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America's Caste System / Caste issues in Silicon valley (17min) In this Planet Money episode, a short version of a longer podcast airing, we learn about the issue of caste discrimination happening here in the US - discrimination that has bridged an ocean to show up in Silicon Valley. This is a different way to view racial bias/racism - and it is connected to the larger conversation in the US (if interested, see here: https://www.npr.org/2020/08/04/898574852/its-more-than-racism-isabel-wilkerson-explains-america-s-caste-system).

Contributor: Francesca CiminoOctober 24, 2020Topics: RacismKeywords: bias / caste / racism

Weight bias in health care This is a video created by UConn's Rudd Center for Food Policy and Obesity dramatizing the types of biases - overt and otherwise - that often occur for obese patients in the healthcare setting.

Contributor: Francesca CiminoJune 5, 2020Topics: Compassion Fatigue / Guilt & Shame / Obesity/WeightKeywords: bias / obesity / overweight / weight

A Gene for Alcohol Dependence? (2 min) Scientists may have narrowed down on a gene that seems to allow some people to metabolize alcohol more quickly, which may lead to a higher likelihood of dependence. What does this mean for how we manage this condition going forward?

Contributor: Francesca CiminoNovember 28, 2018Topics: Addiction / Burnout / PerspectiveKeywords: addiction / alcohol / bias / genetic

When drinking ruins your liver - should you qualify for a transplant? When patients develop alcohol liver disease, they are often forced to wait 6 months to prove they can abstain from alcohol before they will be considered for a transplant. Is that a fair amount of time? Is that a fair practice at all?

Contributor: Francesca CiminoOctober 3, 2018Topics: Addiction / Bias / Compassion Fatigue / Conflict / Provider-Patient RelationshipKeywords: addiction / bias / resource allocation / transplant

Withholding surgery: How gaps in policy fail people who inject drugs A recent New York Times article described a harrowing situation faced by some people who inject drugs and develop endocarditis, a life-threatening infection caused by bacteria that enter the bloodstream and settle in the heart. The article described doctors in Tennessee deciding whether to perform repeat costly heart surgeries on patients who were re-infected with endocarditis as a result of ongoing illicit drug use—and at times declining to operate. There are policy failures that are to blame, too, for how and why resources are allocated this way. This looks at those failures and how our bias influences both the policies and how they are applied.

Contributor: Francesca CiminoOctober 3, 2018Topics: Addiction / Background info / Bias / Provider-Patient RelationshipKeywords: addiction / bias / opioid / policy

Injecting Drugs can ruin a heart - how many second chances should a user get? A life-threatening heart infection afflicts a growing number of people who inject opioids or meth. Costly surgery can fix it, but the addiction often goes unaddressed.

Contributor: Francesca CiminoOctober 3, 2018Topics: Addiction / Bias / Compassion Fatigue / Guilt & Shame / Provider-Patient RelationshipKeywords: addiction / bias / ethics / resource allocation / surgery

Cognitive bias - it's influence on clinical diagnosis Our clinical decisions are often influenced unconsciously by our thoughts and feelings; cognitive bias is one of the leading causes of diagnostic error. Here is a look at why and what to do about it.

Contributor: Francesca CiminoJuly 11, 2018Topics: Background info / Communication / Distraction/MindfulnessKeywords: bias / heuristics

The first time I hated a patient a raw reflection on internal and external conflict in medicine

Contributor: Francesca CiminoApril 2, 2018Topics: Burnout / Communication / Compassion Fatigue / Guilt & Shame / Mindfulness / Provider-Patient Relationship / ReactionKeywords: bias / conflict / reflection

Ted Radio Hour: CONFRONTING STIGMA a look at how we stigmatize mental illness, addiction, and other things - and ways to address that issue.

Contributor: Francesca CiminoFebruary 26, 2018Topics: Addiction / Communication / Compassion Fatigue / Distraction/Mindfulness / Mindfulness / Perspective / Provider-Patient Relationship / ReactionKeywords: addiction / bias / depression / mental illness / stigma

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