Unconscious Bias: What Every Hospitalist Should Know Source: http://ekktamindpowers.com/mind-power-workshop/

The Team Vanessa Durand, DO Jorge Ganem, MD Anika Kumar, MD Kimberly Reynolds, MD

Disclosures All presenters for this workshop have no financial relationships to disclose or Conflicts of Interest (CIO) to resolve.

Objectives Define bias Define unconscious bias Utilize Implicit Association Test as a tool to measure unconscious bias Share stories of how unconscious bias plays out in practice Small group sharing

Implicit Association Test CLAP INSECTS or Unpleasant words TAP FLOWERS or Pleasant words Have students practice first! Please *TAP* on the right side of the desk for flowers or pleasant words. Clap for insects or unpleasant words. Wasp Poison Tulip Enjoy

Implicit Association Test CLAP INSECTS or Pleasant words TAP FLOWERS or Unpleasant words Wasp Poison Tulip Enjoy

Definitions Bias: Positive or negative evaluation of one group and its members relative to another There are 2 ways to think about bias: in terms of expression and process

Expression vs. Cognitive Process Direct  “I like men more than women” Indirect  Sitting closer to a man than a woman at a meeting Cognitive Process Explicit Bias Implicit Bias

Biases Explicit Bias Implicit Bias Person is aware of his/her positive or negative evaluation of a group, believes that value to be correct. Manifests as overt discrimination Considered by general society to be unacceptable Person holds a positive or negative mental attitude at an unconscious level towards a person, thing, or group. Manifestations are subtle and often unintentional. Not making eye contact Speaking over someone in a meeting

These associations are automatic— outside of the realm of consciousness. Our ancestors needed to know that lion=dangerous=fight or flight! Or else the human race would cease to exist.

Implicit Bias and Academia Am J Public Health, 2015

Implicit Bias and Academia JGIM, 2007

Implicit Bias and Academia Am J Public Health, 2012

We all have biases, and although they are unconscious, it is important to work toward recognizing them so that we can work toward consciously mediating them.

Personal Story Dr. Jorge Ganem

Small Group Discussion

Summary Implicit Bias – having bias is inherently human. It doesn’t make you a Racist Bad person Hypocrite

Acknowledgments Maya Eady, MD

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