curriculum development targeting implicit bias awareness ...-rachel.pdfacceptance, once must develop...
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Agency - Belmont University
Special thanks to my expert mentor, Dr. Allison Koch, as wellas my faculty mentor, Dr. Sue Iliff, for their support,expertise, and feedback throughout this ExperientialComponent. I also wish to extend my gratitude to BelmontUniversity, School of Occupational Therapy, for providing mewith the education and skills to develop this project.Schultz, P. & Baker J.(2017). Teaching Strategies to Increase Nursing Student Acceptance
and Management of Unconscious Bias. J Nurs Educ. 56(11) 692-696. doi:10.3928/01484834-20171020-11
Teal, C.R., Gill, A.C., Green, A.R. & Crandall, S. (2012). Helping medical learners recognise
and manage unconscious bias toward certain patient groups. Medical Education, 46, 80–
88. doi:10.1111/j.1365-2923.2011.04101.x
The deliverables that I created for my Experiential Componentare multifaceted. I created an overview of the deliverables tohelp familiarize instructors with the materials provided in thecurricular package. The categories in this overview includeInstructional Resources, Awareness Activities, PracticingStrategies, Additional Instructional Materials, and Resources.The following overview is provided regarding those materials:
In order to address implicit bias, it’s important to have learners identify the stagethat reflects their current thinking and awareness (depicted in Figure 3). In thedeliverables I created, there are presentations, discussions, and activities that willallow learners to reflect on their own awareness and willingness to confront theirunconscious bias (UB). Research shows that in order to move from Denial toAcceptance, once must develop acceptance of and respect for UB. To achieveAdaptation and Integration, learners will need to apply UB concepts and acquirestrategies for recognizing when UB in a medical encounter and managing theimpact of UB that follows. In addition to developing self-awareness, learners willbe provided with evidence-based strategies for mitigating bias and opportunitiesto practice these strategies with their peers through real-life case scenarios andsimulations.
Experiential Component Objectives
Acknowledgments & References
The agency that I was able to serve for my Experiential
Component was Belmont University. Belmont’s mission is to
provide an academically challenging education that empowers
men and women of diverse backgrounds to engage and
transform the world with disciplined intelligence, compassion,
courage, and faith. Additionally, Belmont’s vision is to be a
leader among teaching universities, bringing together the best
of liberal arts and professional education in a Christian
community of learning and service.
Curriculum Development Targeting Implicit Bias Awareness & Strategies For Mitigation
Zandee, R. OTD/S; Iliff, S. PhD, OTR/L; & Koch, A. OTD, OTR/L
Belmont University School of Occupational Therapy
My EC project is a direct continuation of the research
conducted in my doctoral coursework. While the prior study,
titled ‘Implicit Disability Bias in Healthcare Graduate Students:
Exploring the Effectiveness of Instructional Methods in
Increasing Self-Awareness’, gathered data regarding the trend
of increasing self-awareness regarding bias, this project
followed up with a curriculum that seeks to address implicit
bias and the development of mitigation techniques in an
educational setting.
Research shows that implicit bias in healthcare providers has an impact on the
therapeutic relationship between the patient and provider, the patient’s
adherence to treatment, and the quality of treatment received. It’s important to
know the “why” behind addressing implicit bias: it has been shown to lead to
health disparities in stigmatized patients, as Figure 2 depicts (Schultz & Baker,
2017). As future healthcare providers who value patient-centered care, quality of
life, and a patient’s intrinsic value and right to proper healthcare, we should be
motivated to address these disparities by addressing their root: implicit bias.
Acceptance
Adaptation
Integration
“Understand and respect the tremendous
power of unconscious bias... Do everything
you can to become aware of and honestly
face the biases that you personally might
have, both those you know you have and
those that take some digging to recognize...
The most effective measure is our
willingness to confront our deepest feelings
about those who are different from us.”
Teal, Gill, Green & Crandall, 2012
Why Addressing Implicit Bias Matters The Deliverables
Perceived lack of
provider concern
Subtle nuances in
interpersonal
interactions caused
by implicit bias
Decreased engagement and
adherence to treatment
recommendations
Patient trust and
confidence
decreases
FIgure 2
FIgure 1
Figure 3
Curricular
ThemeDescription of GoalExperiential Component Goal
Identify evidence-based instructional methodsGauge students’ current level of understanding on the topic and prepare information that meets the gapDevelop an education module/curriculum that is catered to the needs of the learners and the current gaps in knowledgePresenting my curriculum to graduate level health programs
Clinical ExcellenceServiceScholarshipLeadership
2
Refine my teaching skills
Gather current research on implicit bias, effective self-awareness strategies, and instructional methodsAnalyze data to develop a education modules that address gaps in current understanding and practice of implicit bias
1
Develop my understanding of how implicit bias affects patient outcomes and ways to address this impact effectively at an educational level
ScholarshipLeadership
Instructional ResourcesOverview of Deliverables: 3 hr, 6 hr, 8+ hr classDetailed presentations with scripts and researchVideos on Implicit Bias with discussion questionsArticles on Implicit Bias with discussion questionsBloom’s Taxonomy - Developing learning goals
Awareness ActivitiesInteractive ‘A-Ha!’ ActivitiesStages of Intercultural Competence worksheet
Practicing StrategiesFour Levels of Intervention - ActivityThe TWED Strategy - ActivityPerspective-Taking ExercisesCase Scenarios
Additional Instructional MaterialsCreating a Panel & Panel ReflectionCreating Scenarios & Scenario ReflectionResearch on developing questions and discussions
My next steps with this project include publishing the curricular package and disseminating it to interested parties.