Rethinking Evidence: Working Towards Equitable Practice of Medical Physics through Understanding Limitations of Past Research.
Description
Many foundational studies in our field were conducted using non-diverse populations, leading to biases in findings and the development of protocols that may not serve all patients equitably. Consequently, patients excluded from these research cohorts may experience delayed intervention, and inadequacies in diagnosis and treatment. Likewise, absence of study population diversity can lead to incomplete understanding of disease presentation, progression, and treatment response across different patient groups. Examples include skin cancer protocols historically tailored to fair-skinned individuals, breast cancer screening guidelines developed primarily for cisgender patients, and imaging and treatment equipment designed for “standard-sized” bodies. These limitations underscore the need to adapt existing workflows to better serve diverse populations. Newer research increasingly incorporates diversity, equity, inclusion, and belonging (DEIB). Though no study can fully account for every population or scenario, every effort must be made to personalize current procedures to meet the clinical needs of our patients. A notable example is rapid remediation of surface guidance technology in response to critical clinical feedback to better handle darker skin tones, allowing for equitable performance across patient populations. This session will examine the limitations of existing research, clinical guidelines, and equipment, and offer strategies for adapting protocols to improve accessibility and inclusivity. Through a panel of experts in DEIB-focused research, advocates for equitable care, and developers of inclusive technologies, attendees will gain practical insights and tools for recognizing and addressing bias in clinical practice. The goal is to empower AAPM and COMP members to foster more equitable treatment environments for all patients