Using Artistic-Narrative to Stimulate Reflection on Physician Bias

Teaching and Learning in Medicine

Volumn 26, Issue 4, 2014, Pages 344-349

  Ross, Paula T ^a   Lypson, Monica L ^a,b  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b VA ANN ARBOR HEALTHCARE SYSTEM   (United States)

Author keywords

artistic narrative; physician bias; qualitative research; sickle cell disease

Indexed keywords

ADULT; ANEMIA, SICKLE CELL; CURRICULUM; DOCTOR PATIENT RELATION; FEMALE; HEALTH PERSONNEL ATTITUDE; HUMAN; MALE; MEDICAL EDUCATION; PHOTOGRAPHY; PREJUDICE; PROCEDURES; WRITING;

ADULT; ANEMIA, SICKLE CELL; ATTITUDE OF HEALTH PERSONNEL; CURRICULUM; EDUCATION, MEDICAL, UNDERGRADUATE; FEMALE; HUMANS; MALE; PHOTOGRAPHY; PHYSICIAN-PATIENT RELATIONS; PREJUDICE; WRITING;

EID: 84918501836     PISSN: 10401334     EISSN: None     Source Type: Journal    
DOI: 10.1080/10401334.2014.945032     Document Type: Article

References (33)

1. Fincher C, Williams JE, MacLean V, Allison JJ, Kiefe CI, Canto J. Racial disparities in coronary heart disease: A sociological view of the medical literature on physician bias. Ethnicity & Disease 2004;14:360–71.
2. Burgess D, van Ryn M, Dovidio J, Saha S. Reducing racial bias among health care providers: Lessons from social-cognitive psychology. Journal of General Internal Medicine 2007;22:882–7.
3. Ashton CM, Haidet P, Paterniti DA, Collins TC, Gordon HS, O’Malley K, Racial and ethnic disparities in the use of health services. Bias, preference, or poor communication? Journal of General Internal Medicine 2003;18:146–52.
4. Malat J. Social distance and patients’ rating of health care providers. Journal of Health & Social Behavior 2001;42:360–72.
5. van Ryn M, Burgess DJ, Dovidio JF, Phelan SM, Saha S, Malat J, The impact of racism on clinician cognition, behavior, and clinical decision making. DuBois Review 2011;8:199–218.
6. Green AR, Carney DR, Pallin DJ, Ngo LH, Raymond KL, Iezzoni LI, Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. Journal of General Internal Medicine 2007;22:1231–8.
7. Blanchard JC, Haywood YC, Scott C. Racial and ethnic disparities in health: An emergency medicine perspective. Academic Emergency Medicine 2003;10:1289–93.
8. Puhl RM, Moss-Racusin CA, Schwartz MB, Brownell KD. Weight stigmatization and bias reduction: Perspectives of overweight and obese adults. Health Education Research 2008;23:347–58.
9. Chapple A, Ziebland S, McPherson A. Stigma, shame, and blame experienced by patients with lung cancer: Qualitative study. British Medical Journal 2004;328:1470–4.
10. Dovidio JF, Penner LA, Albrecht TL, Norton WE, Gaertner SL, Shelton JN. Disparities and distrust: The implications of psychological processes for understanding racial disparities in health and health care. Social Science & Medicine 2008;67:478–86.
11. Burgess DJ, Crowly-Matoka M, Phelan S, Dovidio JF, Kerns R, Roth C, Patient race and physicians’ decisions to prescribe opioids for chronic low back pain. Social Science & Medicine 2008;67:1852–60.
12. Hernandez RA, Haidet P, Gill AC, Teal CR. Fostering students’ reflection about bias in healthcare: Cognitive dissonance and the role of personal and normative standards. Medical Teacher 2013;35:e1082–e89.
13. Ross PT, Davis HL, Kumagai AK, Campbell AD, Lypson ML. Sickle cell vision: A patient's photographic illustration of coping. Academic Medicine 2010;85:1210–1.
14. Wald HS, Reis SP. Beyond the margins: Reflective writing and development of reflective capacity in medical education. Journal of General Internal Medicine 2010;25:746–9.
15. Brady DW, Corbie-Smith G, Branch WT. “What's important to you?”: The use of narratives to promote self-reflection and to understand the experiences of medical residents. Annals of Internal Medicine 2002;137:220–3.
16. Haywood Jr.C, Beach MC, Lanzkron S, Strous JJ, Wison R, Park H, A systematic review of barriers and interventions to improve appropriate use of therapies for sickle cell disease. Journal of the National Medical Association 2009;101:1022–33.
17. Sutton M, Atweh GF, Cashman TD, Davis WT. Resolving conflicts: Misconceptions and myths in the care of the patient sickle cell disease. The Mount Sinai Journal of Medicine 1999;66:282–5.
18. Shapiro BS, Benjamin LJ, Payne R, Heidrich G. Sickle cell related pain: Perceptions of medical practitioners. Journal of Pain and Symptom Management 1997;14:168–74.
19. Krippendorff K. Content analysis: An introduction to its methodology. Thousand Oaks, CA: Sage, 2004.
20. Hughes S. Leadership, management and sculpture: How arts based activities can transform learning and deepen understanding. Reflective Practice 2009;10:77–90.
21. DasGupta S, Charon R. Personal illness narratives: Using reflective writing to teach empathy. Academic Medicine 2004;79:351–6.
22. Charon R. What to do with stories: The sciences of narrative medicine. Canadian Family Physician 2007;53:1265–7.
23. Garrison D, Lyness J, Frank J, Epstein R. Qualitative analysis of medical student impressions of a narrative exercise in the third-year psychiatry clerkship. Academic Medicine 2011;86:85–9.
24. Aronson L. Twelve tips for teaching reflection at all levels of medical education. Medical Teacher 2010;33:200–5.
25. Wald HS, Norman DR, Walker J. Reflection through the arts: Focus on photography to foster reflection in a health care context. Reflective Practice 2010;11:545–63.
26. Ross PT, Williams BC, Doran KM, Lypson ML. First-year medical students’ perceptions of physician's responsibilities toward the underserved: An analysis of reflective essays. Journal of the National Medical Association 2010;102:761–5.
27. Freire P. Pedagogy of the oppressed. New York: Continuum, 1993.
28. Kumagai AK, Lypson ML. Beyond cultural competence: Critical consciousness, social justice, and multicultural education. Academic Medicine 2009;84:82–7.
29. Hafferty FW, Franks R. The hidden curriculum, ethics teaching, and the structure of medical education. Academic Medicine 1994;69:861–71.
30. White CB, Kumagai AK, Ross PT, Fantone JC. A qualitative exploration of how the conflict between the formal and informal curriculum influences student values and behaviors. Academic Medicine 2009;84:597–603.
31. Kumagai AK. A conceptual framework for use of illness narratives in medical education. Academic Medicine 2008;83:653–8.
32. Diversity of U.S. Medical Students by Parental Income. Washington, DC: Association of American Medical Colleges, 2008.
33. Epstein RM. Mindful practice. Journal of the American Medical Association 1999;282:833–9.