Implicit bias is defined as the unconscious “attitudes or stereotypes that affect our understanding, actions, and decisions”. [1] It occurs without conscious awareness, is not readily apparent to oneself, and may be at odds with one’s stated beliefs. The Implicit Association Test (IAT) is one of the gold standards in measuring implicit bias. Tests of implicit bias can be taken for free through Project Implicit, a nonprofit organization and research group. [2] Overall, more than 70% of people who have taken the race attitude IAT have shown implicit preference for white Americans. One study found that physicians are no different: of more than 400,000 medical doctors that took the race attitude IAT, there was an overwhelming implicit preference for white Americans relative to Black Americans. [3] Women physicians were shown to have less implicit bias than men physicians, but only Black physicians showed no implicit race preference…
Read MoreMalpractice is a topic that is often avoided in medical training. We arguably spend more time learning to perform once-in-a-lifetime/never-in-a-lifetime procedures than we learn about something that is very likely to occur in our career. According to the American Medical Associations’ Physician Practice Information survey in 2007-2008, 75% of emergency physicians over the age of 55 years old reported having ever been sued. Additionally, 30.9% of emergency medicine respondents reported being sued at least two times, with 109 claims per 100 physicians who responded…
Read MoreEmergency department providers are no strangers to the presence of law enforcement officers (LEOs) through the course of their job duties; they are integral to public safety and often hospital safety, conduct criminal investigations, and assist in pre-hospital care. Despite the frequency of law enforcement in U.S. emergency departments, interactions with providers and staff often presents unique challenges. When faced with a patient needing both medical care and involvement of law enforcement, ED providers can face several conflicts of interest…
Read MoreFormal Emergency Medicine training in the majority of low- and middle-income countries (LMICs) is still in early stages of development. At the same time Emergency Centre (EC) mortality in LMICs is high, with a meta-analysis demonstrating a median mortality prevalence of 1.8%. Although there are multi-factorial reasons for this high mortality rate, the authors state a lack of a robust formally trained Emergency Medicine workforce is one of the proposed problems…
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