Health Care Disparities: a Practical Approach to Teach Residents about Self-Bias and Patient Communication
Recommended Citation
Kokas M, Fakhoury JW, Hoffert M, Whitehouse S, Van Harn M, and Baker-Genaw K Health Care Disparities: a Practical Approach to Teach Residents about Self-Bias and Patient Communication J Racial Ethn Health Disparities 2019; Epub ahead of print
Document Type
Article
Publication Date
6-18-2019
Publication Title
J Racial Ethn Health Disparities
Abstract
Studies have shown that the education of resident physicians on health care disparities (HCDs) needs improvement We implemented a system-wide program on HCD for residents and evaluated outcomes across 1 year Designed in 2015 by a multidisciplinary team, the HCD program incorporated information about our health system's patient population and the tenets of unconscious bias We used the ask-tell-ask model of communication to teach trainees how to identify patients' barriers to health care In 2016, resident participants in the HCD program were asked to complete a modified version of the Bonham and Sellers RACE survey, which measures consideration of race in clinical care, at four time-points (pre-, post-, 3-months post-, and 1-year post-intervention) Of 186 PGY2 residents who completed the HCD program, 108 (58%) completed all 4 surveys across 1 year The modified Bonham and Sellers RACE survey yielded a Cronbach's alpha of 0885 and communality for the six questions ranging from 0543 to 0727 Using the modified RACE survey, resident respondents showed overall significantly increased consideration of race in clinical care from pre- to post-intervention time-points (p < 0001) This study of our program on health care disparities showed that resident survey respondents increased self-reported consideration of race in clinical care after the intervention across 1 year
PubMed ID
31215015
ePublication
ePub ahead of print
