Implicit bias assessment by career stage in medical education training: a narrative review

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Vydáno v:BMC Medical Education vol. 25 (2025), p. 1
Hlavní autor: Crump, Alisha
Další autoři: May Saad Al-Jorani, Ahmed, Sunya, Ekas Abrol, Jain, Shikha
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Springer Nature B.V.
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100 1 |a Crump, Alisha 
245 1 |a Implicit bias assessment by career stage in medical education training: a narrative review 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a Implicit biases involve associations outside conscious awareness that lead to a negative evaluation of a person based on individual characteristics. Early evaluation of implicit bias in medical training can prevent long-term adverse health outcomes related to racial bias. However, to our knowledge, no present studies examine the sequential assessment of implicit bias through the different stages of medical training. The objective of this narrative review is to examine the breadth of existing publications that assess implicit bias at the current levels of medical training, pre-medical, graduate, and postgraduate. Protocol for this study was drafted using the Scale for the Assessment of Narrative Reviews (SANRA). Keyword literature search on peer-reviewed databases Google Scholar, PubMed, Ebsco, ScienceDirect, and MedEd Portal from January 1, 2017, to March 1, 2022, was used to identify applicable research articles. The online database search identified 1,512 articles. Full screening resulted in 75 papers meeting the inclusion criteria. Over 50% of extracted papers (74%) were published between 2019 and 2021 and investigated implicit bias at the post-graduate level (43%), followed by the graduate level (34%), and pre-medical level (9.4%). Fourteen percent were classified as mixed. Studies at the medical and medical graduate level identified an implicit preference towards white, male, non-LGBTQIA+, thin, patients. Study findings highlight notable gaps within the sequential assessment of implicit bias, specifically at the pre-medical training level. Longitudinal epidemiological research is needed to examine the long-term effect of implicit biases on existing healthcare disparities. 
651 4 |a United States--US 
653 |a Sexual orientation 
653 |a Socioeconomic factors 
653 |a Medical education 
653 |a Citation management software 
653 |a Gender 
653 |a Medical students 
653 |a Bias 
653 |a Racism 
653 |a Focus groups 
653 |a Decision making 
653 |a Stereotypes 
653 |a Race 
653 |a Patients 
653 |a Literature Reviews 
653 |a Negative Attitudes 
653 |a Outcomes of Treatment 
653 |a Database Design 
653 |a Individualized Instruction 
653 |a Medical Evaluation 
653 |a Training Methods 
653 |a Premedical Students 
653 |a Eligibility 
653 |a Educational Assessment 
653 |a Database Management Systems 
653 |a Cognitive Ability 
653 |a Individual Characteristics 
700 1 |a May Saad Al-Jorani 
700 1 |a Ahmed, Sunya 
700 1 |a Ekas Abrol 
700 1 |a Jain, Shikha 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1 
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