TY - JOUR
T1 - Implicit Bias and Health Disparities Education in the Neonatal Intensive Care Unit
AU - Dyess, Nicolle Fernandez
AU - Carr, Cara Beth
AU - Mavis, Stephanie
AU - Caruso, Catherine Grace
AU - Izatt, Susan
AU - French, Heather
AU - Dadiz, Rita
AU - Bonachea, Elizabeth M.
AU - Gray, Megan
N1 - Publisher Copyright:
© 2023 Thieme Medical Publishers, Inc.. All rights reserved.
PY - 2023
Y1 - 2023
N2 - Objective To characterize implicit bias (IB) and health disparities (HD) education in neonatal-perinatal medicine (NPM), including current educational opportunities, resources, and barriers. Study Design A national web-based survey was sent to NPM fellows, neonatologists, and front-line providers after iterative review by education experts from the National Neonatology Curriculum Committee. Quantitative data were analyzed with chi-square and Fisher exact tests. Qualitative data were evaluated using thematic analysis. Results Of 452 NPM survey respondents, most desired additional IB (76%) and HD (83%) education. A greater proportion of neonatologists than fellows received IB (83% vs. 57%) and HD (87% vs. 74%) education. Only 41% of neonatologists reported that their institution requires IB training. A greater proportion of fellows than neonatologists expressed dissatisfaction with the current approaches for IB (51% vs. 25%, p<0.001) and HD (43% vs. 25%, p=0.015) education. The leading drivers of dissatisfaction included insufficient time spent on the topics, lack of specificity to NPM, inadequate curricular scope or depth, and lack of local educator expertise. A minority of faculty who are tasked to educate others have received specific educator training on IB (21%) and HD (16%). Thematic analysis of survey free-text responses identified three main themes on the facilitators and barriers to successful IB and HD education: individual, environmental, and curricular design variables. Conclusions NPM trainees and neonatologists desire tailored, active, and expert-guided IB and HD education. Identified barriers are important to address in developing an effective IB/HD curriculum for the NPM community.
AB - Objective To characterize implicit bias (IB) and health disparities (HD) education in neonatal-perinatal medicine (NPM), including current educational opportunities, resources, and barriers. Study Design A national web-based survey was sent to NPM fellows, neonatologists, and front-line providers after iterative review by education experts from the National Neonatology Curriculum Committee. Quantitative data were analyzed with chi-square and Fisher exact tests. Qualitative data were evaluated using thematic analysis. Results Of 452 NPM survey respondents, most desired additional IB (76%) and HD (83%) education. A greater proportion of neonatologists than fellows received IB (83% vs. 57%) and HD (87% vs. 74%) education. Only 41% of neonatologists reported that their institution requires IB training. A greater proportion of fellows than neonatologists expressed dissatisfaction with the current approaches for IB (51% vs. 25%, p<0.001) and HD (43% vs. 25%, p=0.015) education. The leading drivers of dissatisfaction included insufficient time spent on the topics, lack of specificity to NPM, inadequate curricular scope or depth, and lack of local educator expertise. A minority of faculty who are tasked to educate others have received specific educator training on IB (21%) and HD (16%). Thematic analysis of survey free-text responses identified three main themes on the facilitators and barriers to successful IB and HD education: individual, environmental, and curricular design variables. Conclusions NPM trainees and neonatologists desire tailored, active, and expert-guided IB and HD education. Identified barriers are important to address in developing an effective IB/HD curriculum for the NPM community.
KW - Curriculum Development
KW - Health Disparities
KW - Implicit Bias
KW - Neonatal-Perinatal Medicine
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U2 - 10.1055/a-2240-1979
DO - 10.1055/a-2240-1979
M3 - Article
C2 - 38190976
AN - SCOPUS:85182361215
SN - 0735-1631
JO - American journal of perinatology
JF - American journal of perinatology
ER -