Overview

In this previously recorded webinar, Addressing Implicit Bias to Improve Patient Care, you'll hear our panelists review cultural differences and discuss characteristics of culturally competent care. We will also explore differences between implicit and explicit bias, and how implicit bias may impact patient care. Our panelists will also review strategies to increase awareness of implicit bias and minimize the negative effects.

Education Category: Webinars
Release Date: 10/01/2024
Expiration Date: 09/30/2027

Table of Contents

Audience

This course is designed for members of the interprofessional healthcare team who may intervene to identify and address implicit biasescare order to improve patient care.

Accreditations & Approvals

In support of improving patient care, TRC Healthcare/NetCE is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. NetCE is accredited by the International Accreditors for Continuing Education and Training (IACET). NetCE complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, NetCE is authorized to issue the IACET CEU.

Designations of Credit

This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credit(s) for learning and change. NetCE designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. NetCE designates this continuing education activity for 1 ANCC contact hour(s). NetCE designates this continuing education activity for 1.2 hours for Alabama nurses. NetCE designates this activity for 1 ACPE credit(s). ACPE Universal Activity Number: JA4008164-0000-24-689-H04-P. Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Completion of this course constitutes permission to share the completion data with ACCME. This activity has been approved for the American Board of Anesthesiology’s® (ABA) requirements for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements. Maintenance of Certification in Anesthesiology Program® and MOCA® are registered certification marks of the American Board of Anesthesiology®. MOCA 2.0® is a trademark of the American Board of Anesthesiology®. Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and/or Self-Assessment requirements of the American Board of Surgery's Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. Successful completion of this CME activity, which includes participation in the activity with individual assessments of the participant and feedback to the participant, enables the participant to earn 1 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit. This activity has been designated for 1 Lifelong Learning (Part II) credits for the American Board of Pathology Continuing Certification Program. Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME's "CME in Support of MOC" program in Section 3 of the Royal College's MOC Program. NetCE is authorized by IACET to offer 0.1 CEU(s) for this program. AACN Synergy CERP Category A.

Individual State Nursing Approvals

In addition to states that accept ANCC, NetCE is approved as a provider of continuing education in nursing by: Alabama, Provider #ABNP0353, (valid through July 29, 2025); Arkansas, Provider #50-2405; California, BRN Provider #CEP9784; California, LVN Provider #V10662; California, PT Provider #V10842; District of Columbia, Provider #50-2405; Florida, Provider #50-2405; Georgia, Provider #50-2405; Kentucky, Provider #7-0054 through 12/31/2025; South Carolina, Provider #50-2405; West Virginia RN and APRN, Provider #50-2405.

Special Approvals

This course meets the Michigan requirement for implicit bias training. This activity is designed to comply with the requirements of California Assembly Bill 1195, Cultural and Linguistic Competency.

Course Objective

The purpose of this course is to define and explore implicit and explicit bias and to provide healthcare professionals with the knowledge and skills necessary to prevent implicit bias from negatively impacting patient care.

Learning Objectives

Upon completion of this course, you should be able to:

  1. Describe the differences between implicit and explicit bias.
  2. Explain the effects of implicit bias on patient outcomes and how biases can lead to disparities in healthcare.
  3. Review strategies to uncover implicit bias and minimize its negative effects.
  4. Identify three patient-specific cultural considerations to provide tailored and respectful care.
  5. Describe the process of developing cultural competency to improve patient care.

Faculty

Sara Klockars, PharmD, BCPS, is an Associate Editor at Prescriber Insights and Pharmacist’s Letter. She earned her PharmD degree from Ohio Northern University. She then completed two years of clinical pharmacy residency at the Medical University of South Carolina. Prior to coming to Prescriber Insights and Pharmacist’s Letter in 2019, Sara was a Clinical Pharmacy Specialist at Kaiser Permanente Colorado working alongside prescribers and pharmacists in an integrated healthcare system. She spent 12 years as part of the Primary Care team and built a practice in Dermatology, where she practiced for 4 years prior to joining TRC. In addition to dermatology, Sara’s professional interests include pharmacist and prescriber education, promoting evidence-based, cost-effective care, and other specialty pharmacy areas (rheumatology, gastroenterology, etc.).

Reid Blackwelder, MD, FAAFP,

Stephen Carek, MD, CAQSM, DipABLM,

Andrea Darby-Stewart, MD,

Craig Williams, PharmD, FNLA, BCPS,

Faculty Disclosure

Contributing faculty, Sara Klockars, PharmD, BCPS, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Contributing faculty, Reid Blackwelder, MD, FAAFP, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Contributing faculty, Stephen Carek, MD, CAQSM, DipABLM, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Contributing faculty, Andrea Darby-Stewart, MD, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Contributing faculty, Craig Williams, PharmD, FNLA, BCPS, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Director of Development and Academic Affairs

Sarah Campbell

Director Disclosure Statement

The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

About the Sponsor

The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.

Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.

Disclosure Statement

It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

Technical Requirements

Supported browsers for Windows include Microsoft Internet Explorer 9.0 and up, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Supported browsers for Macintosh include Safari, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Other operating systems and browsers that include complete implementations of ECMAScript edition 3 and CSS 2.0 may work, but are not supported. Supported browsers must utilize the TLS encryption protocol v1.1 or v1.2 in order to connect to pages that require a secured HTTPS connection. TLS v1.0 is not supported.

Implicit Bias in Health Care

The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.

Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.

#24-689: Addressing Implicit Bias to Improve Patient Care

INTRODUCTION

It is clear that most people in the general population hold implicit biases, and health professionals are no different. While there continue to be controversies regarding the nature, dynamics, and etiology of implicit biases, it should not be ignored as a contributor to health disparities, patient dissatisfaction, and suboptimal care. Given the complex and multifaceted nature of this phenomenon, the solutions to raise individuals' awareness and reduce implicit bias are diverse and evolving.

Before viewing this webinar, pleae take time to consider the following statements and rank your level of agreement using the following scale:

Strongly Agree: 6 points; Agree: 5 points; Somewhat Agree: 4 points; Somewhat Disagree: 3 points; Disagree: 2 points; Strongly Disagree: 1 point

  1. Everyone has implicit bias.

  2. Bias is a part of my subconscious.

  3. Bias is pervasive in the health care system.

  4. Implicit bias is deeply rooted to positive and negative stereotypes that affect our understanding, actions, motives, and decisions we make on a daily basis.

  5. I have a specific plan to overcome biases that show up when interacting with patients.

Make a note of your total score. (These questions have been adapted from an assessment developed by the Center for Black Educator Development.)

WEBINAR

Learners should engage with the webinar, below, and the provided resources to explore the topics covered in this course.

CONCLUSION

Before viewing this webinar, you rated your agreement with the following statements. Consider these statements once again and compare your scores.

Strongly Agree: 6 points; Agree: 5 points; Somewhat Agree: 4 points; Somewhat Disagree: 3 points; Disagree: 2 points; Strongly Disagree: 1 point

  1. Everyone has implicit bias.

  2. Bias is a part of my subconscious.

  3. Bias is pervasive in the health care system.

  4. Implicit bias is deeply rooted to positive and negative stereotypes that affect our understanding, actions, motives, and decisions we make on a daily basis.

  5. I have a specific plan to overcome biases that show up when interacting with patients.

Has your understanding, feelings, and/or appreciation changed?

RESOURCES

Implicit bias and culturally responsive health care are complex subjects. The following resources are provided in the event that you are interested in further exploring the topic, or even trying some of the approaches discussed in this webinar.

EthnoMed
https://ethnomed.org
Project Implicit
https://implicit.harvard.edu/implicit
National Implicit Bias Network
https://implicitbias.net/resources/resources-by-category
University of California, Los Angeles
Equity, Diversity, and Inclusion: Implicit Bias
https://equity.ucla.edu/know/implicit-bias
University of California, San Francisco, Office of Diversity and Outreach
Unconscious Bias Resources
https://diversity.ucsf.edu/resources/unconscious-bias-resources
Unconscious Bias Project
https://unconsciousbiasproject.org

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