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A study that asked subjects to identify pain expressed in photos found that white participants more readily recognized pain on white faces than on black faces.

Although providers might like to believe that they do not harbor unconscious biases, research shows that they are just as likely as others to do so.

We all make automatic associations based on past experiences, cultural messages, and other influences without even knowing that we do so.

We are in the midst of an Implicit Revolution that is bringing new insights into how our minds work, and research finds that we operate at the unconscious level much more than we ever imagined.

Addressing bias is not simple, but it is essential, and there are steps that individuals and institutions can take.

Here are a few:. As a nation, we must continue to reckon with the lingering history of racism in medicine. We in academic medicine have a duty to bring to light racist misinformation, stereotypes, and unconscious attitudes that contribute to disparities in patient care today.

Dramatically reducing, and perhaps even eliminating, racial and ethnic disparities in pain treatment is an attainable goal — and a moral imperative.

Janice A. New section. Half of white medical trainees believe such myths as black people have thicker skin or less sensitive nerve endings than white people.

What spurs pain treatment disparities? Toward more equitable treatment of pain Addressing bias is not simple, but it is essential, and there are steps that individuals and institutions can take.

Here are a few: Collect data. If bias exists, it will show up in the data. Health care systems need to review the data regularly and create strategies to address disparities.

Identify our own biases. To address our biases, we first need to recognize them. One way to explore our automatic associations is by taking an Implicit Association Test.

This also can be a valuable exercise in self-awareness and humility for our trainees, but be forewarned that the experience can provoke defensiveness.

When encouraging self-examination, educators must help trainees understand that implicit bias is common even among people whose beliefs are egalitarian, that we all internalize messages from our culture, and that implicit biases are not the same as discrimination or racism.

Another way to identify bias is to pay very close attention in everyday life when we notice that we have made a mistaken assumption. Establish educational programs.

Efforts to dispel misinformation about race and pain across the medical education continuum are essential — and so is education about implicit bias.

As of , only around 5 percent of physicians identified as African American and Hispanic respectively, which means that most Black patients will rarely get to experience the benefits of seeing a physician that looks like them and understands their life experiences.

Source: University of Miami. Traci Pedersen is a professional writer with over a decade of experience. Her work consists of writing for both print and online publishers in a variety of genres including science chapter books, college and career articles, and elementary school curriculum.

Psych Central. All rights reserved. Find help or get online counseling now. The findings are published in the academic journal Pain Medicine.

Hot Topics Today 1. Imposter Syndrome: Impact on Black Women.

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Yes, our pain has purpose. If we learn to listen to our heartache, it will serve as a road map to help navigate our journey to wholeness.

When we ignore the directions coming from our hurt places of pain, we will repeatedly veer off course. The amount of time we invest in healing is evident in our romantic unions.

Love should be healthy and holistically satisfying. It is a bond that can only be created between two individuals who have devoted the necessary energy into moving from pain to peace on an individual level.

Broken people will attempt to fill their emotional cracks with the love they feel from other people. Using people to numb your pain is contradictory to healing.

We have two options when it comes to dealing with our heartache: We can make the conscious choice to deal with our pain or allow our pain to rule us.

Here is how to navigate the delicate process of healing open wounds, so that we can transition from pain to peace. When we have done the necessary work to evolve from painful situations, we gain maturity needed to realize that hurt is not the sole emotion that derives from love.

When we have not reached a point of speaking and thinking from a restored place, our hurt will continue to convince us that love will always result in our demise.

Transitioning from pain to peace can be a lonesome journey. It is a walk that requires vulnerability.

Whenever we feel naked or exposed, our natural response is to seek refuge. That refuge can often be another person.

This is a mistake many of us make and, sadly, it causes a disruption in our healing. Toward more equitable treatment of pain Addressing bias is not simple, but it is essential, and there are steps that individuals and institutions can take.

Here are a few: Collect data. If bias exists, it will show up in the data. Health care systems need to review the data regularly and create strategies to address disparities.

Identify our own biases. To address our biases, we first need to recognize them. One way to explore our automatic associations is by taking an Implicit Association Test.

This also can be a valuable exercise in self-awareness and humility for our trainees, but be forewarned that the experience can provoke defensiveness.

When encouraging self-examination, educators must help trainees understand that implicit bias is common even among people whose beliefs are egalitarian, that we all internalize messages from our culture, and that implicit biases are not the same as discrimination or racism.

Another way to identify bias is to pay very close attention in everyday life when we notice that we have made a mistaken assumption.

Establish educational programs. Efforts to dispel misinformation about race and pain across the medical education continuum are essential — and so is education about implicit bias.

Learning about disparities in pain management can help clinicians and trainees improve their practices, and understanding that well-meaning individuals can harbor hidden biases can be humbling.

To be effective, though, education about implicit bias must be grounded in science, appropriate to the audience, inclusive, and nonjudgmental. Education also must include effective strategies for reducing the impact of bias on patient care, such as using clinical guidelines and standardized checklists.

Finally, institutions should evaluate the impact of implicit bias education on patient outcomes on a regular basis.

Remove as much individual discretion as possible. In addition, the Black patients who reported experiencing and worrying more about discrimination showed the greatest reductions in their bodily responses to pain when they had doctors of their own race, Anderson said.

While the authors expected this for white patients, they found it surprising for Hispanic patients, who also have been found to report more pain than non-Hispanic whites in previous studies.

The researchers say their study highlights a potential benefit of having more Black physicians in the medical profession, as it could mean a reduction in pain disparities.

As of , only around 5 percent of physicians identified as African American and Hispanic respectively, which means that most Black patients will rarely get to experience the benefits of seeing a physician that looks like them and understands their life experiences.

Source: University of Miami. Traci Pedersen is a professional writer with over a decade of experience. Her work consists of writing for both print and online publishers in a variety of genres including science chapter books, college and career articles, and elementary school curriculum.

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