Implicit Bias & Structural Racism in Healthcare: A Case-Based, Anti-Oppressive Approach
Live Event

Implicit Bias & Structural Racism in Healthcare: A Case-Based, Anti-Oppressive Approach

Fri, Mar 12th, 2027
11:00am – 2:15pm US Eastern Time
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About the Event

Bias in healthcare is rarely a matter of anyone deciding to discriminate. It shows up in which symptoms get explored and which get assumed, whose account is believed, which intake form has a box for your family, and which crisis gets a clinician rather than a police officer.

This course moves past awareness and into examination. After clarifying the terms the field uses loosely and reviewing what the research shows about how bias operates and what it costs, participants work through twenty brief case studies drawn from patterns documented in the clinical and health-services literature. Cases are organized by ecological level — micro, mezzo, and macro — and span race, ethnicity, religion, gender identity, sexual orientation, age, weight, parenthood, disability, immigration status, and socioeconomic status.

About the Case Studies:
Every case in this course is a brief composite vignette illustrating a pattern identified in the clinical or health-services literature. No case describes an identifiable client, clinician, or agency. Cases are examined for what was missed and what could be done differently — not to assign individual blame.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructor

Kathryn Krase

Kathryn Krase

Kathryn Krase, Ph.D., J.D., M.S.W., is a social worker, lawyer, researcher, educator, and expert on professional ethics. She has significant experience as a family law practitioner, social work supervisor, along with more than 20 years of experience in faculty and administrative roles in undergraduate, masters, and doctoral level social work programs in and around New York City.

Dr. Krase is the Principal Consultant for Krase Consulting, in Brooklyn, New York, where she focuses on educating mental and physical health professionals on their general legal and ethical obligations.

She is an expert on the professional reporting of suspected child maltreatment. She has authored multiple books and articles on the subject. She has years of experience consulting with government and community based organizations to develop policy & practice standards.

Target Audience

This live interactive is intended for all professions. It is appropriate for all levels of knowledge.

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Distinguish implicit bias, explicit bias, and structural, institutional, interpersonal, and internalized racism, and describe how each operates in practice.
  2. 2 Identify how bias surfaces in the clinical encounter through microaggressions, diagnostic overshadowing, testimonial injustice, and stereotype threat.
  3. 3 Describe the documented impacts of bias on clients and professionals, including minority stress, racial trauma, allostatic load, weathering, and therapeutic mistrust.
  4. 4 Analyze case examples at the micro, mezzo, and macro levels to locate where bias or structural racism influenced assessment, diagnosis, treatment planning, or engagement.
  5. 5 Apply cultural humility, critical consciousness, anti-oppressive practice, intersectionality, and positionality to name at least one concrete, equitable alternative in each case.

Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6), 1241–1299. https://doi.org/10.2307/1229039

Fisher, J. (2023). Epistemic injustice: The silenced voices. International Journal of Mental Health Nursing, 32(4), 1186–1189. https://doi.org/10.1111/inm.13163

Geronimus, A. T., Hicken, M., Keene, D., & Bound, J. (2006). “Weathering” and age patterns of allostatic load scores among Blacks and whites in the United States. American Journal of Public Health, 96(5), 826–833. https://doi.org/10.2105/AJPH.2004.060749

Kassam, A. S., Karalis, P., Aydinian, T., Panjwani, A., Martinez, G., Whiteman, A., Daas, M., & Cunningham, E. A. (2024). Racial disparities with PRN medication usage in inpatient psychiatric treatment. Schizophrenia, 10, Article 46. https://doi.org/10.1038/s41537-024-00461-5

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674

Nagendra, A., Black, C., & Penn, D. L. (2023). Black Americans and schizophrenia: Racism as a driver of inequities in psychosis diagnosis, assessment, and treatment. Schizophrenia Research, 253, 1–4. https://doi.org/10.1016/j.schres.2022.10.007

Newbigging, K., Salla, A., Schön, U.-K., & King, C. (2024). Editorial: Addressing epistemic injustice in mental health. Frontiers in Psychiatry, 15, Article 1382528. https://doi.org/10.3389/fpsyt.2024.1382528

Ricks, T. N., Abbyad, C., & Polinard, E. (2022). Undoing racism and mitigating bias among healthcare professionals: Lessons learned during a systematic review. Journal of Racial and Ethnic Health Disparities, 9(5), 1990–2000. https://doi.org/10.1007/s40615-021-01137-x

Sakakibara, E. (2023). Epistemic injustice in the therapeutic relationship in psychiatry. Theoretical Medicine and Bioethics, 44(5), 477–502. https://doi.org/10.1007/s11017-023-09627-1

Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271–286. https://doi.org/10.1037/0003-066X.62.4.271

Tervalon, M., & Murray-García, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved, 9(2), 117–125. https://doi.org/10.1353/hpu.2010.0233

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The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Faculty

There are no known relevant financial relationships to disclose.

Commercial support

There is no commercial support for this distance-learning course.

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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 8:00am US Pacific Time.

11:00–11:10 AM: Introductions and Overview (10 minutes)
Presenter and participant introductions, including positionality and the limits of what this session can do.

11:10–11:30 AM: Setting the Stage: How Bias Operates (20 minutes)
Clarifying the terms this field uses loosely: implicit and explicit bias, structural and institutional racism, interpersonal and internalized racism, aversive racism, and color-blind racial ideology.

11:30–11:45 AM: How Bias Surfaces in the Room (15 minutes)
Microaggressions (microassault, microinsult, microinvalidation), diagnostic overshadowing, testimonial injustice, and stereotype threat — in both directions, from professional to client and client to professional.

11:45 AM–12:00 PM: Impacts on Clients and Professionals (15 minutes)
Minority stress, racial trauma, allostatic load, weathering, and therapeutic and medical mistrust. How discrimination becomes embodied, and why mistrust is a reasonable response.

12:00–12:15 PM: Frameworks to Counter Bias (15 minutes)
Cultural humility, critical consciousness, anti-oppressive practice, intersectionality, and positionality — with participants naming what they have already tried.

12:15–12:30 PM: Break (15 minutes)

12:30–1:20 PM: Micro-Level Case Studies (50 minutes)
The individual clinical encounter: diagnostic overweighting, language access, religion read as pathology, diagnostic overshadowing, ageism, weight bias, paternal postpartum depression, microaggression and alliance rupture, bias directed at the clinician, and client self-censorship.

1:20–1:50 PM: Mezzo-Level Case Studies (30 minutes)
The agency, program, and community level: intake forms that exclude chosen family, assessment tools normed on narrow populations, inaccessible facilities, identification requirements at intake, and insurance-driven session limits.

1:50–2:10 PM: Macro-Level Case Studies (20 minutes)
The policy and societal level: crisis response and involuntary holds, licensure barriers for internationally trained clinicians, culturally responsive care for Jewish clients, state restrictions on gender-affirming care, and reimbursement structures.

2:10–2:15 PM: Conclusions & Questions (5 minutes)
Synthesis and open discussion.

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