assistant, Summit Orthopedics, Woodbury, Minnesota.; Tara J. Rick, PhD, MPAS-PAC, is a physician assistant, University of Minnesota Physicians, Greater Minneapolis - St. Paul Area Research Associate in Cancer Survivorship, University of Minnesota, Minneapolis, Minnesota. She is also an adjunct professor, Master of Physician Assistant Studies Program, St. Catherine University, St. Paul, Minnesota.
المصدر: The journal of physician assistant education : the official journal of the Physician Assistant Education Association [J Physician Assist Educ] 2024 Mar 01; Vol. 35 (1), pp. 88-93. Date of Electronic Publication: 2023 Sep 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Physician Assistant Education Association Country of Publication: United States NLM ID: 101298201 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1941-9449 (Electronic) Linking ISSN: 19419430 NLM ISO Abbreviation: J Physician Assist Educ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Alexandria, VA : Physician Assistant Education Association, [2006]-
مواضيع طبية MeSH: Students, Medical* , Physician Assistants*/education, Humans ; Attitude of Health Personnel ; Curriculum ; Bias
مستخلص: Purpose: To understand health care students' perception of implicit bias and examine their insights to create a bias-free training environment.
Methods: Clinical phase students from one university's 4 health care programs participated in this study. Students were surveyed regarding their knowledge of implicit bias and perception of their experiences in the clinical learning environment.
Results: The response rate was 50.9%, N = 161. In total, 52.6% reported having prior training on implicit bias, and 55% self-reported that they had personally observed preceptors who exhibited an implicit bias toward patients based on race, ethnicity, or other qualities. There was no statistically significant relationship between those with prior training on implicit bias and being able to identify implicit bias exhibited by preceptors. Participants also expressed their unwillingness to report an incident unless it is confidential due to fear of retribution.
Conclusion: This study found that health care students from one university's 4 health care programs perceived implicit bias in their clinical learning environment, which they believe could be improved by taking intentional steps. Some suggestions provided were "Safe space to report and openly discuss bias," "Education/training on implicit bias," "Time for self-reflection," and "Hiring process that evaluates/trains against implicit bias." The implication of our study is to create a bias-free training environment that will help interrupt the propagation of biases contributing to health disparity. Further research should examine a national population and identify interventional methods and outcomes in multiple health care disciplines.
Competing Interests: The authors declare no conflict of interest.
(Copyright © 2023 PA Education Association.)
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تواريخ الأحداث: Date Created: 20240220 Date Completed: 20240222 Latest Revision: 20240222
رمز التحديث: 20240222
DOI: 10.1097/JPA.0000000000000550
PMID: 38377463
قاعدة البيانات: MEDLINE
الوصف
تدمد:1941-9449
DOI:10.1097/JPA.0000000000000550