mitchell-unconscious-bias.md (1842B)
1 # Kevin Mitchell on unconscious bias 2 3 - 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) 4 5 - "Code Switching" 6 - switching language and behavior based on context 7 - learned from mother to purposefully code switch 8 - "don't be a stereotype..." (or statistic - non-grad, etc.) 9 - 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 10 - [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 11 - Assimilative techniques: passing (concealing: appear as member of dominant group), temporary passing (projecting), covering (downplay salience) 12 13 - Consequences of code switching 14 - imposter syndrome, burden of duality, burnout 15 - gift and curse: street credibility vs professionalism; empathy vs sympathy; pt trust vs colleague comfort 16 17 - how to respond to racist/sexist comments (this is a tl;dr of bystander training) 18 - take note 19 - stabilize patient 20 - address the issue 21 - stabilize victim 22 23 - other notes: 24 - his "solutions" slide was blank when he first started giving this talk, now has several ideas and many angles -- the process of gaining hope and strategy can definitely start with no concrete solutions, but if it's important, keep working at it, get some friends, ideas will come 25 - look into race-based GFR, its history and problems 26 27 last updated: 2020-06-30