commit 147c268812cff7ad1d08e20041f470dbd53c0397
parent 9f461dff95ea0ee65edef45b5fa4a426e653d1d0
Author: C. Beau Hilton <cbeauhilton@gmail.com>
Date: Tue, 30 Jun 2020 12:30:14 -0500
memex update
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diff --git a/medicine/mitchell-unconscious-bias.md b/medicine/mitchell-unconscious-bias.md
@@ -1,6 +1,7 @@
# Kevin Mitchell on unconscious bias
- started with intersectionality (he trained as a pharmacist, then physician, is a veteran, from Miami, a husband, a father, a black man, --also big Harry Potter fan)
+
- "Code Switching"
- switching language and behavior based on context
- learned from mother to purposefully code switch
@@ -8,10 +9,17 @@
- data - [Race, Ethnicity, and NIH Research Awards](https://science.sciencemag.org/content/333/6045/1015) "2011 Science Mag, Ginther et al. : if top-tier scores, funded equally well, but below upmost echelons people who were black or of Asian decent less likely to be funded
- [Racial Disparities in Pain Management of Children With Appendicitis in Emergency Departments](https://jamanetwork.com/journals/jamapediatrics/fullarticle/2441797) (JAMA, Goyal et al.) : children of color less likely to receive analgesia for severe pain
- Assimilative techniques: passing (concealing: appear as member of dominant group), temporary passing (projecting), covering (downplay salience)
+
- Consequences of code switching
- imposter syndrome, burden of duality, burnout
- gift and curse: street credibility vs professionalism; empathy vs sympathy; pt trust vs colleague comfort
+- how to respond to racist/sexist comments
+ - take note
+ - stabilize patient
+ - address the issue
+ - stabilize victim
+
- other notes:
- look into race-based GFR, history and problems
