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The Bias Diagnosis

By: Ivan Beckley,Emma Barnaby,Yero Timi-Biu,Anishka Sharma,Tej Adeleye
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Episodes
  • Ep 1: Knowledge
    Feb 9 2021

    Student doctor Ivan Beckley gathers evidence of structural bias in medicine; exploring the foundations of modern medical knowledge and the way doctors are trained.

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    1 hr
  • Ep 2: Perception
    Feb 9 2021

    Imagine telling someone you’re in pain. How do you know that they believe you? Why is some people’s pain perceived differently to others? And what does that mean for those with chronic and life-threatening illnesses?

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    58 mins
  • Ep 3: Thought
    Feb 9 2021

    Ivan steps into the world of mental health. How much the diagnosis and treatment of mental illness is actually shaped by physical appearance? 

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    1 hr and 2 mins
Ivan Beckley

About the presenter

Ivan Beckley is a final year student doctor at University College London medical school. Alongside his studies, Ivan is an NHS clinical entrepreneur as CEO of Suvera, a healthcare company enabling virtual care for people with long-term conditions in the UK. Whilst at medical school Ivan has worked with a number of health technology companies, including Google DeepMind, working on AI healthcare algorithms. As part of his work, DeepMind sponsored his MSc in health data science, which he completed in 2018.

As recognition of Ivan’s achievements in 2015, he was awarded one of the top 10 black students in the UK by Rare recruitment and No.3 on the list of Top 100 African and Caribbean graduates and undergraduates by Powerful Media. Fundamentally Ivan believes there is no problem too big to solve. He hopes to focus his career on demonstrating the potential for technology to create universal healthcare coverage for all of humanity.

The stories behind the statistics

Avery Smith
  • Avery Smith
Hear Avery talking about his wife Latoya in episode 1: Knowledge
Tobi Adebajo
  • Tobi Adebajo
Tobi talks about pain in episode 2
Colin King
  • Colin King
Colin shares his experiences in episode 3: Thought
Ernestine Ndzi
  • Ernestine Ndzi
Ernestine is one of the women we hear from in episode 4: Birth
Ola Ojewumi
  • Ola Ojewumi
Listen to Ola's story in episode 5: Breathe
  • Avery Smith
  • Hear Avery talking about his wife Latoya in episode 1: Knowledge
  • Tobi Adebajo
  • Tobi talks about pain in episode 2
  • Colin King
  • Colin shares his experiences in episode 3: Thought
  • Ernestine Ndzi
  • Ernestine is one of the women we hear from in episode 4: Birth
  • Ola Ojewumi
  • Listen to Ola's story in episode 5: Breathe

Find out why Ivan has recorded this podcast

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What listeners say about The Bias Diagnosis

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Incredible...I couldn’t believe my ears

This was such a thought provoking podcast and a must listen for anyone in the healthcare profession. I believed myself to be quite clued in when it came to issues around racial inequalities and prejudice in medicine until I listened to this - some of the stories are shocking and we clearly have much more work to do than I originally thought!

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17 people found this helpful

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Eye opening

As someone who is training in the medical field, this has really been eye opening because it made me look again at my biases and those present in my training and question it. One big take away I get from this series is that people from the BME are less likely to voice out their fears and it's upto us to help them find their voice!

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15 people found this helpful

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Eye opener

Eye-opening, at least for me. Be prepared for some shocking facts. Medicine is just one part of the whole system, but so important as it is about people's lives.

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12 people found this helpful

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Excellent content, important topic of discussion

Background noise is irritating but the content was superb.

I have a better understanding as to why the black community has been hit harder by covid and continue to be cared less effectively for by practitioners.

I would love to listen to a more in depth evaluation on this topic.

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10 people found this helpful

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Eye opening, shocking. Really makes you think.

As above. Essential listening. I wouldn't say I had no idea but when you hear people's stories it makes it real.

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9 people found this helpful

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Incredibly moving and insightful

As an ICU nurse, I can completely echo what has been expressed in this incredibly insightful piece of work. There have been times where black and brown patients have been labelled as 'faking it', 'overdoing it' or 'aggressive', by fellow members of staff for expressing genuine symptoms that naturally cause people distress. However, the same colleagues seem to have a wealth of care and compassion available for patients that resemble them. Not to mention, the lack of diversity in textbooks and modern health education which makes it impossible to adequately tend to the needs of black and brown patients. When we question educators on it, all they say is 'sorry, it's not available, we'll look into it' and then radio silence.
Even though I'm a nurse, I worry about my mum one day needing to go to hospital, because I'm worried that she may not get the adequate service she needs.

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8 people found this helpful

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Incredibly important work

This was horrifying. I've known for a long time that women and POC doesn't get the same help as white men. But this was still an eye opener. I actually thought there were subtle differences between "races", I thought some of the reason why POC have highest mortality rates were because medicines doesn't necessarily work the same way. Turns out, it's not. It's solely because they are treated worse.
I've had my share of bad treatment, which has resulted in 7 years of disability so far, and over 20 surgeries. I've often thought how different it would be if I were a man. Statistically, I would probably have been listened to from the start, and been given the necessary antibiotics and gone about my life. However, I am lucky to be white. If I had been a WOC, I would statistically have lost a limb, or even my life.

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8 people found this helpful

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poor science based on anecdotes

This analysis suffers from using anecdotes and selective bias, rather than stats and analytics. The problem is - we can all interview someone and come up with horror stories about healthcare. For example, a friend of mine (who is white) was told by a GP that the symptoms he was suffering was from drinking alcohol, and that is why Islam is better than Christianity. It turns out he was actually suffering from an appendicitis and required an urgent operation. I suspect the author only interviewed black people and came to conclusions, rather than a group of randomly selected people. This is poor scientific analysis.

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Everyone needs to hear this!

What's shocking is the fact that although there is anecdotal bias, there is also inbuilt systemic bias that even the most educated and well-meaning clinicians aren't aware of. A real eye opener. everyone should listen regardless of your ethnicity. as service users we ALL need to know and understand how susceptible our healthcare is to false and discriminatory data and practice.

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under informed

the author states that there is social, environmental and deep set racist reasons why people of colour have worse health outcomes which is absolutely true.

however, to state that there is no difference biologically is just ignorant. pharmacokinetically and pharmacodynamically there are many differences between ethnicities.(for example duloxetine in Japanese people;see bnf)

it's a shame because I was really looking forward to listening to this book to gain knowledge to make myself better at dealing with people of colour but this oversight has completely put me off the book as the trust is lost.

I feel once the author has more years of experience under his belt he should revisit the subject.

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6 people found this helpful