The Effect of Implicit Bias and Role Misidentification in the Learning Environment.

BACKGROUND: Little is known about the impact of implicit bias our trainees experience in the form of role misidentification in the clinical learning environment. ACTIVITY: We surveyed 540 residents and clinical medical students to determine the frequency and impact of role misidentification. RESULTS AND DISCUSSION: Most respondents (85%, n = 162) experienced role misidentification, directly resulting in heightened emotions that led to guarded behavior. An additional indirect impact for trainees is transmitted through frequent non-promotional role misidentification and personalizing the incidents. Women and trainees with marginalized identities had significant impacts. These findings present an opportunity to improve our understanding of the trainee experience. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40670-021-01475-9.