2020's Tragedies Propel Student to Examine Race-Based Medical Bias - AJMC.com Managed Markets Network

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A aesculapian pupil astatine the University of Kansas discusses a probe task she started successful her archetypal twelvemonth of school—2020—looking astatine whether a radical bias successful pulse oximetry was contiguous successful patients with acute hypoxemic respiratory failure.

Julia Balmaceda began her aesculapian acquisition astatine the University of Kansas Medical Center successful 2020. In this interview, she describes the backdrop for the abstract that was published astatine CHEST 2022 that looked astatine the nonstop arterial humor state and pulse oximeter readings of White and Black patients experiencing acute hypoxemic respiratory nonaccomplishment successful the intensive attraction unit.

Transcript

What prompted you and your co-authors to bash this study?

So arsenic a med student, we’re allowed to bash immoderate research. And astatine the time, erstwhile I started this, it was my archetypal twelvemonth of aesculapian school, truthful that would person been successful 2020. And during that time, obviously, it was precise tumultuous for the full country. COVID-19 was going on, you know, the tragedies of George Floyd and Breonna Taylor had occurred. And so, it was truly striking location with a batch of america successful the wellness attraction system. You know, we're decidedly not isolated from things that are going connected socially successful the country. So, arsenic a med student, I had to inquire myself, what tin I do? And 1 of the things that we could bash is bash research.

So, I decided to truly absorption my probe connected wellness attraction disparities. Part of our med schoolhouse program is talking astir the humanities and structural racism that occurs successful wellness care. And we learned astir racism that's built into things similar osteoporosis hazard calculations and things similar that. And truthful pulse oximetry, it's not similar a caller find that there's a race-based bias built into it. But honestly, it was chiefly maine trying to spot what's going connected astatine the instauration that I'm going to schoolhouse at...to spot what was happening successful the [intensive attraction unit] present astatine KU. So that's benignant of wherever it stemmed in. And looking astatine the results now, we spot that we reproduced thing that different institutions person seen. And thankfully, we have, I think, a larger information acceptable that we're going to look at, and hopefully that'll assistance america elucidate immoderate of the much applicable implications of what this bias is.

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