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Diversity and Inclusion in Surgery: The Role of Implicit Bias on Patient Care

  • Diversity in the Surgical Profession (S Pitt, Section Editor)
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Abstract

Purpose of Review

Implicit bias is a fundamental contributor to widespread healthcare inequalities. This review aims to shed light on known healthcare disparities in the surgical field, to discuss the role of implicit bias in both patient care and the development of a diverse surgical workforce, and to generate discussion on how surgeons can mitigate implicit biases in order to improve patient outcomes and the future of academic surgery.

Recent Findings

National reports consistently demonstrate that patients in minority groups have worse care as judged by multiple quality measures when compared to non-minority peers. Provider bias is significantly associated with differences in treatment decisions, treatment adherence, and patient health outcomes. Overall, healthcare providers demonstrate more negative implicit biases toward Black/African American, Hispanic, and Native American patients compared with white patients. Controlled experiments reveal that treatment recommendations for minority patients differ significantly from those made for non-minority patients presenting with the same symptoms, and that providers implicitly associate minority patients with poor compliance and poor cooperation. Providers who belong to the same minority group as their patients are reported to have improved patient satisfaction and better quality of care by several measures. Although embracing efforts to enhance diversity in the workforce, the surgical field is still dominated by white males. The training, hiring, and promotions processes all suffer from the negative consequences of implicit bias. A more diverse surgical workforce would allow for improvements in patient care by decreasing the impact of implicit bias on patient interactions.

Summary

Recognizing and proactively addressing provider-derived biases presents an opportunity to lessen the well-documented disparities in surgical care and to broadly improve outcomes. Building a more diverse surgical workforce will strengthen this effort, ultimately contributing to the advancement of surgical care for all patients.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Cooper LA, Ortega AN, Ammerman AS, Buchwald D, Paskett E, Powell L, Thompson B, Tucker KL, Warnecke RB, McCarthy WJ, et al. Calling for a bold new vision of health disparities intervention research. Am J Public Health. 2015;105:374–6. https://doi.org/10.2105/AJPH.2014.302386.

    Article  Google Scholar 

  2. HHS Action Plan to Reduce Racial and Ethnic Health Disparities. 2014;1–49. https://doi.org/10.1037/e553842012-001.

  3. Munshi KD, Shih Y-CT, Brown LM, Dagogo-Jack S, Wan JY, Wang J. Disparity implications of the medicare MTM eligibility criteria: a literature review. Expert Rev Pharmacoeconomic Outcomes Res. 2013;13(2):201–16. https://doi.org/10.1038/jid.2014.371.

    Article  CAS  Google Scholar 

  4. US Census Bureau 2010. https://www.census.gov/2010census/data/.

  5. Smedley BD, Stith AY, Nelson AR. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (with CD); 2003. https://doi.org/10.17226/12875.

  6. Haider AH, Scott VK, Rehman KA, Velopulos C, Bentley JM, Cornwell EE, Al-Refaie W. Racial disparities in surgical care and outcomes in the United States: a comprehensive review of patient, provider, and systemic factors. J Am Coll Surg. 2013;216(3):482–492.e12. https://doi.org/10.1016/j.jamcollsurg.2012.11.014.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Wesson DE, King T Jr, Todd RF, Torres EA, Hellmann DB, Flack JM, Dubose T Jr, Schuster VL. Achieving diversity in academic internal medicine: recommendations for leaders. Am J Med. 2006;119(1):50. https://doi.org/10.1016/j.amjmed.2005.10.032.

    Article  Google Scholar 

  8. • Siotos C, Payne RM, Stone JP, Cui D, Siotou K, Broderick KP, Rosson GD, Cooney CM. Evolution of workforce diversity in surgery. J Surg Educ. 2019;76(4):1015−1021. https://doi.org/10.1016/j.jsurg.2018.12.009. This cross-sectional study was a straightforward quantification of the diversity in the surgical workforce. Instead of speculating based on our anecdotal exposure to diversity in training, this study allows us to speak about the lack of diversity in academic surgery numerically.

  9. Erhunmwunsee L, Backhus LM, Godoy L, Edwards MA, Cooke DT. Report from the workforce on diversity and inclusion: the society of thoracic surgeons members’ bias experiences. Ann Thorac Surg. 2019;108(5):1287–91. https://doi.org/10.1016/j.athoracsur.2019.08.015.

    Article  PubMed  Google Scholar 

  10. Beattie G, Cohen D, McGuire L. An exploration of possible unconscious ethnic biases in higher education: the role of implicit attitudes on selection for university posts. Semiotica. 2013;197:171–201.

    Google Scholar 

  11. Stallworth L, McPherson T, Rute L. Discrimination in the workplace: how mediation can help. Disput Resolut J. 2001. https://elibrary.ru/item.asp?id=6351860.

  12. Balakrishnan K, Arjmand EM. The impact of cognitive and implicit bias on patient safety and quality. Otolaryngol Clin North Am. 2019;52(1):35–46. https://doi.org/10.1016/j.otc.2018.08.016.

    Article  PubMed  Google Scholar 

  13. Aronson E. The Social Animal. 10th ed. New York, NY: Worth Publishers; 2008. https://perception.org/research/explicit-bias/.

  14. • Hall WJ, Chapman MV, Lee KM, Merino YM, Thomas TW, Payne BK, Eng E, Day SH, Coyne-Beasley T. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. Am J Public Health. 2015;105(12):e60–e76. https://doi.org/10.2105/AJPH.2015.302903. This elegant systematic review covered 15 studies, summarizing the literature on implicit bias among healthcare workers and its impact on patient outcomes.

  15. Williams D, Mohammed S. Discrimination and racial disparities in health: evidence and needed research. J Behav Med. 2009;32(1):20–4. https://doi.org/10.1007/s10865-008-9185-0.Discrimination.

    Article  PubMed  Google Scholar 

  16. Dilley JA, Simmons KW, Boysun MJ, Pizacani BA, Stark MJ. Demonstrating the importance and feasibility of including sexual orientation in public health surveys: health disparities in the Pacific Northwest. Am J Public Health. 2010;100(3):460–7. https://doi.org/10.2105/AJPH.2007.130336.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Egbert L, Rothman I. Relation between the race and economic status of patients and who performs their surgery. N Engl J Med. 1977;297(2):90–1.

    Article  CAS  Google Scholar 

  18. Britton BV, Nagarajan N, Zogg CK, Selvarajah S, Schupper AJ, Kironji AG, Lwin AT, Cerullo M, Salim A, Haider AH. Awareness of racial/ethnic disparities in surgical outcomes and care: factors affecting acknowledgment and action. Am J Surg. 2016;212(1):102–108.e2. https://doi.org/10.1016/j.amjsurg.2015.07.022.

    Article  PubMed  Google Scholar 

  19. Zogg CK, Jiang W, Chaudhary MA, Scott JW, Shah AA, Lipsitz SR, Weissman JS, Cooper Z, Salim A, Nitzschke SL, et al. Racial disparities in emergency general surgery: do differences in outcomes persist among universally insured military patients? J Trauma Acute Care Surg. 2016;80(5):764–77. https://doi.org/10.1097/TA.0000000000001004.

    Article  PubMed  Google Scholar 

  20. Arul K, Mesfin A. The top 100 cited papers in health care disparities: a bibliometric analysis. J Racial Ethn Heal Disparities. 2016. https://doi.org/10.1007/s40615-016-0288-y.

    Article  Google Scholar 

  21. Dehon E, Weiss N, Jones J, Faulconer W, Hinton E, Sterling S. A systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895–904. https://doi.org/10.1111/acem.13214.

    Article  PubMed  Google Scholar 

  22. AHRQ. 2017 National Healthcare Quality & Disparities Report | Agency for Healthcare Research & Quality (AHRQ). AHRQ Pub No 15-0007. 2017. www.ahrq.gov/research/findings/nhqrdr/index.html.

  23. Collins TC, Clark JA, Petersen LA, Kressin NR. Racial differences in how patients perceive physician communication regarding cardiac testing. Med Care. 2002;40(1 Suppl):27–34. https://doi.org/10.1097/00005650-200201001-00004.

    Article  Google Scholar 

  24. Laveist TA, Nickerson KJ, Bowie JV. Attitudes about racism, medical mistrust, and satisfaction with care among African American and White cardiac patients. Med Care Res Rev. 2000;57(1):146–61.

    Article  Google Scholar 

  25. Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med. 2003;139(11):907–16. https://doi.org/10.7326/0003-4819-139-11-200312020-00009.

    Article  PubMed  Google Scholar 

  26. Cooper-patrick L, Gallo JJ, Gonzales JJ, Powe NR, Nelson C, Ford DE. Race, gender, and partnership in the patient-physician relationship. JAMA - J Am Med Assoc. 1999;282(6):583–9.

    Article  CAS  Google Scholar 

  27. Saha S, Komaromy M, Koepsell TD, Bindman AB. Patient-physician racial concordance and the perceived quality and use of health care. Arch Intern Med. 1999;159(9):997–1004. https://doi.org/10.1001/archinte.159.9.997.

    Article  CAS  PubMed  Google Scholar 

  28. Green AR, Carney DR, Pallin DJ, Ngo LH, Raymond KL, Iezzoni LI, Banaji MR. Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med. 2007;22(9):1231–8. https://doi.org/10.1007/s11606-007-0258-5.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Chapman EN, Kaatz A, Carnes M. Physicians and implicit bias: how doctors may unwittingly perpetuate health care disparities. J Gen Intern Med. 2013;28(11):1504–10. https://doi.org/10.1007/s11606-013-2441-1.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Blair IV, Havranek EP, Price DW, Hanratty R, Fairclough DL, Farley T, Hirsh HK, Steiner JF. Assessment of biases against Latinos and African Americans among primary care providers and community members. Am J Public Health. 2013;103(1):92–8. https://doi.org/10.2105/AJPH.2012.300812.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Haider AH, Schneider EB, Sriram N, Dossick DS, Scott VK, Swoboda SM, Losonczy L, Haut ER, Efron DT, Pronovost PJ, et al. Unconscious race and social class bias among acute care surgical clinicians and clinical treatment decisions. JAMA Surg. 2015;150(5):457–64. https://doi.org/10.1001/jamasurg.2014.4038.

    Article  PubMed  Google Scholar 

  32. Hausmann LRM, Myaskovsky L, Niyonkuru C, Oyster ML, Switzer GE, Burkitt KH, Fine MJ, Gao S, Boninger ML. Examining implicit bias of physicians who care for individuals with spinal cord injury: a pilot study and future directions. J Spinal Cord Med. 2015;38(1):102–10. https://doi.org/10.1179/2045772313Y.0000000184.

    Article  PubMed  PubMed Central  Google Scholar 

  33. • Penner LA, Dovidio JF, Gonzalez R, Albrecht TL, Chapman R, Foster T, Harper FWK, Hagiwara N, Hamel LM, Shields AF, et al. The effects of oncologist implicit racial bias in racially discordant oncology interactions. J Clin Oncol. 2016;34(24):2874–2880. https://doi.org/10.1200/JCO.2015.66.3658. This prospective study evaluated implicit bias from the patient perspective. As a specific investigation of the impact of race-discordance and implicit bias on oncological patient interactions, it was a well-designed and interesting example of how this seemingly elusive topic can be quantified and studied.

  34. Cooper LA, Roter DL, Carson KA, Beach MC, Sabin JA, Greenwald AG, Inui TS. The associations of clinicians’ implicit attitudes about race with medical visit communication and patient ratings of interpersonal care. Am J Public Health. 2012;102(5):979–87. https://doi.org/10.2105/AJPH.2011.300558.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Paradies Y, Truong M, Priest N. A systematic review of the extent and measurement of healthcare provider racism. J Gen Intern Med. 2014;29(2):364–87. https://doi.org/10.1007/s11606-013-2583-1.

    Article  PubMed  Google Scholar 

  36. Steiner J, Ho P, Beaty B, Dickinson L, Hanratty R, Zeng C, Tavel H, Havranek E, Davidson A, Magid DJ, et al. Socio-demographic and clinical characteristics are not clinically useful predictors of refill adherence in patients with hypertesion. Circ Cardiovasc Qual Outcomes. 2009;2(5):451–7. https://doi.org/10.1161/CIRCOUTCOMES.108.841635.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Bean MG, Stone J, Badger TA, Focella ES, Moskowitz GB. Evidence of nonconscious stereotyping of hispanic patients by nursing and medical students. Nurs Res. 2013;62(5):362–7. https://doi.org/10.1097/NNR.0b013e31829e02ec.

    Article  PubMed  PubMed Central  Google Scholar 

  38. • Chiu AS, Jean RA, Davis KA, Pei KY. Impact of race on the surgical management of adhesive small bowel obstruction. J Am Coll Surg. 2018;226(6):968–976.e1. https://doi.org/10.1016/j.jamcollsurg.2017.11.006. This retrospective study using NSQIP data demonstrated clear statistically-significant differences in treatment patterns of racial/ethnic minorities presenting with one of the most common surgical problems.

  39. Meara JG, Leather AJM, Hagander L, Alkire BC, Alonso N, Ameh EA, Bickler SW, Conteh L, Dare AJ, Davies J, et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Int J Obstet Anesth. 2016;25:75–8. https://doi.org/10.1016/j.ijoa.2015.09.006.

    Article  PubMed  Google Scholar 

  40. Sosa JA, Mehta PJ, Wang TS, Yeo HL, Roman SA. Racial disparities in clinical and economic outcomes from thyroidectomy. Ann Surg. 2007;246(6):1083–91. https://doi.org/10.1097/SLA.0b013e31812eecc4.

    Article  PubMed  Google Scholar 

  41. Akinyemiju T, Meng Q, Vin-Raviv N. Race/ethnicity and socio-economic differences in colorectal cancer surgery outcomes: analysis of the nationwide inpatient sample. BMC Cancer. 2016;16(1):1–10. https://doi.org/10.1186/s12885-016-2738-7.

    Article  Google Scholar 

  42. Damle RN, Flahive JM, Davids JS, Maykel JA, Sturrock PR, Alavi K. Examination of racial disparities in the receipt of minimally invasive surgery among a national cohort of adult patients undergoing colorectal surgery. Dis Colon Rectum. 2016;59(11):1055–62. https://doi.org/10.1097/DCR.0000000000000692.

    Article  PubMed  Google Scholar 

  43. Sukumar S, Ravi P, Sood A, Gervais MK, Hu JC, Kim SP, Menon M, Roghmann F, Sammon JD, Sun M, et al. Racial disparities in operative outcomes after major cancer surgery in the United States. World J Surg. 2015;39(3):634–43. https://doi.org/10.1007/s00268-014-2863-x.

    Article  PubMed  Google Scholar 

  44. Meghani SH, Brooks JM, Gipson-Jones T, Waite R, Whitfield-Harris L, Deatrick JA. Patient-provider race-concordance: does it matter in improving minority patients’ health outcomes? Ethn Heal. 2009;14(1):107–30. https://doi.org/10.1080/13557850802227031.

    Article  Google Scholar 

  45. Zhao C, Dowzicky P, Colbert L, Roberts S, Kelz RR. Race, gender, and language concordance in the care of surgical patients: a systematic review. Surgery. 2019;166(5):785–92. https://doi.org/10.1016/j.surg.2019.06.012.

    Article  PubMed  Google Scholar 

  46. Wallis CJ, Ravi B, Coburn N, Nam RK, Detsky AS, Satkunasivam R. Comparison of postoperative outcomes among patients treated by male and female surgeons: a population based matched cohort study. BMJ. 2017;359:1–10. https://doi.org/10.1136/bmj.j4366.

    Article  Google Scholar 

  47. Sabin JA, Nosek BA, Greenwald AG, Rivara FP. Physicians’ implicit and explicit attitudes about race by MD race, ethnicity, and gender. J Health Care Poor Underserved. 2009;20(3):896–913. https://doi.org/10.1353/hpu.0.0185.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Sabin JA, Greenwald AG. The influence of implicit bias on treatment recommendations for 4 common pediatric conditions: pain, urinary tract infection, attention deficit hyperactivity disorder, and asthma. Am J Public Health. 2012;102(5):988–95. https://doi.org/10.2105/AJPH.2011.300621.

    Article  PubMed  PubMed Central  Google Scholar 

  49. O’Brien KS, Puhl RM, Latner JD, Mir AS, Hunter JA. Reducing anti-fat prejudice in preservice health students: a randomized trial. Obesity. 2010;18(11):2138–44. https://doi.org/10.1038/oby.2010.79.

    Article  PubMed  Google Scholar 

  50. Galli G, Lenggenhager B, Scivoletto G, Molinari M, Pazzaglia M. Don’t look at my wheelchair! The plasticity of longlasting prejudice. Med Educ. 2015;49(12):1239–47. https://doi.org/10.1111/medu.12834.

    Article  PubMed  Google Scholar 

  51. Abelson JS, Symer MM, Yeo HL, Butler PD, Dolan PT, Moo TA, Watkins AC. Surgical time out: Our counts are still short on racial diversity in academic surgery. Am J Surg. 2018;215(4):542–8. https://doi.org/10.1016/j.amjsurg.2017.06.028.

    Article  PubMed  Google Scholar 

  52. Arora TK, Dent D, Morris-Wiseman L, Nfonsam V. Diversity in the last decade of the association of program directors in surgery: a descriptive analysis of leadership and future directions. J Surg Educ. 2019;76(6):e125–e131131. https://doi.org/10.1016/j.jsurg.2019.08.016.

    Article  PubMed  Google Scholar 

  53. Berry C, Khabele D, Johnson-Mann C, Henry-Tillman R, Joseph K-A, Turner P, Pugh C, Fayanju O, Backhus L, Sweeting R, et al. A call to action: Black/African American women surgeon scientists, where are they? Ann Surg. 2020. https://doi.org/10.1097/SLA.0000000000003786.

    Article  PubMed  PubMed Central  Google Scholar 

  54. • Salles A, Awad M, Goldin L, Krus K, Lee JV, Schwabe MT, Lai CK. Estimating implicit and explicit gender bias among health care professionals and surgeons. JAMA Netw Open. 2019;2(7):1–12. https://doi.org/10.1001/jamanetworkopen.2019.6545. Studying the current roles of Black/African American women in academic surgery, this cross-sectional study produced shocking results regarding the lack of representation of this population in surgery. It moves us to evaluate the status quo and challenge it with methodical changes in the structure of hiring and promotion, eliminating bias and bringing more diverse candidates into roles they deserve.

  55. • Salles A, Milam L, Cohen G, Mueller C. The relationship between perceived gender judgment and well-being among surgical residents. Am J Surg. 2018;215(2):233–237. https://doi.org/10.1016/j.amjsurg.2017.08.049. This study of implicit bias in surgery informs us directly of exactly the degree of bias within our specialty and encourages an introspective look at our approach to mitigation.

  56. Gerull KM, Wahba BM, Goldin LM, McAllister J, Wright A, Cochran A, Salles A. Representation of women in speaking roles at surgical conferences. Am J Surg. 2019;8:1–7. https://doi.org/10.1016/j.amjsurg.2019.09.004.

    Article  Google Scholar 

  57. Payne BK, Lambert AJ, Jacoby LL. Best laid plans: effects of goals on accessibility bias and cognitive control in race-based misperceptions of weapons. J Exp Soc Psychol. 2002;38(4):384–96. https://doi.org/10.1016/S0022-1031(02)00006-9.

    Article  Google Scholar 

  58. Greenwald AG, Mcghee DE, Schwartz JLK. Measuring individual differences in implicit cognition. J Pers Soc Psychol. 1998;74(6):1464–80.

    Article  CAS  Google Scholar 

  59. Fitzgerald C, Martin A, Berner D, Hurst S. Interventions designed to reduce implicit prejudices and implicit stereotypes in real world contexts: a systematic review. BMC Psychol. 2019;7(1):1–12. https://doi.org/10.1186/s40359-019-0299-7.

    Article  Google Scholar 

  60. Columb C, Plant EA. Revisiting the Obama effect: exposure to Obama reduces implicit prejudice. J Exp Soc Psychol. 2011;47(2):499–501. https://doi.org/10.1016/j.jesp.2010.11.012.

    Article  Google Scholar 

  61. McGrane JA, White FA. Differences in Anglo and Asian Australians’ explicit and implicit prejudice and the attenuation of their implicit in-group bias. Asian J Soc Psychol. 2007;10(3):204–10. https://doi.org/10.1111/j.1467-839X.2007.00228.x.

    Article  Google Scholar 

  62. Lai CK, Cooley E, Devos T, Xiao YJ, Simon S, Joy-Gaba JA, Roussos G, Schellhaas FMH, Hu X, Axt JR, et al. Reducing implicit racial preferences: II. Intervention effectiveness across time. J Exp Psychol Gen. 2016;145(8):1001–166. https://doi.org/10.1037/xge0000179.

    Article  PubMed  Google Scholar 

  63. Turner RN, Crisp RJ. Imagining intergroup contact reduces implicit prejudice. Br J Soc Psychol. 2010;49(1):129–42. https://doi.org/10.1348/014466609X419901.

    Article  PubMed  Google Scholar 

  64. Devine PG, Forscher PS, Austin AJ. Long-term reduction in implicit race bias: a prejudice habit-breaking intervention. J Exp Soc Psychol. 2013;48(6):1267–78. https://doi.org/10.1016/j.jesp.2012.06.003.

    Article  Google Scholar 

  65. Sabin JA, Rivara FP, Greenwald AG. Physician implicit attitudes and stereotypes about race and quality of medical care. Med Care. 2008;46(7):678–85. https://doi.org/10.1097/MLR.0b013e3181653d58.

    Article  PubMed  Google Scholar 

  66. White-Means S, Dong Z, Hufstader M, Brown LT. Cultural competency, race, and skin tone bias among pharmacy, nursing, and medical students: Implications for addressing health disparities. Med Care Res Rev. 2009;66(4):436–55. https://doi.org/10.1177/1077558709333995.

    Article  PubMed  Google Scholar 

  67. Von Hippel W, Brener L, Von Hippel C. Implicit prejudice toward injecting drug users predicts intentions to change jobs among drug and alcohol nurses. Psychol Sci. 2008;19(1):7–11. https://doi.org/10.1111/j.1467-9280.2008.02037.x.

    Article  Google Scholar 

  68. van Ryn M, Hardeman R, Phelan SM, PhD DJB, Dovidio JF, Herrin J, Burke SE, Nelson DB, Perry S, Yeazel M, et al. Medical school experiences associated with change in implicit racial bias among 3547 students: a medical student CHANGES Study Report. J Gen Intern Med. 2015;30(12):1748–56. https://doi.org/10.1007/s11606-015-3447-7.

    Article  PubMed  PubMed Central  Google Scholar 

  69. Forscher PS, Mitamura C, Dix EL, Cox WTL, Devine PG. Breaking the prejudice habit: Mechanisms, timecourse, and longevity. J Exp Soc Psychol. 2016;2017(72):133–46. https://doi.org/10.1016/j.jesp.2017.04.009.

    Article  Google Scholar 

  70. DiBrito SR, Lopez CM, Jones C, Mathur A. Reducing implicit bias: Association of Women Surgeons #HeForShe task force best practice recommendations. J Am Coll Surg. 2019;228(3):303–9. https://doi.org/10.1016/j.jamcollsurg.2018.12.011.

    Article  PubMed  PubMed Central  Google Scholar 

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Lopez, C.M., Diaz, S., Abrahim, O. et al. Diversity and Inclusion in Surgery: The Role of Implicit Bias on Patient Care. Curr Surg Rep 8, 29 (2020). https://doi.org/10.1007/s40137-020-00275-1

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