{"id":31407,"date":"2022-11-04T19:18:55","date_gmt":"2022-11-05T00:18:55","guid":{"rendered":"https:\/\/www.freestatesocialwork.com\/?p=31407"},"modified":"2026-02-17T15:20:51","modified_gmt":"2026-02-17T21:20:51","slug":"examination-of-stigmatizing-language-in-the-electronic-health-record-1-credit-hour","status":"publish","type":"post","link":"https:\/\/www.freestatesocialwork.com\/?p=31407","title":{"rendered":"Examination of Stigmatizing Language in the Electronic Health Record (1 credit hour)"},"content":{"rendered":"<p><strong>Program Summary: \u00a0\u00a0<\/strong>This course examines stigmatizing language in the electronic health record and how stigmatizing words and phrases may impact health equity. \u00a0 The course explores three forms of stigmatizing language: labeling someone as other, blaming, and invoking danger. \u00a0Patients with diabetes, substance use disorder, and chronic pain are explored as subgroups. \u00a0Findings and study limitations are presented.<\/p>\n<p><em>This course is recommended for social workers, counselors, and therapists<\/em><em>.<\/em><\/p>\n<p><!--more--><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-23633 alignnone\" src=\"https:\/\/www.freestatesocialwork.com\/wp-content\/uploads\/2022\/03\/book_1404081347.png\" alt=\"\u00e2\u20ac\u0153Book\" width=\"54\" height=\"50\" \/> \u00a0<a href=\"https:\/\/www.freestatesocialwork.com\/articles\/ExaminationOfStigmatizingLanguageInTheElectronicHealthRecordCourseReading.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Open the Course Reading Here.<\/a><\/p>\n<p><strong>Course Reading: \u00a0<\/strong>Examination of Stigmatizing Language in the Electronic Health Record<\/p>\n<p><strong>Authors:<\/strong>\u00a0 Gracie Himmelstein, MD; David Bates, MD, MS; Li Zhou, MD, PhD<\/p>\n<p><strong>Publisher:<\/strong>\u00a0 JAMA Network Open<\/p>\n<p><strong>Additional Reading: \u00a0<\/strong>Preferred Terms for Select Population Groups and Communities\/ CDC<\/p>\n<p><strong>Course\u00a0Objectives:<\/strong>\u00a0 To enhance professional practice, values, skills and knowledge by examining stigmitizing language in the electronic healthcare record.<\/p>\n<p><strong>Learning Objectives: \u00a0<\/strong>Identify the three general forms of stigmatizing language. \u00a0Describe how stigmatizing language varies according to patient and provider characteristics. \u00a0Describe how stigmatizing language in medical notes impacts health equity.<\/p>\n<p>Review our\u00a0<a href=\"..\/?page_id=133\" target=\"_blank\" rel=\"noopener noreferrer\">pre-reading study guide.<\/a><\/p>\n\t\r\n\t\t<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/www.freestatesocialwork.com\/wp-content\/plugins\/quizzin\/style.css\" \/>\r\n\t\t<script type=\"text\/javascript\" src=\"https:\/\/www.freestatesocialwork.com\/wp-includes\/js\/jquery\/jquery.js\"><\/script>\r\n\t\t<script type=\"text\/javascript\" src=\"https:\/\/www.freestatesocialwork.com\/wp-content\/plugins\/quizzin\/script.js\"><\/script>\r\n\r\n\r\n\t\t\r\n\t\t<div class=\"quiz-area single-page-quiz\">\r\n\t\t<form action=\"?page_id=755\" method=\"post\" class=\"quiz-form\" id=\"quiz-389\">\r\n\r\n\t\t<p><strong>Course Available Until:<\/strong>  January 31, 2027.<\/p><p><strong>In order to purchase or take this course, you will need to <a href=?action=login>log in<\/a>. If you do not have an account, you will need to <a href=??action=register>register for a free account<\/a>.<p>After you log in, a link will appear here that will allow you to purchase this course. <\/p><\/strong><div class='quizzin-question' id='question-1'><div class='question-content'> 1:  Introduction: Labeling patients as substance abusers is an example of<\/div><input type='hidden' name='question_id[]' value='6904' \/><input type='radio' name='answer-6904' id='answer-id-44347' class='answer answer-1' value='44347' onclick='saveAnswer(\"answer-6904\", \"answer-id-44347\")' disabled \/>&nbsp;<label for='answer-id-44347' id='answer-label-44347' class='answer label-1'><span>marking or labeling someone as other<\/span><\/label><br \/><input type='radio' name='answer-6904' id='answer-id-44348' class='answer answer-1' value='44348' onclick='saveAnswer(\"answer-6904\", \"answer-id-44348\")' disabled \/>&nbsp;<label for='answer-id-44348' id='answer-label-44348' class='answer label-1'><span>assigning responsibility (ie blame)<\/span><\/label><br \/><input type='radio' name='answer-6904' id='answer-id-44349' class='answer answer-1' value='44349' onclick='saveAnswer(\"answer-6904\", \"answer-id-44349\")' disabled \/>&nbsp;<label for='answer-id-44349' id='answer-label-44349' class='answer label-1'><span>invoking danger or peril<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-2'><div class='question-content'> 2:  Calling distressed patients belligerent or combative is an example of<\/div><input type='hidden' name='question_id[]' value='6906' \/><input type='radio' name='answer-6906' id='answer-id-39715' class='answer answer-2' value='39715' onclick='saveAnswer(\"answer-6906\", \"answer-id-39715\")' disabled \/>&nbsp;<label for='answer-id-39715' id='answer-label-39715' class='answer label-2'><span>marking or labeling someone as other<\/span><\/label><br \/><input type='radio' name='answer-6906' id='answer-id-39716' class='answer answer-2' value='39716' onclick='saveAnswer(\"answer-6906\", \"answer-id-39716\")' disabled \/>&nbsp;<label for='answer-id-39716' id='answer-label-39716' class='answer label-2'><span>assigning responsibility (ie blame)<\/span><\/label><br \/><input type='radio' name='answer-6906' id='answer-id-39717' class='answer answer-2' value='39717' onclick='saveAnswer(\"answer-6906\", \"answer-id-39717\")' disabled \/>&nbsp;<label for='answer-id-39717' id='answer-label-39717' class='answer label-2'><span>invoking danger or peril<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-3'><div class='question-content'> 3:  In vignette studies, clinicians were less likely to recommend treatment for patients<\/div><input type='hidden' name='question_id[]' value='6907' \/><input type='radio' name='answer-6907' id='answer-id-39768' class='answer answer-3' value='39768' onclick='saveAnswer(\"answer-6907\", \"answer-id-39768\")' disabled \/>&nbsp;<label for='answer-id-39768' id='answer-label-39768' class='answer label-3'><span>labeled substance abusers<\/span><\/label><br \/><input type='radio' name='answer-6907' id='answer-id-39769' class='answer answer-3' value='39769' onclick='saveAnswer(\"answer-6907\", \"answer-id-39769\")' disabled \/>&nbsp;<label for='answer-id-39769' id='answer-label-39769' class='answer label-3'><span>described as having substance use disorder<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-4'><div class='question-content'> 4:  Clinicians reading vignettes about patients with sickle cell disease chose ___________ aggressive pain management regimens when vignettes included stigmatizing language.<\/div><input type='hidden' name='question_id[]' value='6908' \/><input type='radio' name='answer-6908' id='answer-id-39720' class='answer answer-4' value='39720' onclick='saveAnswer(\"answer-6908\", \"answer-id-39720\")' disabled \/>&nbsp;<label for='answer-id-39720' id='answer-label-39720' class='answer label-4'><span>more<\/span><\/label><br \/><input type='radio' name='answer-6908' id='answer-id-39721' class='answer answer-4' value='39721' onclick='saveAnswer(\"answer-6908\", \"answer-id-39721\")' disabled \/>&nbsp;<label for='answer-id-39721' id='answer-label-39721' class='answer label-4'><span>less<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-5'><div class='question-content'> 5:  Data and Processing: According to Table 1, the term 'nonadherence' appeared 299 times in the admission note for patients with<\/div><input type='hidden' name='question_id[]' value='6911' \/><input type='radio' name='answer-6911' id='answer-id-44350' class='answer answer-5' value='44350' onclick='saveAnswer(\"answer-6911\", \"answer-id-44350\")' disabled \/>&nbsp;<label for='answer-id-44350' id='answer-label-44350' class='answer label-5'><span>diabetes<\/span><\/label><br \/><input type='radio' name='answer-6911' id='answer-id-44351' class='answer answer-5' value='44351' onclick='saveAnswer(\"answer-6911\", \"answer-id-44351\")' disabled \/>&nbsp;<label for='answer-id-44351' id='answer-label-44351' class='answer label-5'><span>substance use disorder<\/span><\/label><br \/><input type='radio' name='answer-6911' id='answer-id-44352' class='answer answer-5' value='44352' onclick='saveAnswer(\"answer-6911\", \"answer-id-44352\")' disabled \/>&nbsp;<label for='answer-id-44352' id='answer-label-44352' class='answer label-5'><span>chronic pain<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-6'><div class='question-content'> 6:  Discussion: Stigmatizing language about diabetes, substance use disorder, or chronic pain appeared in 1 of 40 hospital admission notes and particularly frequently in the notes of patients with<\/div><input type='hidden' name='question_id[]' value='6916' \/><input type='radio' name='answer-6916' id='answer-id-44353' class='answer answer-6' value='44353' onclick='saveAnswer(\"answer-6916\", \"answer-id-44353\")' disabled \/>&nbsp;<label for='answer-id-44353' id='answer-label-44353' class='answer label-6'><span>diabetes<\/span><\/label><br \/><input type='radio' name='answer-6916' id='answer-id-44354' class='answer answer-6' value='44354' onclick='saveAnswer(\"answer-6916\", \"answer-id-44354\")' disabled \/>&nbsp;<label for='answer-id-44354' id='answer-label-44354' class='answer label-6'><span>substance use disorder<\/span><\/label><br \/><input type='radio' name='answer-6916' id='answer-id-44355' class='answer answer-6' value='44355' onclick='saveAnswer(\"answer-6916\", \"answer-id-44355\")' disabled \/>&nbsp;<label for='answer-id-44355' id='answer-label-44355' class='answer label-6'><span>chronic pain<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-7'><div class='question-content'> 7:  Across all conditions studied, notes about _______________ more often included stigmatizing language.<\/div><input type='hidden' name='question_id[]' value='6917' \/><input type='radio' name='answer-6917' id='answer-id-39784' class='answer answer-7' value='39784' onclick='saveAnswer(\"answer-6917\", \"answer-id-39784\")' disabled \/>&nbsp;<label for='answer-id-39784' id='answer-label-39784' class='answer label-7'><span>non-Hispanic White patients<\/span><\/label><br \/><input type='radio' name='answer-6917' id='answer-id-39785' class='answer answer-7' value='39785' onclick='saveAnswer(\"answer-6917\", \"answer-id-39785\")' disabled \/>&nbsp;<label for='answer-id-39785' id='answer-label-39785' class='answer label-7'><span>non-Hispanic Black patients<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-8'><div class='question-content'> 8:  Notes written by more experienced physicians with a higher PGY included ____________ stigmatizing language than those written by less experienced physicians.<\/div><input type='hidden' name='question_id[]' value='6918' \/><input type='radio' name='answer-6918' id='answer-id-39756' class='answer answer-8' value='39756' onclick='saveAnswer(\"answer-6918\", \"answer-id-39756\")' disabled \/>&nbsp;<label for='answer-id-39756' id='answer-label-39756' class='answer label-8'><span>more<\/span><\/label><br \/><input type='radio' name='answer-6918' id='answer-id-39757' class='answer answer-8' value='39757' onclick='saveAnswer(\"answer-6918\", \"answer-id-39757\")' disabled \/>&nbsp;<label for='answer-id-39757' id='answer-label-39757' class='answer label-8'><span>less<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-9'><div class='question-content'> 9:  One study found that approximately __________ of patients who read their EHR felt judged or offended by their physician's language.<\/div><input type='hidden' name='question_id[]' value='6919' \/><input type='radio' name='answer-6919' id='answer-id-39758' class='answer answer-9' value='39758' onclick='saveAnswer(\"answer-6919\", \"answer-id-39758\")' disabled \/>&nbsp;<label for='answer-id-39758' id='answer-label-39758' class='answer label-9'><span>5%<\/span><\/label><br \/><input type='radio' name='answer-6919' id='answer-id-39759' class='answer answer-9' value='39759' onclick='saveAnswer(\"answer-6919\", \"answer-id-39759\")' disabled \/>&nbsp;<label for='answer-id-39759' id='answer-label-39759' class='answer label-9'><span>10%<\/span><\/label><br \/><input type='radio' name='answer-6919' id='answer-id-39760' class='answer answer-9' value='39760' onclick='saveAnswer(\"answer-6919\", \"answer-id-39760\")' disabled \/>&nbsp;<label for='answer-id-39760' id='answer-label-39760' class='answer label-9'><span>15%<\/span><\/label><br \/><input type='radio' name='answer-6919' id='answer-id-39761' class='answer answer-9' value='39761' onclick='saveAnswer(\"answer-6919\", \"answer-id-39761\")' disabled \/>&nbsp;<label for='answer-id-39761' id='answer-label-39761' class='answer label-9'><span>20%<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-10'><div class='question-content'> 10:  Limitations: Which of the following is a limitation of the study?<\/div><input type='hidden' name='question_id[]' value='6921' \/><input type='radio' name='answer-6921' id='answer-id-44356' class='answer answer-10' value='44356' onclick='saveAnswer(\"answer-6921\", \"answer-id-44356\")' disabled \/>&nbsp;<label for='answer-id-44356' id='answer-label-44356' class='answer label-10'><span>no consensus exists about what language is stigmatizing<\/span><\/label><br \/><input type='radio' name='answer-6921' id='answer-id-44357' class='answer answer-10' value='44357' onclick='saveAnswer(\"answer-6921\", \"answer-id-44357\")' disabled \/>&nbsp;<label for='answer-id-44357' id='answer-label-44357' class='answer label-10'><span>many stigmatizing terms have not been linked to substandard care<\/span><\/label><br \/><input type='radio' name='answer-6921' id='answer-id-44358' class='answer answer-10' value='44358' onclick='saveAnswer(\"answer-6921\", \"answer-id-44358\")' disabled \/>&nbsp;<label for='answer-id-44358' id='answer-label-44358' class='answer label-10'><span>it may be challenging to accurately document care without the use of stigmatizing words <\/span><\/label><br \/><input type='radio' name='answer-6921' id='answer-id-44359' class='answer answer-10' value='44359' onclick='saveAnswer(\"answer-6921\", \"answer-id-44359\")' disabled \/>&nbsp;<label for='answer-id-44359' id='answer-label-44359' class='answer label-10'><span>all of the above<\/span><\/label><br \/><\/div><p><strong>In order to purchase or take this course, you will need to <a href=?action=login>log in<\/a>. If you do not have an account, you will need to <a href=?action=register>register for a free account<\/a>.<p>After you log in, a link will appear here that will allow you to purchase this course. <\/p><\/strong><\/form><\/div><\/font>\n<p>G.M. Rydberg-Cox, MSW, LSCSW is the Continuing Education Director at Free State Social Work and responsible for the development of this course. \u00a0She received her Masters of Social Work in 1996 from the Jane Addams School of Social Work at the University of Illinois-Chicago and she has over 20 years of experience. \u00a0She has lived and worked as a social worker in Chicago, Boston, and Kansas City. She has practiced for many years in the area of hospital\/medical social work. \u00a0The reading materials for this course were developed by another organization.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Program Summary: \u00a0\u00a0This course examines stigmatizing language in the electronic health record and how stigmatizing words and phrases may impact health equity. \u00a0 The course explores three forms of stigmatizing language: labeling someone as other, blaming, and invoking danger. \u00a0Patients with diabetes, substance use disorder, and chronic pain are explored as subgroups. \u00a0Findings and study [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48],"tags":[],"class_list":["post-31407","post","type-post","status-publish","format-standard","hentry","category-implicit-bias"],"_links":{"self":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/posts\/31407","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=31407"}],"version-history":[{"count":0,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/posts\/31407\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31407"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31407"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31407"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}