Physician Identification Badges: A Multispecialty Quality Improvement Study to Address Professional Misidentification and Bias |
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| Institution: | 1. Department of Medicine, Mayo Clinic, Rochester, MN;2. Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN;3. Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN;4. Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN;5. Department of Otolaryngology (ENT)/Head and Neck Surgery, Mayo Clinic, Rochester, MN;6. Department of Urology, Mayo Clinic, Rochester, MN;7. Department of Dermatology, Mayo Clinic, Rochester, MN;8. Department of Neurologic Surgery, Mayo Clinic, Rochester, MN;9. Department of Medicine, Mayo Clinic, Scottsdale, AZ;1. Département de Cardiologie, CHU Timone, Marseille, France;2. Aix Marseille Univ, Inserm, Inra, C2VN, Marseille, France;3. Aix-Marseille Université, Faculté de Médecine, Marseille, France;4. Service de Chirurgie Cardiaque, Centre Hospitalier Universitaire et Faculté de Médecine, Université de Tours, France;5. Service de Cardiologie, Centre Hospitalier Universitaire Trousseau et Faculté de Médecine, Université de Tours, France;6. Service d''information médicale, d''épidémiologie et d''économie de la santé, Centre Hospitalier Universitaire et Faculté de Médecine, EA7505, Université de Tours, France;7. Département de Chirurgie Cardiaque, CHU Timone, Marseille, France;1. Department of Internal Medicine, Mayo Clinic, Rochester, MN;2. Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN;3. Department of Endocrinology and Metabolism, Mayo Clinic, Rochester, MN;1. Northwestern Medical Group, Chicago, IL;2. Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL;1. Department of Medical Oncology and Haematology, Amala Institute of Medical Sciences, Thrissur, India;2. Department of Radiodiagnosis, Amala Institute of Medical Sciences, Thrissur, India |
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| Abstract: | ObjectiveTo evaluate whether providing resident physicians with “DOCTOR” role identification badges would impact perceptions of bias in the workforce and alter misidentification rates.Participants and MethodsBetween October 2019 and December 2019, we surveyed 341 resident physicians in the anesthesiology, dermatology, internal medicine, neurologic surgery, otorhinolaryngology, and urology departments at Mayo Clinic in Rochester, Minnesota, before and after an 8-week intervention of providing “DOCTOR” role identification badges. Differences between paired preintervention and postintervention survey answers were measured, with a focus on the frequency of experiencing perceived bias and role misidentification (significance level, α=.01). Free-text comments were also compared.ResultsOf the 159 residents who returned both the before and after surveys (survey response rate, 46.6% 159 of 341]), 128 (80.5%) wore the “DOCTOR” badge. After the intervention, residents who wore the badges were statistically significantly less likely to report role misidentification at least once a week from patients, nonphysician team members, and other physicians (50.8% 65] preintervention vs 10.2% 13] postintervention; 35.9% 46] vs 8.6% 11]; 18.0% 23] vs 3.9% 5], respectively; all P<.001). The 66 female residents reported statistically significantly fewer episodes of gender bias (65.2% 43] vs 31.8% 21]; P<.001). The 13 residents who identified as underrepresented in medicine reported statistically significantly less misidentification from patients (84.6% 11] vs 23.1% 3]; P=.008); although not a statistically significant difference, the 13 residents identifying as underrepresented in medicine also reported less misidentification with nonphysician team members (46.2% 6] vs 15.4% 2]; P=.13).ConclusionResidents reported decreased role misidentification after use of a role identification badge, most prominently improved among women. Decreasing workplace bias is essential in efforts to improve both diversity and inclusion efforts in training programs. |
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| Keywords: | ENT"} {"#name":"keyword" "$":{"id":"kwrd0015"} "$$":[{"#name":"text" "_":"otorhinolaryngology IM"} {"#name":"keyword" "$":{"id":"kwrd0025"} "$$":[{"#name":"text" "_":"internal medicine URM"} {"#name":"keyword" "$":{"id":"kwrd0035"} "$$":[{"#name":"text" "_":"underrepresented in medicine |
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