Dialogue as skill
Training a health professions workforce that can talk about race and racism
Bibliographic Data
| ID | 9053786 |
|---|---|
| Authors | Jann L Murray-García, Jann Murray-García (0000-0002-9089-0427), Steven Harrell, Jorge A García (0000-0003-2473-7608, University of California, Davis), Elio Gizzi (Kaiser Permanente), Pamela Simms-Mackey (Primary Children's Hospital) |
| Year | 2014 |
| Volume | 84 |
| Issue | 5 |
| Pages | 590-596 |
| Publication date | 2014-09-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Orthopsychiatry (JOURNAL) |
| Journal identifiers | ISSN: 0002-9432 • E-ISSN: 1939-0025 |
| Publisher | American Psychological Association (APA) (PUBLISHER) |
| DOI | 10.1037/ort0000026 |
| PMID | 25265221 |
| OpenAlex | W2327811201 |
| Language | EN |
| Citations received | 12 |
| References cited | 28 |
Efforts in the field of multicultural education for the health professions have focused on increasing trainees' knowledge base and awareness of other cultures, and on teaching technical communication skills in cross-cultural encounters. Yet to be adequately addressed in training are profound issues of racial bias and the often awkward challenge of cross-racial dialogue, both of which likely play some part in well-documented racial disparities in health care encounters. We seek to establish the need for the skill of dialoguing explicitly with patients, colleagues, and others about race and racism and its implications for patient well-being, for clinical practice, and for the ongoing personal and professional development of health care professionals. We present evidence establishing the need to go beyond training in interview skills that efficiently "extract" relevant cultural and clinical information from patients. This evidence includes concepts from social psychology that include implicit bias, explicit bias, and aversive racism. Aiming to connect the dots of diverse literatures, we believe health professions educators and institutional leaders can play a pivotal role in reducing racial disparities in health care encounters by actively promoting, nurturing, and participating in this dialogue, modeling its value as an indispensable skill and institutional priority
Cultural competence · Health care · Health equity · Institutional racism · Medical education · Multiculturalism · Pedagogy · Political science · Prejudice (legal term) · Professional development · Public health · Public relations · Race (biology) · Racism · Sociology · Workforce · Cultural Competency in Health Care · Gender Studies · Global Health Workforce Issues · Medicine · Nursing · Psychology · Racial and Ethnic Identity Research · Social Psychology
Justifying treatment bias
When I think of mental healthcare, I think of no care.” Mental Health Services as a Vital Component of Prenatal Care for Black Women
Clinician Racial Biases
Teaching humanism and racial justice effectively in medical education with implementation of the Presence 5 for racial justice curricula
Being an Indigenous-specific antiracist educator in health professions
ACE-Informed Responses in Central Texas
Discussing transgender topics within gay-straight alliances
Responding to Racism in the Clinical Setting
The good, the bad, and the unspoken
Self-Awareness and Cultural Identity as an Effort to Reduce Bias in Medicine
Evaluation of a training program on the prevention of violent radicalization for health and education professionals
Signaling Allyship Via Ears
Multicultural Counseling Competencies
Linguistic and cultural barriers to care
Critical Race Theory and the Cultural Competence Dilemma in Social Work Education
Racial microaggressions against African American clients in cross-racial counseling relationships.
Physicians and Implicit Bias
Cultural Humility Versus Cultural Competence
Talking about Race, Learning about Racism
Patients and Healers in the Context of Culture
Cross-cultural Medical Education
Critical elements of culturally competent communication in the medical encounter
The Associations of Clinicians’ Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care
Patient Race/Ethnicity and Quality of Patient–Physician Communication During Medical Visits
Racial and Ethnic Differences in a Patient Survey
Understanding Racial and Ethnic Differences in Patient Experiences With Outpatient Health Care in Veterans Affairs Medical Centers
On the Nature of Prejudice
Aversive racism and medical interactions with Black patients
Examining White Counselor Trainees’ Reactions to Racial Issues in Counseling and Supervision Dyads
Under the Radar
The Influence of Implicit Bias on Treatment Recommendations for 4 Common Pediatric Conditions
The effect of patient race and socio-economic status on physicians' perceptions of patients
Disparities and distrust
Managing Racial Anger
The Counseling Process as Defined by Relationship Types
| Unique citing works | 12 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2018 - 2026 (9) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 11 |