Subjective Bias Due to Racial Discrimination
'Conclusion: Subjective bias due to racial discrimination in the clinical skills assessment may be a cause of failure for UK trained candidates and international medical graduates.’ Prof Aneez Esmail, BMJ online, 26 Sept 2013.
Update October 13, 2013:
'Britain's leading medical journal was threatened with legal action by the family doctors' professional body (RCGP) over a report that considered whether there was racial bias in the way that trainee GPs are examined.'
SUBJECTIVE/SUBCONSCIOUS HIDDEN BIAS
What is negative subconscious hidden bias?
Miss America Indian Nina faces abuse and is accused of being Al-Quaeda and a terrorist on public twitter.
Please watch the social bicycle theft experiment.
A heartfelt plea from an ethnic minority Asian GP trainee:
This exam does not reflect true UK general practice as it claims. I have very often done sessions where 100% of my patients were ethnic minorities or east europeans as they felt more comfortable talking to an Asian doc.
Are the failure rates the same for MRCGP taken internationally. Those countries would probably scrap these exams if the failure rates were the same. But perhaps the failure rates are low because they are designed to see actors or even real patients which reflect the diversity of their patients. What would the failure rate be if these UK CSA was applied overseas......the results are predictable. Doesn't mean they are bad doctors!!!
Hidden bias is natural but as practising doctors we never let this affect our consultations. I respect all my patients and try to understand them no matter what the age, colour, sex or ethnicity. I enjoy my everyday consultations even though I have failed my CSA because I value every human being.......I have tears in my eyes when writing this....have to stop.'
A heartfelt plea from a white UK GP trainee:
The public might think that there is a generic 'doctor' but the reality for a failed GP trainee is dire. Who can count the hours of work, study and financial cost? Who can imagine what it feels like that an exam score - remember it is only about one third of the entire MRCGP assessment - decides a person's fate and livelihood? There is no easy future.
I'm a white UK GP trainee and I am ashamed at how you are treated. I know that a London medical school was shown to use racially biased selection:
Even now international students suffer the cost of re-sits at medical schools too. The medical schools don't do much with the extra cash whereas they perhaps should be fined for not delivering the teaching these students have paid for - or the exam system that fails them too.
This is something we must all fight against and it is not enough for the RCGP to say the CSA is not biased: it must be shown - without doubt - to be unbiased. I urge Clare Gerada to back down: please face the reality, apologise and move forward for the sake of the desolate plight of our colleagues.'
A NHS consultant psychiatrist makes October 1, 2013 a day to remember