Addressing Biases in Patient Care with The 5Rs of Cultural Humility, a Clinician Coaching Tool

  • Christie Masters
  • Dea Robinson
  • Sally Faulkner
  • Eltanya Patterson
  • Thomas McIlraith
  • Aziz AnsariEmail author


Clinicians are called to care for patients with increasingly diverse backgrounds during vulnerable moments when gaining trust is imperative. Simultaneously, implicit or unconscious biases are omnipresent. Guidance for clinicians in addressing and curtailing implicit biases is a necessity to preserve provider resiliency while providing high-value, patient-centered care. However, tools to aid clinicians in this endeavor are unknown. The following article introduces The 5Rs of Cultural Humility (5Rs) as a coaching tool available to all clinicians, leaders, and administrators. It is a tool that brings awareness to the reality that everyone has implicit biases and provides a platform to address these biases through the use of cultural humility, mindfulness, and compassion. The tool encourages the clinician to become more aware of his or her decision-making and interactions with others. Each R includes an aim at reducing biases and a self-reflection question. The 5Rs are reflection, respect, regard, relevance, and resiliency. The framework of the 5Rs presents an approach for clinicians to explore more mindful interactions and enriching patient-provider interactions.


implicit biases reflection respect regard relevance resiliency cultural humility society 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.


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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Christie Masters
    • 1
  • Dea Robinson
    • 2
  • Sally Faulkner
    • 3
  • Eltanya Patterson
    • 4
  • Thomas McIlraith
    • 5
  • Aziz Ansari
    • 6
    Email author
  1. 1.UCLA Hospitalist ServiceUCLA Medical CenterLos AngelesUSA
  2. 2.Organizational Learning, Performance and ChangeColorado State UniversityFort CollinsUSA
  3. 3.NorthShore University Health SystemsEvanstonUSA
  4. 4.Charleston Area Medical CenterCharlestonUSA
  5. 5.Mercy Medical GroupSacramentoUSA
  6. 6.Division of Hospital Medicine Loyola University Medical CenterMaywoodUSA

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