Doctors Struggle With Unconscious Bias, Same As Police

Not surprising but some good examples of how these can play out:

Even as health overall has improved in the U.S., the disparities in treatment and outcomes between white patients, and black and Latino patients, are almost as big as they were 50 years ago. A growing body of research suggests that doctors’ unconscious behaviors play a role in these statistics, and the Institute of Medicine has called for more studies looking at discrimination and prejudice.

One study found that doctors were far less likely to refer black women for advanced cardiac care than white men with identical symptoms. Other studies show that African Americans and Latino patients are often prescribed less pain medication than white patients with the same complaints.

“We know that doctors spend more time with white patients than with patients of color,” says Howard Ross, founder of management consulting firm Cook Ross.

He’s developed a new diversity training curriculum for health care professionals that focuses on the role of unconscious bias in these scenarios.

Doctors and nurses don’t mean to treat people differently, Ross says. But, just like police, they harbor stereotypes that they’re not aware they have. Everybody does.

“This is normal human behavior,” Ross says. “We can no more stop having bias than we can stop breathing.

Unconscious biases often surface when we’re multitasking or when we’re stressed. They come up in tense situations where we don’t have time to think. Like police on the street at night who have to decide quickly if a person is reaching for a wallet, or a gun. It’s similar for doctors in the hospital.

“You’re dealing with people who are frightened, they’re reactive,” Ross says. “If you’re doing triage in the Emergency Room, for example, you don’t have time to sit back and contemplate, ‘why am I thinking about this,’ You have to instantaneously react.”

Doctors are trained to think fast, and to be confident in their decisions.

“There’s almost a trained arrogance,” Ross says.

This leads to treatments prescribed based on snap judgments, which can reveal internalized stereotypes. A doctor sees one black patient who doesn’t take his medication, perhaps because he can’t afford it. Without realizing it, the doctor starts to assume that all black  patients aren’t going to follow instructions.

Doctors Struggle With Unconscious Bias, Same As Police | State of Health | KQED News.