# Cancer — GCMD Library living collection

Everything in the library about cancer — built automatically from dossiers that name it.

Updated: n/a · 5 episodes · 72 cited statements

## Episodes
### Fundamentals
- [Unconscious Bias](https://library.globalcastmd.com/watch/unconscious-bias-1300) — podcast · 58:27 · [machine version](https://library.globalcastmd.com/watch/unconscious-bias-1300.md)

### Evidence & Research
- [Female Fertility Cryopreservation Outcomes in Childhood Cancer: A Systematic Review](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647) — video · 0:59 · [machine version](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647.md)
- [Female Fertility Cryopreservation Outcomes in Childhood Cancer: A Systematic Review](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521) — video · 0:56 · [machine version](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521.md)

### Patient & Family Education
- [Ethical Considerations in Pediatric Fertility Preservation: Pediatric...](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901) — video · 32:54 · [machine version](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901.md)

### Long-Term Care
- [Keys to Building a Successful Interdisciplinary Program-Creating the...](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903) — video · 10:12 · [machine version](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903.md)

## Chapters
- [0:00](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=0) Ethics of Fertility Preservation: Social Context and Gendered Dimensions (Ep 1)
- [10:40](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=640) Ethics in Practice: Clinical and Research Considerations (Ep 1)
- [20:41](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1241) Justice Implications and Institutional Models (Ep 1)
- [27:11](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1631) Audience Poll Results and Oocyte Cryopreservation Debate (Ep 1)
- [0:00](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=0) Introduction to Interdisciplinary Program Building Session (Ep 2)
- [0:22](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=22) Team Composition and Multidisciplinary Collaboration (Ep 2)
- [3:00](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=180) Consultation Workflow and Risk Assessment Process (Ep 2)
- [6:00](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=360) Standardization and Patient Decision Support Tools (Ep 2)
- [8:00](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=480) Educational Video and Program Website (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=0) Introduction and Context: Recognizing Unconscious Bias in Panel Selection (Ep 3)
- [4:03](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=243) Defining Implicit Bias and Personal Experiences (Ep 3)
- [10:05](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=605) Implicit Bias in Clinical Decision-Making: A Case Study (Ep 3)
- [16:52](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1012) Social Identity, Microaggressions, and the 'Water' Analogy (Ep 3)
- [21:36](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1296) Strategies for Diversifying Panels and Teams (Ep 3)
- [27:28](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1648) Responding to Test Results: Shame, Appreciative Inquiry, and White Fragility (Ep 3)
- [37:43](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=2263) Research-Proven Bias Reduction Strategies (Ep 3)
- [47:53](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=2873) High-Risk Situations and the Conscious Mind's Power (Ep 3)
- [53:47](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=3227) Advice for Trainees and the Path Forward (Ep 3)
- [0:00](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647?t=0) Fertility Preservation Outcomes in Pediatric Female Cancer Patients (Ep 4)
- [0:00](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521?t=0) Systematic Review of Female Fertility Cryopreservation Outcomes (Ep 5)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- "Gillippelli et al. performed a systematic retrospective review of female fertility cryopreservation outcomes in children with cancer" — Alex Halpern (clinical) [Ep 5 · 0:13](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521?t=13)
- "The review initially examined 104 abstracts and 34 full text articles" — Alex Halpern (clinical) [Ep 5 · 0:19](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521?t=19)
- "12 studies were included in the final systematic review" — Alex Halpern (clinical) [Ep 5 · 0:19](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521?t=19)
- "Ovarian tissue cryopreservation was performed in 501 patients across the included studies" — Alex Halpern (epidemiological) [Ep 5 · 0:27](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521?t=27)
- "5.9% of patients who underwent ovarian tissue cryopreservation later received ovarian tissue transplantation" — Alex Halpern (epidemiological) [Ep 5 · 0:27](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521?t=27)
- "33% of patients who underwent ovarian tissue transplantation were able to become pregnant" — Alex Halpern (clinical) [Ep 5 · 0:38](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521?t=38)
- "Ovarian tissue cryopreservation has great advantages for pediatric cancer patients but needs to be studied further" — Alex Halpern (opinion) [Ep 5 · 0:44](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-9521?t=44)
- "The systematic review aimed to highlight outcomes of cryopreservation in pediatric female patients with cancer" — Cecilia Gigena (epidemiological) [Ep 4 · 0:11](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647?t=11)
- "The review included 12 studies with 612 patients total" — Cecilia Gigena (epidemiological) [Ep 4 · 0:20](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647?t=20)
- "501 patients underwent ovarian tissue cryopreservation" — Cecilia Gigena (epidemiological) [Ep 4 · 0:26](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647?t=26)
- "Only 30 of the 501 patients received ovarian tissue transplantation" — Cecilia Gigena (epidemiological) [Ep 4 · 0:31](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647?t=31)
- "Of the 30 patients who received transplantation, 9 got pregnant" — Cecilia Gigena (clinical) [Ep 4 · 0:36](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647?t=36)
- "Only 6 of the 9 pregnancies resulted in live birth" — Cecilia Gigena (clinical) [Ep 4 · 0:40](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647?t=40)
- "More high quality studies are needed to understand cryopreservation better and improve its outcomes" — Cecilia Gigena (opinion) [Ep 4 · 0:43](https://library.globalcastmd.com/watch/female-fertility-cryopreservation-outcomes-in-childhood-cancer-a-systematic-review-8647?t=43)
- "The first live birth with in vitro fertilization was in 1978, approaching 40 years ago at the time of this discussion." — McGowan (epidemiological) [Ep 1 · 1:30](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=90)
- "The field of bioethics emerged in the post-Nuremberg era and gained footing in the 1960s and 1970s, founded by philosophers and theologians grappling with new technologies including transplantation, life support, and assisted reproduction." — McGowan (clinical) [Ep 1 · 1:45](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=105)
- "Some religious traditions, particularly Catholicism, are opposed to any form of assisted reproduction." — McGowan (clinical) [Ep 1 · 3:40](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=220)
- "There are gendered moral burdens in fertility preservation: suggesting fertility preservation for a post-pubertal male is qualitatively different than for a female of any age due to differences in invasiveness of procedures." — McGowan (opinion) [Ep 1 · 5:40](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=340)
- "There is very little tracking of offspring of fertility treatments nationally, though data collection is increasingly starting for children born from in vitro fertilization." — McGowan (epidemiological) [Ep 1 · 9:20](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=560)
- "Connecticut recently changed its definition of infertility from 6-12 months of inability to conceive to anyone with medical necessity." — McGowan (guideline) [Ep 1 · 12:10](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=730)
- "Some patients undergoing fertility preservation today are anticipated to keep tissues or cells in storage for 20 to 30 years, but there is no data on success rates for tissues stored that long." — McGowan (clinical) [Ep 1 · 13:40](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=820)
- "There are no clear national guidelines on disposition of gametes for reproductive purposes after patient death, and court decisions on posthumous reproduction vary widely by state." — McGowan (guideline) [Ep 1 · 15:20](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=920)
- "In pediatric decision-making, there is a gradation of consent: informed consent (typically age 18+), pediatric assent (typically ages 11-13), and best-interest standard for younger or less mature patients." — McGowan (guideline) [Ep 1 · 17:00](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1020)
- "Embryo cryopreservation has a 33-52% success rate." — McGowan (clinical) [Ep 1 · 19:10](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1150)
- "Oocyte cryopreservation transitioned from experimental to established standard of care in the last five years (prior to this discussion), so success rates are not as well established as for embryo cryopreservation." — McGowan (clinical) [Ep 1 · 19:20](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1160)
- "Testicular tissue cryopreservation currently has no live birth rates in humans." — McGowan (clinical) [Ep 1 · 20:00](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1200)
- "Fair equality of opportunity theory argues that fertility preservation ought to be made equally available to all who could benefit, requiring changes to institutional and societal practices around healthcare access." — McGowan (opinion) [Ep 1 · 21:20](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1280)
- "Reproductive justice scholars describe 'stratified reproduction' as distribution between haves and have-nots in reproductive terms; assisted reproduction is already stratified by privilege." — McGowan (opinion) [Ep 1 · 22:00](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1320)
- "A hub-and-spoke model is proposed where large centers with fertility preservation programs provide consultation and resources to smaller centers, with patients traveling to the hub for experimental procedures requiring specialized expertise." — Hefkin (opinion) [Ep 1 · 23:00](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1380)
- "Most adult gynecologists are comfortable doing adolescent gynecology, but the discomfort comes with how young a patient they are comfortable operating on; ovarian tissue cryopreservation may require oophorectomy on a 1-2 month old infant." — Hefkin (clinical) [Ep 1 · 25:22](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1522)
- "The American Society for Reproductive Medicine removed the experimental designation from oocyte cryopreservation in 2012, marking a landmark shift in the field." — McGowan (guideline) [Ep 1 · 30:50](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1850)
- "Embryo cryopreservation is impractical for most pediatric patients and many young adults (18-25) because the average age of first birth in the US is increasing and people are partnering later." — McGowan (epidemiological) [Ep 1 · 30:20](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1820)
- "In the audience poll, 67% of respondents said their institution provides services for male patients at risk of fertility loss due to cancer treatment." (host_summary) [Ep 1 · 28:00](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1680)
- "In the audience poll, 40% of respondents said their institution provides testicular tissue cryopreservation for prepubertal children." (host_summary) [Ep 1 · 28:40](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1720)
- "In the audience poll regarding oocyte cryopreservation in children under 16: 75% do not offer it, 15.4% offer it with IRB approval, and 7.7% offer it without IRB approval." (host_summary) [Ep 1 · 29:20](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1760)
- "Cincinnati Children's has sent 2-3 patients under 16 years old for oocyte cryopreservation pre-treatment to the University of Cincinnati REI group, not under an IRB protocol." (clinical) [Ep 1 · 30:09](https://library.globalcastmd.com/watch/ethical-considerations-in-pediatric-fertility-preservation-pediatric-901?t=1809)
- "The biggest thing that is important in doing a fertility preservation program is having a collaboration of multidisciplinary providers from both the medical and surgical aspects of the patient's care including oncology, surgical aspects, and primary care physicians." — Hefkin (opinion) [Ep 2 · 0:22](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=22)
- "Ancillary care team members including care managers from oncology, patient navigators from the fertility team, social work, psychology, genetics, and ethicists help optimize decision making and final outcomes." — Hefkin (clinical) [Ep 2 · 1:20](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=80)
- "The fertility navigator role is one of the most important steps in the consultation workflow." — Hefkin (opinion) [Ep 2 · 3:00](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=180)
- "Two oncologists work as part of the fertility preservation program and perform risk assessments instead of the primary oncologist." — Hefkin (clinical) [Ep 2 · 3:40](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=220)
- "The oncologist on the fertility team provides risk assessment information to either the gynecologist or urologist depending on whether the consultation is for a male or female patient." — Hefkin (clinical) [Ep 2 · 4:00](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=240)
- "Research coordinators assist with experimental fertility preservation techniques." — Hefkin (clinical) [Ep 2 · 5:20](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=320)
- "The program has a motto that every patient should receive a fertility preservation consultation regardless of their risk." — Hefkin (guideline) [Ep 2 · 6:00](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=360)
- "Families need to understand why different patients receive different fertility preservation options, which may be due to differences in risk or age." — Hefkin (clinical) [Ep 2 · 6:20](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=380)
- "Patient decision aids and shared decision-making tools guide families through the decision-making process by explaining available options, time frames, risks and benefits, and costs of different procedures." — Hefkin (clinical) [Ep 2 · 7:00](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=420)
- "The shared decision-making tools include considerations such as ethical considerations, religious considerations, genetics, and social services." — Hefkin (clinical) [Ep 2 · 7:30](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=450)
- "The shared decision-making tools are available for use at other centers." — Hefkin (clinical) [Ep 2 · 7:50](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=470)
- "Educational videos provide a brief introduction to fertility preservation that families can watch prior to consultation." — Hefkin (clinical) [Ep 2 · 8:00](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=480)
- "The body's sperm and egg cells are vulnerable to cancer treatment." — Hefkin (host_summary) [Ep 2 · 8:20](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=500)
- "Most people start from birth with the ability to have children." — Hefkin (host_summary) [Ep 2 · 8:40](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=520)
- "The fertility preservation team consists of a fertility navigator, a pediatric oncologist, a pediatric gynecologist for girls, or urologist for boys." — Hefkin (host_summary) [Ep 2 · 8:50](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=530)
- "For young children, the choice to undergo fertility preservation lies with the parent or guardian, but teenagers and young adults can help make the decision after learning all the facts." — Hefkin (host_summary) [Ep 2 · 9:05](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=545)
- "Four factors determine procedure options and risk of infertility: chemotherapy type and dose, patient age, timing of cancer therapy, and patient sex." — Hefkin (host_summary) [Ep 2 · 9:20](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=560)
- "As patients get older, their risk of infertility increases, and there are more procedure options once a patient has gone through puberty." — Hefkin (host_summary) [Ep 2 · 9:35](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=575)
- "For boys, fertility preservation options include freezing sperm cells or testicular tissue; for girls, options include freezing eggs, embryos, or ovarian tissue." — Hefkin (host_summary) [Ep 2 · 9:45](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=585)
- "Cryopreservation is the process of freezing cells at an extremely cold temperature, and the cells can be stored for up to years at a time until they are needed." — Hefkin (host_summary) [Ep 2 · 9:55](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=595)
- "The program has a dedicated website not housed in any of the participating disciplines where patients, families, and providers can find information about the program and how to consult the team." — Hefkin (clinical) [Ep 2 · 10:05](https://library.globalcastmd.com/watch/keys-to-building-a-successful-interdisciplinary-program-creating-the-903?t=605)
- "Implicit bias is defined by the Kerwin Institute at Ohio State as 'the attitudes or stereotypes that affect our understanding, actions and decisions in an unconscious manner.'" — Mary Brandt (host_summary) [Ep 3 · 4:16](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=256)
- "No one recognizes they have implicit bias, and everyone has it to different degrees about different groups." — Mary Brandt (opinion) [Ep 3 · 4:50](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=290)
- "A study showed that in a diverse group of doctors, minority children were consistently given less pain medicine than white children, with no reason to explain that except implicit bias and stereotypes." — Mary Brandt (host_summary) [Ep 3 · 5:10](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=310)
- "Every woman in surgery or medicine has experienced implicit bias, and colleagues from underrepresented minorities or with gender differences experience it even more profoundly." — Mary Brandt (opinion) [Ep 3 · 6:04](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=364)
- "Microaggressions are 'very tiny paper cuts'—not blatant prejudice but repeated small insults like men talking over women or minorities, 'mansplaining,' and the 'he-peat' (a woman's idea ignored until a man repeats it)." — Mary Brandt (clinical) [Ep 3 · 7:55](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=475)
- "People in dominant positions (not those experiencing microaggressions) are responsible for calling out bias when they notice it." — Mary Brandt (opinion) [Ep 3 · 9:10](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=550)
- "Implicit bias testing at Hopkins in 2005-2006 demonstrated that people can have bias based simply on group affiliation (Hopkins vs. Harvard) and that white preference exists because white individuals get more recognition and opportunities." — Julie Freischlag (epidemiological) [Ep 3 · 10:05](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=605)
- "All search committees at Wake Forest now must go through implicit bias testing and examination before making hiring decisions." — Julie Freischlag (guideline) [Ep 3 · 12:10](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=730)
- "Unconscious biases are associations, likes, or dislikes occurring outside of awareness and control, and can influence decision-making so that even pure-hearted, egalitarian people may treat patients differently based on gender, race, age, height, or weight." — Quinn Capers IV (clinical) [Ep 3 · 12:44](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=764)
- "There is data that physicians, when they see an underrepresented minority, make an unconscious association with medical noncompliance." — Quinn Capers IV (epidemiological) [Ep 3 · 16:10](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=970)
- "Social identity is the portion of an individual's self-concept derived from perceived membership in a relevant social group (gender, sexual orientation, race, religion, etc.)." — Mary Brandt (host_summary) [Ep 3 · 17:09](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1029)
- "If you are in a dominant group (white, male, Protestant, cisgender), you never have to think about your social identity because you've had all the privilege and social power associated with it—the 'fish in water' analogy." — Mary Brandt (opinion) [Ep 3 · 17:50](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1070)
- "There is not a single person who doesn't have implicit bias; it's a matter of recognizing it and deciding what to do about it." — Mary Brandt (opinion) [Ep 3 · 19:10](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1150)
- "In business, diverse and inclusive teams make more money, make more progress, and attract more participants; a panel of purely white males will have fewer listeners and less credibility." — Julie Freischlag (host_summary) [Ep 3 · 22:20](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1340)
- "To diversify panels, one should be intentional: start with excellence as the criterion, then actively seek recommendations from colleagues outside one's immediate network, ask trainees whom they admire, and reach out via email or text." — Quinn Capers IV (guideline) [Ep 3 · 25:01](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1501)
- "When choosing panelists, people typically default to 'who do I know' or 'who are my buddies' rather than systematically identifying the most qualified experts, which perpetuates bias." — Quinn Capers IV (opinion) [Ep 3 · 25:50](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1550)
- "After mandatory implicit bias training for the admissions committee at Ohio State, the college admitted the most diverse class in its history the very next cycle." — Quinn Capers IV (epidemiological) [Ep 3 · 39:40](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=2380)
- "One should replace shame about implicit bias test results with surprise and action, recognizing that bias stems from upbringing, community, and media exposure—not personal moral failure." — Julie Freischlag (opinion) [Ep 3 · 28:18](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1698)
- "Appreciative inquiry—asking questions and listening to understand others' experiences—is a key strategy for overcoming implicit bias." — Julie Freischlag (guideline) [Ep 3 · 29:40](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1780)
- "The book 'White Fragility' by Robin DiAngelo explains how people, especially white people, often respond defensively or irrationally when confronted about race, and helps readers understand their responsibility to respond appropriately." — Mary Brandt (guideline) [Ep 3 · 32:30](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1950)
- "Addressing implicit bias is a journey that will make you extremely uncomfortable, and when you get uncomfortable, that means you're making progress." — Mary Brandt (opinion) [Ep 3 · 32:00](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=1920)
- "Research-proven strategy: find common group identities with patients or interviewees (first-born child, grew up on a farm, sports fan, etc.) because discovering shared group membership reduces unconscious bias." — Quinn Capers IV (clinical) [Ep 3 · 35:00](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=2100)
- "Perspective-taking—imagining what a patient went through to get to the appointment (parking, time off work, arranging childcare)—develops empathy, and empathy actively opposes unconscious bias." — Quinn Capers IV (clinical) [Ep 3 · 36:20](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=2180)
- "'Consider the opposite' strategy: before making a decision based on data, force yourself to review the data again looking for evidence supporting the opposite conclusion, which blunts the impact of unconscious bias." — Quinn Capers IV (clinical) [Ep 3 · 48:20](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=2900)
- "Unconscious bias is most likely to 'drive the bus' during times of high cognitive load, time pressure, and sleep deprivation—conditions familiar to all physicians." — Quinn Capers IV (clinical) [Ep 3 · 46:51](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=2811)
- "In a wrestling match between your conscious mind and your unconscious mind, your conscious mind will win every time—so knowing your biases and when you're at highest risk allows you to overcome them." — Quinn Capers IV (opinion) [Ep 3 · 46:20](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=2780)
- "Implicit bias tests should not be used to screen people out of jobs or committees because unconscious associations reflect years of stimuli, not conscious intent; instead, use them to guide education and professional development." — Quinn Capers IV (guideline) [Ep 3 · 50:50](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=3050)
- "True leaders now want to listen, understand, and help when trainees or colleagues raise concerns about bias or discrimination." — Julie Freischlag (opinion) [Ep 3 · 53:00](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=3180)
- "There is nothing radical about trying to do the right thing regarding inclusion; if someone views you as radical for teaching about implicit bias, they are in a small percentage who can't hear you, and you should politely walk away." — Mary Brandt (opinion) [Ep 3 · 54:30](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=3270)
- "It is powerful and important to have white males publicly support diversity and inclusion initiatives, as their voices carry weight in changing institutional culture." — Julie Freischlag (opinion) [Ep 3 · 57:27](https://library.globalcastmd.com/watch/unconscious-bias-1300?t=3447)

## Changelog
- Sep 16: 5 items added automatically

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