National Resource Center for Academic Detailing [NaRCAD]
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  • Who We Are
    • WHY WE MATTER
    • Our Team
    • Internship Program
    • Testimonials
    • Contact Us
  • LEARNING COURSES
    • Training Series
    • SKILLS LAB
    • ON-DEMAND WEBCASTS
    • Virtual Coaching Sessions
  • Tools
    • Program Planning Hub
    • AD How-To Guides
    • AD Core Toolkits >
      • Inclusivity Toolkit
      • Evaluation Toolkit
      • Opioid Safety Toolkit
      • HIV Prevention Toolkit
      • E-Detailing Toolkit
  • Community
    • COMMUNITY CHECK-INS
    • Peer Connection Program
    • Detailing Community
  • EVENTS
    • CONFERENCE SERIES
    • Present at NaRCAD2025
    • THE CONFERENCE HUB
    • AD Summit Series
    • The AD Summit Hub
  • MEDIA CENTER
    • The Details Blog
    • Podcast Series
    • e-newsletter
    • AD Literature Archives
    • Virtual Bookshelf

healthcare Inclusivity Toolkit
​for detailers

Curated tools to explore and assess stigma in healthcare settings.
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I. Understanding
Stigma & Bias

Videos and resources on the impact of implicit bias and its effect on patient care.
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II. Best Practices from Our AD Community

Blogs, presentations, and webinars on stigma and inclusivity.
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III. Communication Strategies

Scripting tools and guides on terms to use when talking about various clinical topics.
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IV. Inclusivity
Articles & Publications
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Research articles on clinical topics, understanding stigma, and communications. ​​​​
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​I. UNDERSTANDING STIGMA & BIAS
  • ​Toolkit: Stigma and Discrimination Research Toolkit | National Institute of Mental Health
  • Toolkit: Race to Justice | Race to Justice - NYC Department of Health and Mental Hygiene
  • Self Test: Harvard Implicit Association Test | Project Implicit, Harvard University​
  • Video (~2 min. 30 sec.): How does implicit bias affect health care? | Institute for Healthcare Improvement (July 2017)
  • Video (~5 min.): What is bias, and what can medical professionals do to address it? | Institute for Healthcare Improvement (June 2017)
  • Video Playlist: Health Equity | CDC​​
  • Resource: Brave Empathetic Accountable Contextualized Humble (BEACH) Statement Intentions | Maternal, Child, Adolescent Health (MCAH) San Francisco Department of Public Health​
  • In-Depth Exploration: Implicit Bias in Healthcare Professionals: A Systematic Review | Chloë FitzGerald and Samia Hurst, BMC Medical Ethics (March 2017)
  • In-Depth Exploration: Examining the Presence, Consequences, and Reduction of Implicit Bias in Health Care: A Narrative Review | Colin A. Zestcott, PhD, et al., Group Process & Intergroup Relations (July 2016)
  • Cultural Humility:
    • Article: Practicing Cultural Humility to Transform Health Care | Jennifer McGee-Avila, PhD, MPH, Robert Wood Johnson Foundation (June 2018)​
    • Article: Cultural Humility vs. Cultural Competence – and Why Providers Need Both | Shamaila Khan, PhD, Health City​
    • Publication: Not Missing the Opportunity: Strategies to Promote Cultural Humility among Future Nursing Faculty | Vickie Hughes, DNS, MSN, RN, et al., Elsevier Incorporated (Feb. 2020)
    • In-Depth Exploration: Cultural Competence and Cultural Humility: A Literature Review for Understanding and Action | Michael Wheeler, Central Florida Diversity Learning Series (March 2018)
    • Video (2 min. 30 sec.): What is Cultural Humility? | Psych Hub  (Oct. 2020)
II. BEST PRACTICES FROM OUR AD COMMUNITY
  • Blog Articles: The DETAILS Blogs - Stigma | NaRCAD
    • Creating a Space to Address Stigma through 1:1 Dialogue with Clinicians | NaRCAD
    • Using AD to Reduce Stigma Associated with Opioid Use Disorder | Trish Rawn, BScPhm, PharmD, Centre for Effective Practice
    • Integrating Data into Action: Addressing Cocaine Use Through Public Health Detailing | Carla Foster, MPH, NYC Department of Health and Mental Hygiene
    • Closing Health Inequities Together: The Detailing Approach to Clinician Stigma | Megan DeNubila and Jessica Alward, MS, New Hampshire Division of Public Health Services
    • Leading the Way to Sustainability Through Strong Detailers and Valuable Partnerships | Sarah Ball, PharmD and Megan Pruitt, PharmD, Medical University of South Carolina
    • More Than Meets the Eye: Insights on Provider Stigma | Elisabeth Fowlie Mock, MD, MPH, Maine Independent Clinical Information Service
    • Diverse Approaches to Clinician Education in Louisiana | Brandon Mizroch, MD, MBBS, Louisiana Department of Health
    • Approaching New Horizons: AD on Cannabinoids in Canada | Zack Dumont, BSP, ACPR, MS, RxFiles Academic Detailing Service
    • Optimism for the Opioid Crisis: Addressing Stigma and Disseminating Evidence to Clinicians | Don Teater, MD, MPH, Teater Health Solutions
    • Academic Detailing for Social Justice: HIV Prevention via Provider Education | Mary Nagy, MPH, RN/BSN, Michigan Department of Health and Human Services
    • Exercising Empathy, Planting Seeds: An Interview with the Manchester, NH Academic Detailing Team | Carol Furlong, LCMHC, MAC, MBA, Elliot Hospital, Jill MacGregor, APRN, Catholic Medical Center, and Katie Sawyer, LICSW, MLADC, Network4Health/Mental Health Center of Greater Manchester
  • Presentation (begins at  17 minutes): Beyond the Binary: Innovating Academic Detailing for Gender Expansive Care | Ryan Anderson, DISH-AZ, Arizona Department of Health Services
    • Resources: 
      • ​Gender Affirming Care Materials & Resources
      • Gender Unicorn Form Example
  • Presentation (begins at 2 hours and 21 minutes): Cutting Through Stigma and Getting to ‘Yes’! | Brandon Mizroch, MD, Utah AIDS Education and Training Center
  • Presentation (begins at 7 minutes): Affirming Care for Transgender & Nonbinary People | Sophia Kass & Jessica Bloome, MD, MPH, San Francisco Department of Public Health​​
  • Presentation (begins at 32 minutes): Adventures in Academic Detailing: Patient Informed Communication on Sex Positivity in HIV Prevention | Rocko Cook, DISH-AZ, Arizona Department of Health Services
  • PowerPoint Presentation: Participant Perspectives: How Does Stigma Show up in AD? | NaRCAD Annual Conference 2021
  • Expert Panel Video (presentation begins at 29 min.): Exploring and Addressing Clinician Stigma to Encourage Accountability  | NaRCAD Annual Conference 2021
  • Webinar: Opioid Use Disorder: Understanding Clinician Stigma to Encourage Behavior Change | Don Teater, MD, MPH, Teater Health Solutions and Nadejda Razi-Robertson, PhD, LCSW, Synergy Health Consulting
    • PowerPoint Presentation: Opioid Use Disorder: Understanding Clinician Stigma to Encourage Behavior Change
  • Roundtable: Breaking Down Silos: Clinicians as Part of a Care Network | NaRCAD
III. COMMUNICATION STRATEGIES
  • Scripting Tool: How to Respond to Bias | NaRCAD
  • Downloadable Posters: People Matter, Words Matter | American Hospital Association​
  • Article: Words Matter - Terms to Use and Avoid When Talking About Addiction | National Institute on Drug Abuse (Nov. 2021)
  • Article: Words Matter: Preferred Language for Talking About Addiction | National Institute on Drug Abuse (June 2021)
  • Article: Words Matter: How Language Choice Can Reduce Stigma | Prevention Solutions at Education Development Center (Nov. 2017)
  • Language Guide: A Guide to Talking About HIV | CDC
  • Resource: Language Matters (sexual health, substance use STBBIs, and intersecting sources of stigma) | Canadian Public Health Association
  • Resource: Fact Sheets & Documents on Gender-Affirming Care | Denver Prevention Training Center​
IV. INCLUSIVITY ARTICLES & PUBLICATIONS
Understanding Stigma & Bias: 
  • Publication: Acknowledging and Assessing Implicit Bias Among Healthcare Professionals: A Randomized Controlled Trial | Brianna M. McQuade, PharmD, MHPE, Alan Schwartz, Jennie B. Jarrett, PhD, PharmD, MS, Journal of Interprofessional Education & Practice (July 2021)
  • Publication: The Impact of Unconscious Bias in Healthcare: How to Recognize and Mitigate It | Jasmine R. Marcelin, MD, et al., The Journal of Infectious Diseases (Aug. 2019) ​​
  • Publication: Stigma in health facilities: why it matters and how we can change it | Laura Nyblade, PhD, et al., BMC Medicine (Feb. 2019)​​
  • Article: How does implicit bias by physicians affect patients’ health care? | Tori DeAngelis, American Psychological Association (March 2019)
  • Article: Eight Tactics to Identify and Reduce Your Implicit Bias | FMP Journal (August 2019)
  • Article: Cultural Humility vs. Cultural Competence – and Why Providers Need Both | Shamaila Khan, PhD, Health City (March 2021)​
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