OasisLMS

This training program, adapted from a course developed at Duke University, is an online implicit bias training program intended for all members of the cancer research team.

A series of interactive modules outline key concepts such as diversity, equity, and health disparities, as well as the role of implicit bias in clinical trial selection. Vignettes provide real-world examples of implicit bias from the perspective of community-based cancer programs and guidance for mitigating disparities in cancer research settings.

Participants will be better equipped to promote diversity, inclusion, and equity to improve the enrollment and retention of patients from African American/Black, Hispanic/Latinx, and other groups who have been historically under-represented in clinical trials.

Who Should Participate: Study investigators, clinical staff, research and non-research staff, administrators, and/or any members of the multidisciplinary team who are involved with clinical research within your cancer program.

1. Describe various dimensions of diversity that exist within society and the ways sociocultural norms shape perceptions 

2. Explain how implicit bias shapes interactions and interrelates with health disparities

3. Identify strategies to address barriers to approaching underrepresented populations to engage in cancer research and/or clinical trials

The course takes an estimated 60-90 minutes and participants will receive a certificate upon completion.

For those who recently participated in the Just Ask™ Training and would like to facilitate fruitful discussions among their staff around implicit bias, a Just Ask™ Training Facilitation Guide has been developed to reinforce the learnings from this online implicit bias training program. The Training Facilitation Guide identifies feasible action steps to support implementation of a Just Ask™ strategy in your research site or cancer program or practice.

DOWNLOAD TRAINING GUIDE

This training program is open to the public. You do not need to be an ACCC member to participate, but you will need to create an account to register. Please click the "Registration Instructions" tab for more details.

This program is part of the “ASCO-ACCC Initiative to Increase Racial and Ethnic Diversity in Clinical Trials,” a collaboration by the American Society of Clinical Oncology (ASCO) and the Association for Community Cancer Centers (ACCC) to establish practical strategies and solutions to help increase participation in cancer treatment trials by patients from historically underrepresented racial and ethnic communities.

“Just ASK: Increasing Diversity in Biomedical Research” is used by ASCO-ACCC under a license from Duke University. (c) Copyright 2019-2022. Duke University and Duke University Health System. All Rights Reserved. Developed by Nadine J. Barrett, PhD, MA, MS, at the Department of Family Medicine & Community Health, Duke University School of Medicine.

Diversity and Inclusion

Courageous Conversations about Race

US Cancer Centers of Excellence Strategies for Increased Inclusion of Racial and Ethnic Minorities in Clinical Trials (Regnante, et. al., JCO Oncology Practice)

Diversity in Clinical and Biomedical Research: A Promise Yet to Be Fulfilled (Oh, et. al., PLOS Medicine)

Health Care Disparities

Development of an Actionable Framework to Address Cancer Care Disparities in Medically Underserved Populations in the United States: Expert Roundtable Recommendations (Winkfield, et. al., JCO Oncology Practice)

The Fullest Look Yet at the Racial Inequity of Coronavirus (New York Times)

The Root Causes of Health Inequity (Communities in Action: Pathways to Health Equity, National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice)

Visualizing Health Equity: One Size Does Not Fit All Infographic (Robert Wood Johnson Foundation)

Structural Racism in Medicine and Health Care (JAMA Network)

Disparity of Race Reporting and Representation in Clinical Trials Leading to Cancer Drug Approvals From 2008 to 2018 (Loree, et. al., JAMA Oncology)

Implicit Bias

Harvard Implicit Association Tests

Blind spots: Challenge Assumptions (PwC)

Clinical Research

Harvard Multi-Regional Clinical Trials Center

Engaging African Americans in Research: The Recruiter's Perspective (Barrett, et. al., Ethnicity & Disease)

The Gift of Participation: A Guide to Making Informed Decisions about Volunteering for a Clinical Trial (Gentz)

Barriers to Patient Enrollment in Therapeutic Clinical Trials for Cancer (American Cancer Society Cancer Action Network)

Historical Examples of Exploitation in Research and Medical Care

Tribal Membership Requirements and the Demography of "Old" and "New" Native Americans (Changing Numbers, Changing Needs: American Indian Demography and Public Health, National Research Council (US) Committee on Population)

Medical Apartheid: The Dark History Of Medical Experimentation On Black Americans From Colonial Times To The Present (Washington)

Genetic Research among the Havasupai: A Cautionary Tale (Sterling, AMA Journal of Ethics)

Disproportionate Sterilization of Latinos Under California’s Eugenic Sterilization Program, 1920–1945 (Novak, et. al., American Journal of Public Health)

The U.S. Public Health Service Syphilis Study at Tuskegee (CDC)