Defining Bias & Its Manifestations: Impact of Bias on Health & Health Care
This lecture discusses how both conscious and unconscious bias impact practitioners and their patients. Participants will read a variety of essays and view videos of experts in the fields of rheumatology, lupus, and cultural competency.
April 15, 2019
The American College of Rheumatology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The ACR designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity is intended for internists, emergency medicine physicians, ophthalmologists, OB-GYNs, dermatologists, rheumatologists, and other health professionals.
Released on April 15, 2013. Expires on April 15, 2016
There is evidence that bias (race, ethnicity, obesity, age, sexual orientation, other) exists in health care, that it impacts the kind of treatment that patients from diverse racial and ethnic backgrounds receive, and that health care providers often are not consciously aware of their biases and, therefore, are unable to interrupt their biases.
Upon completion of this activity, participants should be able to:
- Define conscious (explicit) bias and unconscious (implicit) bias
- Define health disparities
- List 4 areas in which unconscious bias can adversely impact the health care provided to racially, ethnically, and linguistically diverse patient populations
ACR DISCLOSURE POLICY
The ACR is an independent, professional organization that does not endorse specific procedures or products of any pharmaceutical/biotech concern. It is the policy of the ACR to ensure that its CME activities are independent and free of commercial bias. To ensure content objectivity and balance, and guarantee that the content presented is in the best interest of its learners and the public, the ACR requires that everyone in a position to control the content must disclose all relevant financial relationships with any commercial interest if the relationship is financial and occurred within the past 12 months. If there are relationships that create a conflict of interest, these must be resolved by the Planning Committee chair in consultation with the ACR's Committee on Education designee(s) prior to the participation of the individual in the development or presentation of CME content.
Any individual who refuses to disclose relevant financial relationships will be disqualified from being a planning committee member, a presenter, or an author of a CME activity, and cannot have control of, or responsibility for, the development, management, presentation or evaluation of the CME activity. Disclosures will be published prior to the start of each activity.
The activities included in the Conscious and Unconscious Biases in Health Care: A Focus on Lupus series have been independently planned by the Lupus Initiative® and the National Center for Cultural Competence, Georgetown University Medical Center work group under the ACR Committee on Education.
The production of this activity was supported by Grant Number 7 MPCMP111064-01-00 from the U.S. Department of Health and Human Services Office of Minority Health (HHS, OMH) in partnership with the Office on Women’s Health (OWH) and Office of the Surgeon General (OSG). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the HHS, OMH. No commercial support was obtained.
COPYRIGHT MATERIAL POLICY
The educational resources of The Lupus Initiative® are free of charge and liberal distribution and usage for the education of health care professionals is encouraged and authorized by the ACR.
Use of The Lupus Initiative’s content for commercial purposes, which includes, but is not limited to oral presentations, audiovisual materials used by speakers, and any downloadable handouts without the written consent of the ACR is prohibited.
FACULTY CONFLICT OF INTEREST/ DISCLOSURE STATEMENTS
As an educational provider accredited by the Accreditation Council for Continuing Medical Education (ACCME) it is the ACR’s policy to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. Faculty participating in an ACR-sponsored activity must disclose to the planning committee and audience any financial or other relationship(s) including, but not limited to:
- Stock, stock options or bond holdings in a for-profit corporation or self-directed pension plan
- Research grants
- Employment (full or part-time)
- Ownership or partnership
- Consulting fees or other remuneration (payment)
- Non-remunerative positions of influence such as officer, board member, trustee or public spokesperson
- Receipt of royalties
- Speakers' bureau
In accordance with ACR policy an individual who refuses to disclose relevant financial relationships will be disqualified from being a planning committee member, a teacher, or an author of CME, and cannot have control of, or responsibility for the development, management, presentation or evaluation of the CME activity. The contributing authors of the CME content reported the following disclosures:
David H. Chae, Sc.D., M.A. Assistant Professor, Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University. No relevant relationships to disclose.
Cristina Drenkard, MD, Ph.D. Assistant Professor of Medicine, Division of Rheumatology, Emory University School of Medicine. No relevant relationships to disclose.
Glenn Flores, MD, FAAP. Director, Division of General Pediatrics, Professor of Pediatrics, Clinical Sciences, and Public Health, The Judith and Charles Ginsburg Chair in Pediatrics, University of Texas Southwestern and Children's Medical Center Dallas. No relevant relationships to disclose,
S. Sam Lim, MD, MPH. Associate Professor of Medicine, Division of Rheumatology, Emory University School of Medicine. No relevant relationships to disclose.
David Newhouse, MD, MPH, APIC. Assistant Physician-in-Chief for Diversity, Service, and Marketing; Advisory Board Member for the Institute for Culturally Competent Care, Kaiser Permanente; Program Director Fremont IVF Center. No relevant relationships to disclose.
Kimberly Papillion, Esq. Faculty, National Judicial College. No relevant relationships to disclose.
Elena Rios, MD, MSPH. President and CEO, National Hispanic Medical Association. No relevant relationships to disclose.
David Wofsy, MD. Professor of Medicine, Associate Dean for Admissions, UCSF School of Medicine. No relevant relationships to disclose.
The Planning Committee Chairs, all planning committee members and/or staff who are in a position to influence content disclosures are as follows:
Suzanne Bronheim, Ph.D. Senior Policy Associate, Associate Professor,National Center for Cultural Competence, Center for Child and Human Development, Georgetown University Medical Center. No relevant relationships to disclose.
Tawara Goode, MA. Assistant Professor and Director, National Center for Cultural Competence, Center for Child and Human Development, Georgetown University Medical Center. No relevant relationships to disclose.
Vivian H. Jackson, Ph.D., LICSW. Senior Policy Associate, Assistant Professor, National Center for Cultural Competence, Center for Child and Human Development, Georgetown University Medical Center. No relevant relationships to disclose.
Sheryl McCalla, Esq. Senior Director, Collaborative Initiatives, American College of Rheumatology. No relevant relationships to disclose.
Disclosure information is considered accurate at the time of publishing.
ACR SYSTEM REQUIREMENTS
- Microsoft Internet Explorer V5.01 and higher
- Recommendation is Internet Explorer 5.5 and higher
- Recommendation is Windows
- Broadband connection (DSL, cable or T1) recommended
- While it is in the best interest of participants to take the exam through a broadband connection (DSL, cable or T1) rather than through a much slower dial-up connection, it is not an absolute requirement. Please realize that a dial-up connection may slow down the examination process.
- 800 x 600 or better
- 1024 x 768 is preferred