The Evolution of Social Beliefs 1960–2016 in the United States and Its Influence on Empathy and Prosocial Expression in Medicine

References

• Malahy LW, Rubinlicht MA, Kaiser CR. Justifying inequality: A cross-temporal investigation of U.S. income disparities and just-world beliefs from 1973 to 2006. Soc Just Res. 2009;22:369–383. doi:10.1007/s11211-009-0103-6
   Web of Science ®Google Scholar
• Brandt MJ, Reyna C. Individual differences in the resistance to social change and acceptance of inequality predict system legitimacy differently depending on the social structure. Eur J Pers. 2017;31(3). doi:10.1002/per.2100
   Web of Science ®Google Scholar
• Sutton RM, Douglas KM. Justice for all, or just for me? More evidence of the importance of the self-other distinction in just world beliefs. Pers Individ Dif. 2005;39:637–645. doi:10.1016/j.paid.2005.02.010one
   Web of Science ®Google Scholar
• Ariely D, Berns GS. Neuromarketing: the hope and hype of neuroimaging in business. Nat Rev Neurosci. 2010;11:284–292. doi:10.1038/nrn2795
   PubMed Web of Science ®Google Scholar
• Crawford JT, Mallinas SR, Furman BJ. Ideological attitudes on inter-group antipathy across the political spectrum. Pers Soc Psychol Bull. 2015;41:1607–1622. doi:10.1177/0146167215603713
   PubMed Web of Science ®Google Scholar
• Konrath SH, O’Brien EH, Hsing C. Changes in dispositional empathy in American college students over time: meta-analysis. Pers Soc Psychol Rev. 2011;15(2):180–198. doi:10.1177/1088868310377395
   PubMed Web of Science ®Google Scholar
• Park H, Twenge JM, Greenfield PM. The great recession: implications for adolescent values and behavior. Soc Psychol Pers Sci. 2014;5(3):310–318. doi:10.1177/194855061349541
   Web of Science ®Google Scholar
• Greenfield PM. Linking social change and developmental change: shifting pathways of human development. Dev Psychol. 2009;45:401–408. doi:10.1037/a0014726
   PubMed Web of Science ®Google Scholar
• Hamamura T. Are cultures becoming individualistic? A cross-temporal comparison of individualism–collectivism in the United States and Japan. Pers Soc Psychol Rev. 2012;16:3–24. doi:10.1177/1088868311411587
   PubMed Web of Science ®Google Scholar
• Twenge JM, Campbell WK, Gentile B. Increases in individualistic words and phrases in American books, 1960–2008. PLoS One. 2012;7:e40181. doi:10.1371/journal.pone.0040181
   PubMed Web of Science ®Google Scholar
• Twenge JM, Campbell WK, Carter NT. Declines in trust in others and confidence in institutions among American adults and late adolescents, 1972–2012. Psychol Sci. 2014;25(10):1914–1923. doi:10.1177/0956797614545133
   PubMed Web of Science ®Google Scholar
• Crandall CS, Eshleman A. A justification-suppression model of the expression and experience of prejudice. Psychol Bull. 2003;129:414–446. doi:10.1037/0033-2909.129.3.414
   PubMed Web of Science ®Google Scholar
• Crandall CS, Eshleman A, O’Brien L. Social norms and the expression and suppression of prejudice: the struggle for internalization. J Pers Soc Psychol. 2002;82:359–378. doi:10.1037/0022-3514.82.3.359
   PubMed Web of Science ®Google Scholar
• McPherson M, Smith-Lovin L, Cook JM. Birds of a feather: homophily in social networks. Ann Rev Soc. 2001;27:415–444. doi:10.1146/annurev.soc.27.1.415
   Web of Science ®Google Scholar
• Civil Rights Education Fund. Confronting the New Faces of Hate: Hate Crimes in America 2009. Washington, DC: Leadership Conference on Civil Rights Education Fund;2009.
   Google Scholar
• Anti-Defamation League. 2017 Audit of anti-semitic incidents. Anti-Defamation League; February 2018. Available from: https://www.adl.org/news/press-releases/anti-semitic-incidents-surged-nearly-60-in-2017-according-to-new-adl-report. Accessed October 17, 2018.
   Google Scholar
• McConahay JB. Modern racism, ambivalence, and the modern racism scale. In: Dovidio JF, Gaertner SL, editors. Prejudice, Discrimination, and Racism. San Diego, CA: Academic Press; 1986:91–125.
   Google Scholar
• Gaertner SL, Dovidio JF. Aversive racism. Adv Exp Soc Psychol. 2004;36:1–52.
   Web of Science ®Google Scholar
• Frey DL, Gaertner SL. Helping and the avoidance of inappropriate interracial behavior: a strategy that perpetuates a nonprejudiced self-image. J Pers Soc Psychol. 1986;50(6):1083–1090. doi:10.1037/0022-3514.50.6.1083d
   Web of Science ®Google Scholar
• Ronningstam E. Identifying and Understanding the Narcissistic Personality. Oxford: Oxford University Press; 2005.
   Google Scholar
• Konrath SH, Chopik WJ, Hsing CK, O’Brien E. Changes in adult attachment styles in american college students over time: a meta-analysis. Pers Soc Psychol Rev. 2014;18(4):326–348. doi:10.1177/1088868314530516
   PubMed Web of Science ®Google Scholar
• Twenge JM, Campbell WK. Birth cohort differences in the monitoring the future dataset and elsewhere: further evidence for generation me—commentary on Trzesniewski & Donnellan (2010). Pers Psychol Sci. 2017;5(1):81–88. doi:10.1177/1745691609357015
   Google Scholar
• Twenge JM, Campbell SM. Generational differences in psychological traits and their impact on the workplace. J Manag Psychol. 2008;23(8):862–877. doi:10.1108/02683940810904367
   Web of Science ®Google Scholar
• Beussinka CN, Hackneya AA, Vitaccob MJ. The effects of perspective taking on empathy-related responses for college students higher in callous traits. Pers Individ Dif. 2017;119:86–91. doi:10.1016/j.paid.2017.07.005
   Web of Science ®Google Scholar
• Pashak T, Conley M, Whitney D, Oswald S, Heckroth S, Schumacher E. Empathy diminishes prejudice: active perspective-taking, regardless of target and mortality salience, decreases implicit racial bias. Psychology. 2018;9:1340–1356. doi:10.4236/psych.2018.96082
   Google Scholar
• Hodson G, Dhont K. The person based nature of prejudice: individual difference predictors of intergroup negativity. Eur Rev Soc Psychol. 2015;26(1):1–42. doi:10.1080/10463283.2015.1070018
   Web of Science ®Google Scholar
• Bäckström M, Björklund F. Structural modeling of generalized prejudice; the role of social dominance, authoritarianism, and empathy. J Individ Dif. 2007;28:10–17. doi:10.1027/1614-0001.28.1.10
   Google Scholar
• Burridge J. ‘I am not homophobic but …: disclaiming in discourse resisting repeal of section 28. Sexualities. 2004;7(3):327–344. doi:10.1177/1363460704044804
   Google Scholar
• Pettigrew TF, Meertens RW. Subtle and blatant prejudice in Western Europe. Eur J Soc Psychol. 1995;25:57–75. doi:10.1002/ejsp.2420250106
   Web of Science ®Google Scholar
• Meertens RW, Pettigrew TF. Is Subtle prejudice really prejudice? Public Opin Q. 1997;6154–6171. doi:10.1086/297786
   Web of Science ®Google Scholar
• Hoffman KM, Trawalter S, Axt JR, Oliver MN. Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. PNAS. 2016;113(16):4296–4301. doi:10.1073/pnas.1516047113
   PubMed Web of Science ®Google Scholar
• Hauser OP, Norton MI. (Mis)perception of Inequality. Cur Opin Psychol. 2017;18:21–25. doi:10.1016/j.copsyc.2017.07.024
   PubMed Web of Science ®Google Scholar
• Kraus MW, Rucker JM, Richeson JA. Americans misperceive economic equality. PNAS. 2017;114(39):10324–10331. doi:10.1073/pnas.1707719114
   PubMed Web of Science ®Google Scholar
• Davidai S, Gilovich T. Building a more mobile America – one income quintile at a time. Perspect Psychol Sci. 2015;10:60–71. doi:10.1177/1745691614562005
   Google Scholar
• Kraus MW, Tan JJX. Americans overestimate social class mobility. J Exp Soc Psychol. 2015;58:101–111. doi:10.1016/j.jesp.2015.01.005
   Web of Science ®Google Scholar
• Dovidio JF, Gaertner SL, Ufkes EG, Saguy T, Pearson AR. Included but invisible? Subtle bias, common identity, and the darker side of ‘we.’. Soc Iss Pol Rev. 2016;10(1):6–46. doi:10.1111/sipr.12017
   Web of Science ®Google Scholar
• Espaillat A, Panna DK, Goede DL, Gurka MJ, Novak MA, Zaidi Z. An exploratory study on microaggressions in medical school: what are they and why should we care? Perspect Med Educ. 2019;8(3):143–151. doi:10.1007/s40037-019-0516-3
   PubMed Web of Science ®Google Scholar
• Osseo-Asare A, Balasuriya L, Huot SJ, et al. Minority resident physicians’ views on the role of race/ethnicity in their training experiences in the workplace. JAMA Netw Open. 2018;1(5):e182723. doi:10.1001/jamanetworkopen.2018.2723
   PubMed Web of Science ®Google Scholar
• Yoshino K. The new equal protection. Harv Law Rev. 2011;124:1–58.
   Web of Science ®Google Scholar
• Proud D, Kay AC. How perceptions of one’s organization can affect perceptions of the self: membership in a stable organization can sustain individuals’ sense of control. J Exp Soc Psychol. 2018;76:104–115. doi:10.1016/j.jesp.2018.01.004
   Web of Science ®Google Scholar
• Cox D, Lienesch R, Jones RP Beyond economics: fear of cultural displacement pushed the white working-class to Trump. PRRI/The Atlantic Report. Available from: https://www.prri.org/research/white-working-class-attitudes-economy-trade-immigration-election-donald-trump/. Accessed July 15, 2018.
   Google Scholar
• Putnam RD. Bowling Alone: The Collapse and Revival of American Community. New York: Simon & Schuster; 2000.
   Google Scholar
• Norton MI, Sommers SR. Whites see racism as a zero-sum game that they are now losing. Perspect Psychol Sci. 2011;6(3):215–218. doi:10.1177/1745691611406922
   PubMedGoogle Scholar
• Craig MA, Richeson JA. Information about the US racial demographic shift triggers concerns about anti-white discrimination among the prospective white “minority”. PLoS One. 2017;12(9):e0185389. doi:10.1371/journal.pone.0185389
   PubMed Web of Science ®Google Scholar
• Wilkins CL, Kaiser CR. Racial progress as threat to the status hierarchy implications for perceptions of anti- white bias. Psychol Sci. 2014;25(2):439–446. doi:10.1177/0956797613508412
   PubMed Web of Science ®Google Scholar
• Craig MA, Richeson JA. On the precipice of a “majority-minority” America: perceived status threat from the racial demographic shift affects white Americans’ political ideology. Psychol Sci. 2014;25:1189–1197. doi:10.1177/0956797614527113
   PubMed Web of Science ®Google Scholar
• Craig MA, Richeson JA. More diverse yet less tolerant? How the increasingly diverse racial landscape affects white Americans’ racial attitudes. Pers Soc Psychol Bull. 2014;40:750–761. doi:10.1177/0146167214524993
   PubMed Web of Science ®Google Scholar
• Mutz DC. Status threat, not economic hardship, explain the 2016 election. PNAS. 2018;115(19):E4330–E4339. doi:10.1073/pnas.1718155115
   PubMed Web of Science ®Google Scholar
• Pratto F, Sidanius J, Levin S. Social dominance theory and the dynamics of intergroup relations: taking stock and looking forward. Eur Rev Soc Psychol. 2006;17:271–320. doi:10.1080/10463280601055772
   Web of Science ®Google Scholar
• Nicol AA, Rounding K. Alienation and empathy as mediators of the relation between social dominance orientation, right-wing authoritarianism and expressions of racism and sexism. Pers Individ Dif. 2013;3:294–299. doi:10.1016/j.paid.2013.03.009
   Web of Science ®Google Scholar
• Tausch N, Hewstone M. Social dominance orientation attenuates stereotype change in the face of disconfirming information. Soc Psychol. 2010;41:169–176. doi:10.1027/1864-9335/a000024
   Web of Science ®Google Scholar
• Lepièce B, Reynaert C, van Meerbeeck P, et al. Social dominance theory and medical specialty choice. Adv Health Sci Educ. 2016;21:79–92. doi:10.1007/s10459-015-9612-2
   Web of Science ®Google Scholar
• Eagly AH, Diekman AB. What is the problem? Prejudice as an attitude-in-context. Nat Prejudice. 2005;50:19–35.
   Google Scholar
• Bobo LD, Fox C. Race, racism, and discrimination: bridging problems, methods, and theory in social psychological research. Soc Psychol Q. 2003;66:319–332. doi:10.2307/1519832
   Web of Science ®Google Scholar
• Brewer M, Miller N. Beyond the contact hypothesis: theoretical perspectives on desegregation. In: Miller N, Brewer M, editors. Group in Contact: The psychology of Desegregation. Orlando, FL: Academic Press; 1984:281–302.
   Google Scholar
• Kotchoubey B. Human consciousness: where is it from and what is it for. Front Psychol. 2018;9:567. doi:10.3389/fpsyg.2018.00567
   Web of Science ®Google Scholar
• Selmi M. The Paradox of Implicit Bias and a Plea for a New Narrative. Ariz St L J. 2018;50:193.
   Google Scholar
• Gawronski B, Hofmann W, Wilbur CJ. Are “implicit” attitudes unconscious? Conscious Cogn. 2006;15:485–499. doi:10.1016/j.concog.2005.11.007
   PubMed Web of Science ®Google Scholar
• Chaet DH. AMA code of medical ethics’ opinions related to discrimination and disparities in health care. AMA J Ethics. 2016;18(11):1095–1097. doi:10.1001/journalofethics.2016.18.11.coet1-1611
   Google Scholar
• Riess H. The science of empathy. J Patient Exp. 2017;4(2):74–77. doi:10.1177/2374373517699267
   PubMedGoogle Scholar
• Han S. Neurocognitive basis of racial ingroup bias in empathy. Trend Cog Sci. 2018;22(5):400–421. doi:10.1016/j.tics.2018.02.013
   PubMed Web of Science ®Google Scholar
• Yuguero O, Esquerda M, Viñas J, Soler-Gonzalez J, Pifarré J. Ethics and empathy: the relationship between moral reasoning, ethical sensitivity and empathy in medical students. Reumatol Clin. 2019;219(2):73–78. doi:10.1016/j.rceng.2018.09.009
   Google Scholar
• Hardeman RR, Przedworski JM, Burke S, et al. Association between perceived medical school diversity climate and change in depressive symptoms in medical students: a report from the medical student CHANGE study. J Natl Med Assoc. 2016;108(4):225–235. doi:10.1016/j.jnma.2016.08.005
   PubMed Web of Science ®Google Scholar
• Cuesta-Briand B, Auret K, Johnson P, Playford D. ‘A world of difference’: a qualitative study of medical students’ views on professionalism and the ‘good doctor’. BMC Med Educ. 2014;14:77. doi:10.1186/1472-6920-14-77
   PubMed Web of Science ®Google Scholar
• Brockbank S, David TJ, Patel L. Unprofessional behavior in medical students: A questionnaire-based pilot study comparing perceptions of the public with medical students and doctors. Med Teach. 2011;33:e501–e508. doi:10.3109/0142159X.2011.599450
   PubMed Web of Science ®Google Scholar
• van Ryn M, Hardeman R, Phelan SM, et al. Medical school experiences associated with change in implicit racial bias among 3547 students: a medical student CHANGES study report. J Gen Intern Med. 2015;30(12):1748–1756. doi:10.1007/s11606-015-3447-7
   PubMed Web of Science ®Google Scholar
• van Ryn M, Phelan SM. Response to Dr. Westall. J Gen Intern Med. 2016;31:715. doi:10.1007/s11606-016-3683-52
   Web of Science ®Google Scholar
• Dehon E, Weiss N, Jones J, Faulconer W, Hinton E, Sterling S. A systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895–904. doi:10.1111/acem.13214
   PubMed Web of Science ®Google Scholar
• 60 Minutes/Vanity Fair. Do Americans really believe that all men are created equal? September 2015. Available from: https://www.vanityfair.com/news/201507vanity-fair-60-minutes-poll-inequality. Accessed November 14, 2017.
   Google Scholar
• Bean MG, Focella ES, Covarrubias R, et al. Documenting nurses and medical students’ stereotypes about hispanic and native American patients. J Health Dispar Res Pract. 2014;7(3):14–22.
   Google Scholar
• van Ryn M, Burke J. The effect of patient race and socio-economic status on physicians’ perceptions of patients. Soc Sci Med. 2000;50(6):813–828. doi:10.1016/S0277-9536(99)00338-X
   PubMed Web of Science ®Google Scholar
• Hunter M. Colorism in the classroom: how skin tone African-American and Latina/o students. Theory Pract. 2016;55(1):54–61. doi:10.1080/00405841.2016.1119019
   Web of Science ®Google Scholar
• Hall WJ, Chapman MV, Lee KM, et al. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: a systematic review. Am J Public Health. 2015;105(12):e60–e76. doi:10.2105/AJPH.2015.302903
   PubMed Web of Science ®Google Scholar
• Fitzgerald C. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18:19. doi:10.1186/s12910-017-0179-8
   PubMed Web of Science ®Google Scholar
• Hurd K, Plaut VC. Diversity-benefits ideology undermine inclusion? Diversity entitlement: does. NW U L Rev. 2017;112(6):1607–1634.
   Google Scholar
• Mana I, Belton T, Ginzbergh S, Singh A, Johnson T. A decade of studying implicit racial/ethnic bias in healthcare providers using the implicit association test. Soc Sci Med. 2018;199:219–229. doi:10.1016/j.socscimed.2017.05.009
   Web of Science ®Google Scholar
• Ogle J, Bushnell JA, Caputi P. Empathy is related to clinical competence in medical care. Med Educ. 2013;47(8):824–831. doi:10.1111/medu.12232
   PubMed Web of Science ®Google Scholar
• Hojat M, Gonnella JS, Mangione S, et al. Empathy in medical students as related to academic performance, clinical competence and gender. Med Educ. 2002;36(6):522–527. doi:10.1046/j.1365-2923.2002.01234.x
   PubMed Web of Science ®Google Scholar
• Teherani A, Hauer KE, Fernandez A, King TE Jr., Lucey C. How small differences and assess clinical performance amplify to large differences in grades and awards: a cascade with serious consequences for students underrepresented in medicine. Acad Med. 2018;93(9):1286–1292. doi:10.1097/ACM.0000000000002323
   PubMed Web of Science ®Google Scholar
• Stone J, Moskowitz GB. Non-conscious bias in medical decision making: what can be done to reduce it? Med Educ. 2011;45:768–776. doi:10.1111/j.1365-2923.2011.04026.x
   PubMed Web of Science ®Google Scholar
• Green AR, Carney DR, Pallin DJ, et al. Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med. 2007;22(9):1231–1238. doi:10.1007/s11606-007-0258-5
   PubMed Web of Science ®Google Scholar
• Stratton TD, Saunders JA, Elam CL. Changes in medical students’ emotional intelligence: an exploratory study. Teach Learn Med. 2008;20:279–284. doi:10.1080/10401330802199625
   PubMed Web of Science ®Google Scholar
• Sasahara K, Chen W, Peng H, Ciampaglia GL, Flammini A, Menczer F On the inevitability of online echo chambers. Available from: https://arxiv.org/abs/1905.03919v2. Accessed May 27, 2020
   Google Scholar
• Jamieson KH, Cappella JN. Echo Chamber: Rush Limbaugh and the Conservative Media Establishment. Oxford University Press; 2008.
   Google Scholar
• Brugnoli E, Cinelli M, Quattrociocchi W, et al. Recursive patterns in online echo chambers. Sci Rep. 2019;9:20118. doi:10.1038/s41598-019-56191-7
   Web of Science ®Google Scholar
• Hogg MA, Rinella MJ. Social identities and shared realities. Cur Opin Psychol. 2018;23:6–10. doi:10.1016/j.copsyc.2017.10.003
   PubMed Web of Science ®Google Scholar
• Iyengar S, Sood G, Lelkes Y. Affect, not ideology: a social identity perspective on polarization. Public Opin Q. 2012;76(3):405–431. doi:10.1093/poq/nfs038
   Web of Science ®Google Scholar
• Quattrociocchi W, Scala A, Sunstein CR. Echo Chambers on Facebook. SSRN Electron J. 2016. doi:10.2139/ssrn.2795110
   Google Scholar
• Rychwalska A, Roszczyńska-Kurasińska M Polarization on social media: when group dynamics leads to societal divides. Proceedings of the 51st Hawaii International Conference on System Sciences; 2018. Available from: https://scholarspace.manoa.hawaii.edu/bitstream/10125/50150/paper0263.pdf. Accessed May 27, 2020.
   Google Scholar
• Nai A. The trump paradox: how cues from a disliked source foster resistance to persuasion. Politics Gov. 2020;8(1):122–132. doi:10.17645/pag.v8i1.2428
   Web of Science ®Google Scholar
• Valutis SA. The relationship between tolerance of ambiguity and stereotyping: implications for BSW education. J Teach Soc Work. 2015;35(5):513–528. doi:10.1080/08841233.2015.1088927
   Web of Science ®Google Scholar
• Wayne S, Dellmore D, Serna L, Jerabek R, Timm C, Kalishman S. The association between intolerance of ambiguity and decline in medical students’ attitudes toward the underserved. Acad Med. 2011;86(7):877–882. doi:10.1097/ACM.0b013e31821dac01
   PubMed Web of Science ®Google Scholar
• Luzsa R, Mayr S. Links between users’ online social network homogeneity, ambiguity tolerance, and estimated public support for own opinions. Cyberpsychol Behav Soc Netw. 2019;22(5):325–329. doi:10.1089/cyber.2018.0550
   Web of Science ®Google Scholar
• Ross HJ. Everyday Bias: Identifying and Navigating Unconscious Judgments in Our Daily Lives. Lanham, MD: Rowman & Littlefield; 2014.
   Google Scholar
• Johnson I, Donovan D, Parboosingh J. Steps to improve the teaching of public health to undergraduate medical students in Canada. Acad Med. 2008;83:414418. doi:10.1097/ACM.0b013e318166a8e4
   Web of Science ®Google Scholar
• Zollo F. Dealing with digital misinformation: a polarized context of narratives and tribes. EFSA J. 2019;17(S1):e170720. doi:10.2903/j.efsa.2019.e170720
   Web of Science ®Google Scholar
• Martimianakis MA, Michalec B, Lam J, Cartmill C, Taylor JS, Hafferty FW. Humanism, the hidden curriculum, and educational reform: a scoping review and thematic analysis. Acad Med. 2015;90(11):S5–S13. doi:10.1097/ACM.0000000000000894
   Web of Science ®Google Scholar
• Balmer DF, Hall E, Fink M, Richards BF. How do medical students navigate the interplay of explicit curricula, implicit curricula, and extracurricula to learn curricular objectives? Acad Med. 2013;88(8):1135–1141. doi:10.1097/ACM.0b013e31829a6c39
   Web of Science ®Google Scholar
• Mackie D, Devos T, Smith E. Intergroup emotions: insights from a theoretically integrative approach. J Pers Soc Psychol. 2000;79:602–616. doi:10.1037/0022-3514.79.4.602
   PubMed Web of Science ®Google Scholar
• Phelan SM, Burke SE, Hardeman RR, et al. Medical school factors associated with changes in implicit and explicit bias against gay and lesbian people among 3492 graduating medical students. J Gen Int Med. 2017;32(11):1193–1201. doi:10.1007/s11606-017-4127-6
   PubMed Web of Science ®Google Scholar
• Brazeau CM, Schroeder R, Rovi S, Boyd L. Relationship between medical student service and empathy. Acad Med. 2011;86(10 Suppl):S42–5. doi:10.1097/ACM.0b013e31822a6ae0
   PubMed Web of Science ®Google Scholar
• Schripsema NR, van Trigt AM, van der Wal MA, Cohen-Schotanus J. How different medical school selection processes call upon different personality characteristics. PLoS One. 2016;11(3):e0150645. doi:10.1371/journal.pone.0150645
   Web of Science ®Google Scholar
• de Visser M, Fluit C, Cohen-Schotanus J, Laan R. The effects of a non-cognitive versus cognitive admission procedure within cohorts in one medical school. Adv Heal Sci Educ. 2018;23:187–200. doi:10.1007/s10459-017-9782-1
   PubMed Web of Science ®Google Scholar
• Wilson I, Griffin B, Lampe L, et al. Variation in personality traits of medical students between schools of medicine. Med Teach. 2013;35(11):944–948. doi:10.3109/0142159X.2013.827331
   PubMed Web of Science ®Google Scholar
• Haight SJ, Chibnall JT, Schindler DL, Slavin SJ. Associations of medical student personality and health/wellness characteristics with their medical school performance across the curriculum. Acad Med. 2012;87(4):476–485. doi:10.1097/ACM.0b013e318248e9d0
   PubMed Web of Science ®Google Scholar
• Quinlivan JA, Lam LT, Wan SH, Petersen RW. Selecting medical students for academic and attitudinal outcomes in a Catholic medical school. Med J Aust. 2010;193(6):347–350. doi:10.5694/j.1326-5377.2010.tb03947.x
   PubMed Web of Science ®Google Scholar
• Tajeu GS, Cherrington AL, Andreae L, Prince C, Holt CL, Halanych JH. “We’ll Get to You When We Get to You”: exploring potential contributions of health care staff behaviors to patient perceptions of discrimination and satisfaction. Am J Public Health. 2015;105(10):2076–2082. doi:10.2105/AJPH.2015.302721
   PubMed Web of Science ®Google Scholar
• Ansell DA, McDonald EK. Bias, black lives, and academic medicine. N Engl J Med. 2015;372(12):1087–1089. doi:10.1056/NEJMp1500832
   Web of Science ®Google Scholar
• Babyar J. Equitable health: let’s stick together as we address global discrimination, prejudice and stigma. Arch Public Health. 2018;76(1):44. doi:10.1186/s13690-018-0291-3
   Web of Science ®Google Scholar
• Murphy SL, Xu J, Kockanek KD Deaths: final data for 2010. National Vital Statistics Reports; 2013:61.
   Google Scholar
• Colen CG, Ramey DM, Cooksey EC, Williams DR. Racial disparities in health among nonpoor African Americans and Hispanics: the role of acute and chronic discrimination. Soc Sci Med. 2018;199:167–180. doi:10.1016/j.socscimed.2017.04.051
   PubMed Web of Science ®Google Scholar
• Golash-Boza T, Darity W. Latino racial choices: the effects of skin colour and discrimination on Latinos’ and Latinas’ racial self-identifications. Ethn Racial Stud. 2008;31(5):899–934. doi:10.1080/01419870701568858
   Web of Science ®Google Scholar
• Brown v. Bd. of Educ., 347 U.S. 483 at 493
   Google Scholar
• Regents of Univ. of Cal. v. Bakke, 438 U.S. 265 at 321–24.
   Google Scholar
• Grutter v. Bollinger, 539 U.S. 306 at 331–32
   Google Scholar
• Fisher v. Univ. of Tex. at Austin (Fisher I), 570 U.S. 297
   Google Scholar
• Feingold JP Hidden in plain sight: a more compelling case for diversity. Utah Law Review: Vol. 2019: No. 1, Article 2. Available from: https://dc.law.utah.edu/ulr/vol2019/iss1/2. Accessed May 17, 2019.
   Google Scholar
• Claridge H, Stone K, Ussher M. The ethnicity attainment gap among medical and biomedical science students: a qualitative study. BMC Med Educ. 2018;18:325. doi:10.1186/s12909-018-1426-5
   PubMed Web of Science ®Google Scholar
• Keyishian et al. v.Board of Regents of the University of the State of New York et al. 385 U.S. 589 at 603; 1967
   Google Scholar
• Grutter v. Bollinger. 539 U.S. 306 at 333, 334; 2003.
   Google Scholar
• Bardes CL. Teaching, digression, and implicit curriculum. Teach Learn Med. 2004;16:212–214. doi:10.1207/s15328015tlm1602_15
   PubMed Web of Science ®Google Scholar
• Tavakol S, Dennick R, Tavakol M. Medical students’ understanding of empathy: A phenomenological study. Med Educ. 2012;46:306–316. doi:10.1111/j.1365-2923.2011.04152.x
   PubMed Web of Science ®Google Scholar
• Eikeland HL, Ornes K, Finset A, Pedersen R. The physician’s role and empathy—A qualitative study of third year medical students. BMC Med Educ. 2014;14:165–173. doi:10.1186/1472-6920-14-165
   PubMed Web of Science ®Google Scholar
• Ratanawongsa N, Teherani A, Hauer KE. Third-year medical students’ experiences with dying patients during the internal medicine clerkship: A qualitative study of the informal curriculum. Acad Med. 2005;80:641–647. doi:10.1097/00001888-200507000-00006
   PubMed Web of Science ®Google Scholar
• Lutz G, Scheffer C, Edelhaeuser F, Tauschel D, Neumann M. A reflective practice intervention for professional development, reduced stress and improved patient care—A qualitative developmental evaluation. Patient Educ Couns. 2013;92:337–345. doi:10.1016/j.pec.2013.03.020
   PubMed Web of Science ®Google Scholar
• Cruess SR, Cruess RL, Steinert Y. Role modelling—Making the most of a powerful teaching strategy. BMJ. 2008;336:718–721. doi:10.1136/bmj.39503.757847.BE
   PubMed Web of Science ®Google Scholar
• Marcum JA. The role of empathy and wisdom in medical practice and pedagogy: confronting the hidden curriculum. J Biomed Educ. 2013;1–8.
   Google Scholar
• Kozéki B, Berghammer R. The role of empathy in the motivational structure of school children. Pers Individ Dif. 1992;13:191–203. doi:10.1016/0191-8869(92)90042-N
   Web of Science ®Google Scholar
• Association American Medical Colleges. 2017 Matriculating Student Questionnaire. All Schools Summary. Association American Medical Colleges; July 7, 2018.
   Google Scholar
• Jargowsky PA Concentration of poverty in the new millennium: changes in the prevalence, composition, and location of high-poverty neighborhoods. The Century Foundation and Rutgers Center for Urban Research and Education; 2013. Available from: http://www.tcf.org/assets/downloads/Concentration_of_Poverty_in_the_New_Millennium.pdf. Accessed May 27, 2020
   Google Scholar
• Fry R, Taylor P The rise of residential segregation by income. Pew Research Center; August 1, 2012. Available from: www.pewsocialtrends.org/2012/08/01/the-rise-of-residential-segregation-by-income/. Accessed August 6, 2018.
   Google Scholar
• Morrison E, Grbic D. Dimensions of diversity and perceptions of having learned from individuals from different backgrounds: the particular importance of racial diversity. Acad Med. 2015;90:937–945. doi:10.1097/ACM.0000000000000675
   PubMed Web of Science ®Google Scholar
• Williams DR, Collins C. Racial residential segregation: A fundamental cause of racial disparities in health. Public Health Rep. 2001;116:404–416. doi:10.1016/S0033-3549(04)50068-7
   PubMed Web of Science ®Google Scholar
• Public Religion Research Institute. Race and Americans’ social networks. Public Religion Research Institute; 2013. Available from: http://publicreligion.org/research/2014/08/analysis‐social‐network/#.VTmjK61Vikp. Accessed May 27, 2020.
   Google Scholar
• Gurin P Expert Report of Patricia Gurin at app. E, Gratz v. Bollinger, 135 F. Supp. 2d 790 (E.D. Mich. 2ooi) (No. 97-75321), Grutter v. Bollinger, 137 F. Supp. 2d 874 (E.D. Mich. 2001) (No. 97-75928).
   Google Scholar
• Gurin G, Matlock J Michigan Student Study: opinions, Expectations, and Experiences of Undergraduate Students, 1990–1994. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor]; December 15, 2005. doi: 10.3886/ICPSR04027.v1.
   Google Scholar
• Rockenbach AN, Mayhew MJ, Correia-Harker BP, et al. Navigating Pluralism. Interfaith Diversity Experiences and Attitudes Longitudinal Survey 2017. 2017; Chicago Illinois: Interfaith Youth Core
   Google Scholar
• Cao Y, Contreras-Huerta LS, McFadyen J, Cunnington R. Racial bias in neural response to others’ pain is reduced with other-race contact. Cortex. 2015;70:68–78. doi:10.1016/J.Cortex.2015.02.010
   PubMed Web of Science ®Google Scholar
• Meadows A, Higgs S, Burke SE, Dovidio JF, van Ryn M, Phelan SM. Social dominance orientation, dispositional empathy, and need for cognitive closure moderate the impact of empathy-skills training, but not patient contact, on medical students’ negative attitudes toward higher-weight patients. Front Psychol. 2017;8:504. doi:10.3389/fpsyg.2017.00504
   PubMed Web of Science ®Google Scholar
• Burke SE, Dovidio JF, Przedworski JM, et al. Do contact and empathy mitigate bias against gay and lesbian people among heterosexual first-year medical students? A report from the medical student CHANGE study. Acad Med. 2015;90(5):645–651. doi:10.1097/ACM.0000000000000661
   PubMed Web of Science ®Google Scholar
• Sidanius J, Pratto F. Social Dominance: An Intergroup Theory of Social Hierarchy and Oppression. Cambridge University Press; 1999:46–47.
   Google Scholar
• Wieland ML, Beckman TJ, Cha SS, Beebe TJ, McDonald FS; Underserved Care Curriculum Collaborative. Resident physicians’ knowledge of underserved patients: a multi-institutional survey. Mayo Clin Proc. 2010;85(8):728–733. doi:10.4065/mcp.2009.0703
   PubMed Web of Science ®Google Scholar
• Marshall JK, Cooper LA, Green AR, et al. Residents’ attitude, knowledge, and perceived preparedness toward caring for patients from diverse sociocultural backgrounds. Health Equity. 2017;1:43–49. doi:10.1089/heq.2016.0010
   Google Scholar
• Fulbright W. The Price of Empire. New York, NY: Pantheon Press; 1989:xi.
   Google Scholar