PMID- 30623383
OWN - NLM
STAT- MEDLINE
DCOM- 20200908
LR  - 20200908
IS  - 1525-1497 (Electronic)
IS  - 0884-8734 (Print)
IS  - 0884-8734 (Linking)
VI  - 34
IP  - 4
DP  - 2019 Apr
TI  - Addressing Biases in Patient Care with The 5Rs of Cultural Humility, a Clinician 
      Coaching Tool.
PG  - 627-630
LID - 10.1007/s11606-018-4814-y [doi]
AB  - Clinicians are called to care for patients with increasingly diverse backgrounds 
      during vulnerable moments when gaining trust is imperative. Simultaneously, 
      implicit or unconscious biases are omnipresent. Guidance for clinicians in 
      addressing and curtailing implicit biases is a necessity to preserve provider 
      resiliency while providing high-value, patient-centered care. However, tools to 
      aid clinicians in this endeavor are unknown. The following article introduces The 
      5Rs of Cultural Humility (5Rs) as a coaching tool available to all clinicians, 
      leaders, and administrators. It is a tool that brings awareness to the reality 
      that everyone has implicit biases and provides a platform to address these biases 
      through the use of cultural humility, mindfulness, and compassion. The tool 
      encourages the clinician to become more aware of his or her decision-making and 
      interactions with others. Each R includes an aim at reducing biases and a 
      self-reflection question. The 5Rs are reflection, respect, regard, relevance, and 
      resiliency. The framework of the 5Rs presents an approach for clinicians to 
      explore more mindful interactions and enriching patient-provider interactions.
FAU - Masters, Christie
AU  - Masters C
AD  - UCLA Hospitalist Service, UCLA Medical Center, Los Angeles, CA, USA.
FAU - Robinson, Dea
AU  - Robinson D
AD  - Organizational Learning, Performance and Change, Colorado State University, Fort 
      Collins, CO, USA.
FAU - Faulkner, Sally
AU  - Faulkner S
AD  - NorthShore University Health Systems, Evanston, IL, USA.
FAU - Patterson, Eltanya
AU  - Patterson E
AD  - Charleston Area Medical Center, Charleston, WV, USA.
FAU - McIlraith, Thomas
AU  - McIlraith T
AD  - Mercy Medical Group, Sacramento, CA, USA.
FAU - Ansari, Aziz
AU  - Ansari A
AD  - Division of Hospital Medicine, Loyola University Medical Center, Maywood, IL, 
      USA. Aansar1@lumc.edu.
LA  - eng
PT  - Journal Article
DEP - 20190108
PL  - United States
TA  - J Gen Intern Med
JT  - Journal of general internal medicine
JID - 8605834
SB  - IM
MH  - *Attitude of Health Personnel
MH  - *Bias
MH  - Cultural Competency/*education
MH  - Empathy
MH  - Female
MH  - Humans
MH  - Male
MH  - Patient Care/*psychology
MH  - Physician-Patient Relations
MH  - Resilience, Psychological
MH  - Respect
PMC - PMC6445906
OTO - NOTNLM
OT  - cultural humility
OT  - implicit biases
OT  - reflection
OT  - regard
OT  - relevance
OT  - resiliency
OT  - respect
OT  - society
COIS- The authors declare that they do not have a conflict of interest.
EDAT- 2019/01/10 06:00
MHDA- 2020/09/09 06:00
PMCR- 2020/04/01
CRDT- 2019/01/10 06:00
PHST- 2018/08/13 00:00 [received]
PHST- 2018/12/14 00:00 [accepted]
PHST- 2018/11/20 00:00 [revised]
PHST- 2019/01/10 06:00 [pubmed]
PHST- 2020/09/09 06:00 [medline]
PHST- 2019/01/10 06:00 [entrez]
PHST- 2020/04/01 00:00 [pmc-release]
AID - 10.1007/s11606-018-4814-y [pii]
AID - 4814 [pii]
AID - 10.1007/s11606-018-4814-y [doi]
PST - ppublish
SO  - J Gen Intern Med. 2019 Apr;34(4):627-630. doi: 10.1007/s11606-018-4814-y. Epub 
      2019 Jan 8.