Screen the Lungs!

Brian Shim

By Brian Shim

Trust and Mistrust - the role of implicit bias and discrimination in medicine and cancer care

Previously on Screen the Lungs!, we discussed the multi-level barriers to Lung Cancer Screening (LCS), as well as some of the challenges at the patient-to-provider level that can marginalize patients.


One particularly pressing concern at patient-provider level that we have failed to discuss so far are the effects of physician implicit bias, stereotyping, and medical discrimination.

Healthcare providers are subject to the same dominant socioeconomic and political dynamics that dictate power in society at large. Thus, inherent biases are as prevalent among healthcare providers as in the general population. Implicit bias, stereotyping, and medical discrimination in racially-discordant oncology interactions has been long demonstrated and leads to compromised physician-patient communication, less patient-centered care, and greater patient distress and mistrust.


In this podcast on Screen the Lungs!, I interview Dr. Candice Carpenter about patient-provider trust, race, implicit bias, and discrimination in medicine, and the path forward in lung cancer screening.

About the speaker

Dr Carpenter

Dr. Candice Carpenter, MD, MBA, MPH, EdM, is a neurosurgeon-in-training.


Dr. Carpenter is also Co-Chief Executive Officer and Co-Founder of the non-profit, The Boston Congress of Public Health, and Co-Editor-in-Chief for The HPHR Journal.

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