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Seeing Patients : Unconscious Bias in Health Care - Augustus A. White

Seeing Patients

Unconscious Bias in Health Care

By: Augustus A. White, David Chanoff (As told to)

Hardcover

Published: 15th January 2011
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If you’re going to have a heart attack, an organ transplant, or a joint replacement, here’s the key to getting the very best medical care: be a white, straight, middle-class male. This book by a pioneering black surgeon takes on one of the few critically important topics that haven’t figured in the heated debate over health care reform—the largely hidden yet massive injustice of bias in medical treatment.

Growing up in Jim Crow–era Tennessee and training and teaching in overwhelmingly white medical institutions, Gus White witnessed firsthand how prejudice works in the world of medicine. And while race relations have changed dramatically, old ways of thinking die hard. In Seeing Patients White draws upon his experience in startlingly different worlds to make sense of the unconscious bias that riddles medical treatment, and to explore what it means for health care in a diverse twenty-first-century America.

White and co-author David Chanoff use extensive research and interviews with leading physicians to show how subconscious stereotyping influences doctor-patient interactions, diagnosis, and treatment. Their book brings together insights from the worlds of social psychology, neuroscience, and clinical practice to define the issues clearly and, most importantly, to outline a concrete approach to fixing this fundamental inequity in the delivery of health care.

In this autobiography, White, Harvard's first African American department chief, writing with Chanoff, chronicles his experiences growing up in Tennessee and his professional journey through medical school. Along the way, readers are shown how racism has impacted and still affects African Americans and others in the medical profession and in the medical system in general. -- A. W. Klink Library Journal 20101015 Armed by the unique perspective afforded by being both within the American medical establishment and an African American whose grit and talent put him there, highly respected Harvard Medical School professor White is a crystal-clear visionary. The best means to improve health care for all, he says, is for medical schools to produce physicians who are not only scientifically competent but also equally culturally competent...Part stirring autobiography, part reasoned apology for egalitarian health care, White's book makes a powerful case. -- Donna Chavez Booklist 20101201 The intertwining journeys of both orthopaedics and civil and human rights are chronicled in Dr. White's life and career. Despite the progress made in these areas, unequal medical treatment in this country still exists due to biases, stereotypes, generalizations, language differences, and cultural barriers. -- Steven L. Frick, MD AAOS Now 20110101 When White attended Stanford in the late '50s he was one of four students of color. A recommendation letter written by a mentor then included "this is a pale, colored boy" to avoid misunderstanding. Now White recounts his ground-breaking life in an engaging, matter-of-fact manner...A chance encounter with a woman who felt doctors judged her by her full-body tattoo led White to consider disparities in health care. Challenges exist on both sides of the stethoscope, White argues, noting that the uncertainty felt by many African-American patients over how they will be perceived also impacts the medical encounter; the burden for alleviating racial and other disparities (such as those based in age, gender, and sexual orientation) falls on the medical and educational communities. Accessible, thought-provoking, and valuable. Publishers Weekly 20110207 White, noted professor of orthopedic surgery at Harvard University, addresses the pervasive but hidden problem of prejudice in medicine in this revealing book. He uses extensive research to show how subconscious stereotyping of Blacks, women, and other minorities influences the doctor-patient relationship and how many people, therefore, receive substandard treatment. -- Clarence Waldron Jet 20110307 If you're going to have a heart attack, an organ transplant, or a joint replacement in the United States, here's the key to getting the very best medical care: be a straight, white, middle-class male. White, a pioneering black surgeon, and his coauthor make sense of the unconscious bias that riddles medical treatment and outline a way to fix this fundamental inequity in health-care delivery. Harvard Business School Alumni Bulletin 20110301 White's story--part autobiography, part call to action--is a compelling and often uncomfortable read about a hidden world where even the most compassionate and egalitarian caregivers often fail a basic command of the Hippocratic oath: to do no harm. -- Sean Silverthorne Harvard Business School Alumni Bulletin 20110601 White grew up in Memphis during the Jim Crow era. Affected deeply by the blatant racial prejudice he encountered in the South, as a student in Ivy League universities, as a physician during the Vietnam War, and as an orthopedic surgeon, White offers a deeply personal account. Part autobiography, and part sociological treatise on issues including race, the book chronicles how White's epiphany in Vietnam ("When I came out of that carnage in Vietnam, I came out with an even stronger sense that in the final analysis we are all so much more similar than different") led to his realization that "the persistent derogation of out-groups" results in unequal treatment of many categories of people. This understanding inspired him to become an activist dedicated to increasing knowledge and awareness of diversity issues. A fascinating account of how White became a professor of medical education/orthopedic surgery and the first African American department chief at Harvard's teaching hospital, this book explains such sociological principles as race, class, and in-group/out-group processes in clear, uncomplicated prose. His a very enjoyable account of the remarkable life of an individual who did what a lot of people say they want to do: make a difference. -- C. Apt Choice 20110801

Prefacep. ix
Introduction: My Fellow Humansp. 1
It Takes a Village: Memphisp. 15
Scrub Nursep. 35
Becoming a Doctor: Stanfordp. 63
Becoming a Surgeon: Yalep. 85
Combat Surgeon: Death and Our Common Humanityp. 109
Getting toward Equal: Swedenp. 133
A Man Ain't Nothin' but a Manp. 153
Orthopedic Chief: Harvardp. 177
Diagnosis and Treatment: The Subconscious at Workp. 199
Health-Care Disparities: Racep. 211
Health-Care Disparities: Women, Hispanics, Elderly, Gayp. 233
Culturally Competent Carep. 257
Epiloguep. 281
Some Practical Suggestions for Patients and Physiciansp. 297
National Standards on Culturally and Linguistically Appropriate Servicesp. 305
Notesp. 309
Acknowledgmentsp. 321
Indexp. 325
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780674049055
ISBN-10: 0674049055
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 352
Published: 15th January 2011
Publisher: Harvard University Press
Country of Publication: US
Dimensions (cm): 23.5 x 15.5  x 3.18
Weight (kg): 0.69