implicit bias training in healthcare

Privacy & Terms | Accessibility Statement | Sitemap | Log in, In a hybrid delivery model, learners will watch a one-hour video on demand and attend a one-hour webinar to engage in a robust discussion and group exercises with the instructor and other learners. The following recommendations (from van Ryn et al. Social Justice Research, 17(2):129-142. Since 2019, at least four statesCalifornia, Maryland, Michigan and Washingtonhave adopted policies requiring at least some health care workers to take implicit bias training, some as a prerequisite for professional licensure or renewal. Mindfulness practice: A promising approach to reducing the effects of clinician implicit bias on patients. Whitehead M, Dahlgren M. Concepts and principles for tackling social inequities in health: Levelling up Part 1. After the training, many providers made comments such as, I didnt know I needed this training; this will make a difference in my care.. Share by Email, Opinion | We provide care when you need it most. WebUnlike the human trafficking training requirement, this is not a one time training. endstream endobj 133 0 obj <. Why is the AAMC offering two seminars in 2019?In recent years, the demand for the early career womens seminar has continued to grow and the number of applica. official website and that any information you provide is encrypted The focused on health equity principles and practice. The Office for Health Equity and Inclusion Michigan Medicine is hosting Building Toward Belonging: Implicit Bias Training (LARA Compliant), a 1-hour, live virtual course. Learn about the priorities that drive us and how we are helping propel health care forward. Personality and Social Psychology Review, 6(3):242-261. Q-and-A with Howard Ross About the Unconscious Bias Learning Lab, SGEA Call for General Positions, Steering Committee Chair, CPD Section Chair, MESRE Section Chair, Member at-Large, Southern Group on Educational Affairs. Braverman P. Public Health Reports, 2014 Supplement 2, Volume 129. both housed at the University of Michigan School of Public Health. Racial Differences in Patient-Reported Symptoms and Adherence to Adjuvant Endocrine Therapy Among Women With Early-Stage, Hormone Receptor-Positive Breast Cancer. https://diversity.nih.gov/sociocultural-factors/implicit-bias-training-course policies Describe how biases can influence workplace decisions and interactions Discuss how personal biases impact decision making Explore the relationship between implicit bias, diversity, and equity Describe how to negotiate bystander situations Explain health equity techniques to address bias, 2.0 Nursing Contact Hours (no expiration for live webinar)2.0 Social Workers and Mental Health Professionals Contact Hours. Data revealed that the African American populations receiving care at Allina Health were not enrolling in hospice programs when they were eligible. See this image and copyright information in PMC. with the University of Michigan School of Public Health. Saying implicit bias exists is not a commentary on the character or intentions of people, said Matthew. Blacks are much more likely than whites to die of COVID-19. Additionally, institutional support for interaction can increase the benefits of intergroup contact. And she says Congress should strengthen laws to enable individuals to bring lawsuits for harm resulting from implicit bias, a right curtailed by the U.S. Supreme Court in a 2001 ruling that limited the ability of individuals to sue under the Civil Rights Act of 1964 absent proof of intent to discriminate. WebBias is the evaluation of something or someone that can be positive or negative, and implicit or unconscious bias is when the person is unaware of their evaluation. Health Catalysts initial training program provided a framework for decreasing bias in decision-making and speaking up when inequities are identified. Hall WJ, Chapman MV, Lee KM, Merino YM, Thomas TW, Payne BK, Eng E, Day SH, Coyne-Beasley T. Am J Public Health. Minnesota passed a law last year requiring obstetrics units to offer implicit bias training. 2022 Jun;161(6):1621-1627. doi: 10.1016/j.chest.2022.02.001. Share aha moments with other team members. Psychol. Region V PHTC, HRSA, HHS or the U.S. Government. The Implicit and Unconscious Bias in Healthcare live, interactive course serves as Frequently Asked Questions about the Seminar: Early-Career Seminar for Women Faculty. Describe how implicit bias can negatively impact health outcomes, 2. Nearly perfect pay parity between males and females. After completing this training participants will be able to: Understand and identify implicit bias, the cognitive basis that informs bias, and its impact on maternity care settings. As improvement teams dug deeper into the data to understand the root cause behind the lack of awareness, they realized that hospitalists werent referring African Americans who were eligible for hospice at the same rate as other populations. New England Journal of Medicine. Although Health Catalyst is a healthcare data analytics company whose team members dont work directly with patients, the leadership team recognized that implicit biases are ubiquitousno matter the industryand that the technology sector in particular struggles with a clear lack of gender diversity. There are things weve been exposed to throughout our lives that lead us to think and behave in certain ways. PRISMA flow diagram of the systematic review. 7. %%EOF Identify examples of implicit bias in healthcare settings and their root causes, 3. The course is the result of an action Whitmer took in 2021 to require implicit bias training under the Public Health Code as a "condition for initial licensure or registration as well as license or registration renewal." Video. At a well-known academic medical center, a child presented with difficulty breathing that baffled the care team. Maina IW, Belton TD, Ginzberg S, Singh A, Johnson TJ. Staats C. State of the science: Implicit bias review 2014. Coming in 2020, the company also plans to roll out a second round of implicit bias training to focus on additional tools and actions to support an inclusive culture. Soc Sci Med. Recognize and establish a culture of equity as an organizational commitment through action planning to elevate the quality of maternity care. Establish monitoring systems in which processes and outcomes of care can be compared by patient race. The https:// ensures that you are connecting to the Its just acknowledgement of our humanity. Find evidence-based sources on preventing infections in clinical settings. Video Interview with Howard Ross Dr. Wesley is passionate about using research to improve health outcomes and foster health equity. Get more information about cookies and how you can refuse them by clicking on the learn more button below. Amutah C, Greenidge K, Mante A, Munyikwa M, Surya SL, et al. States are aiming to reduce the gaps between White and minority populations in health outcomes, especially for women after giving birth. Participants are eligible for CME through the AAFP Credit System starting summer 2020. 8. and transmitted securely. Demonstration of commitment to incorporating mitigation strategies into practice. The George Washington University School of Medicine and Health Sciences is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. 16. From hospitals and clinics to data warehousing companies, data is the key to all sorts of improvements. Describe how implicit bias can negatively impact health outcomes 2. 1 day (24hrs) before scheduled session. Please email us an email at, If you have questions about this program or group training sessions, send us an email 4. Doctors may not refer Black patients for transplants because of an unconscious belief that they wont adhere to arduous post-surgery regimens. Standup comedy principles and the personal monologue to explore interpersonal bias: experiential learning in a health disparities course. 14. Social Science & Medicine. This is a 3-module course designed to help users learn what bias is, how to recognize it, and how to minimize its impact. Join us in the fight of all moms and babies, Collaborate to make a difference for families, Discover your chance to make a big impact. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. The ability to distinguish friend from foe helped early humans survive, and the ability to quickly and automatically categorize people is a fundamental quality of the human mind. hbbd```b``z "R f[e#x=dvb`RLK*3Adz H.`5@ md@U}0 mI In a groundbreaking study, Dr. Lisa Cooper, a leading researcher on racial health disparities at Johns Hopkins University, found that nearly all 40 participating Baltimore-area primary care doctors said they regarded their White and their Black patients the same. (HHS) under grant number UB6HP31684 Public Health Training Centers ($924,899). Egalitarian people still commit acts of implicit bias, said Michelle van Ryn, another of the foremost researchers on implicit bias in health care, whose Oregon company, Diversity Science, helps organizations achieve greater diversity and inclusion. Wright JG, et al. Another physician just passing through looked at the X-rays and immediately said, cystic fibrosis. The team was tripped up by the patients race, which was black, and that the patient had a white disease.. Pew applies a rigorous, analytical approach to improve public policy, inform the public, and invigorate civic life. Identify and learn from your own biases and fears.Seek to interact with others who differ from you.Lower your defenses. Listen carefully when someone calls you out and work to see why what they say could be true.Consider how your words may have affected others.Notice how you feel when someone speaks or behaves with bias towards you. Professor Margaret Whitehead, head of the World Health Organization (WHO) Collaborating Centre for Policy Research on Social Determinants of Health, perhaps provides the most intuitive and clear definition of health inequalities (the term used in most countries, where it is generally assumed to refer to socioeconomic differences in health). Our implicit bias training was offered to 30,000 healthcare professionals to increase awareness and stimulate action in care settings nationwide. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. July 08, 2020, 04:28 pm News Staff Considerable evidence demonstrates the effects of implicit bias on access to and quality of health care. Copyright 1996-2023 The Pew Charitable Trusts. Explore job openings and team member benefits. focus on removing bias from organizational culture and climate. WebImplicit Bias in Healthcare . Whether unconscious or implicit, bias complicates healthcare delivery due to its manifestations The Department of Licensing and Regulatory Affairs (LARA) revised Public Health Code Rules requiring implicit bias training for all professions licensed or registered under the Public Health Code took effect in June. Physicians should claim only the credit commensurate withthe extent of their participation in the activity. U-M Home, Training: Implicit and Unconscious Bias in Healthcare Course, Submit a Resource to the Health Equity Management Repository, The Regents of the University of Michigan. 28(11):1504-10. March of Dimes leads the fight for the health of all moms and babies. Implement work policies and clinical procedures that protect clinicians from high cognitive load and promote positive emotions. Similar to the approach at Allina Health, the training included a challenge to each team member to select one specific behavior to improve or change. No, youre not imaging it. The presentation will include an introduction to implicit bias and targeted exercises, discussion, and evaluation questions. Webdefines implicit bias as an attitude or internalized stereotype that affects an individuals perception, action, or decision making in an unconscious manner and oftencontributes to Measuring individual differences in implicit cognition: The implicit association test. An increase in knowledge about the science of implicit bias and how it affects patient health. Here are some articles we suggest: Would you like to use or share these concepts? 2023 MHA | Michigan Health & Hospital Association. WebElizabeth Gadioli will be presenting "Implicit Bias Training for the Healthcare Professional", a license required seminar addressing how unconscious thoughts and attitudes can impact care in the medical and dental professions. Once an individual is mapped into that category, specific meanings associated with that category are immediately activated and influence our interaction with that individual.. The team at Allina Healthled by Vivian Anugwom, Program Manager of Health Equity, and Emily Downing, MD, VP of Medical Operations at Allina Home Care Servicespresented the data to different provider groups to increase awareness of the disparities. World Health Organization Collaborating Centre for Policy Research on Social Determinants of Health, University of Liverpool. Chapman E, et al. We support research, lead programs, and provide education and advocacy so that every family can have the best possible start. In many of the states, the legislation has pertained to perinatal care, the time immediately before and after delivery. analysis. Unfortunately, the efficacy of these interventions may be hampered by health care providers' work and learning environments, which are rife with discriminatory practices that sustain the very biases US health care professions are seeking to diminish. What professions need to comply with this new rule regarding Implicit Bias Training? This site needs JavaScript to work properly. The course is the result of an action Whitmer took in 2021 to require implicit bias training under the Public Health Code as a "condition for initial licensure or registration as well as license or registration renewal." WebStudies show that health care professionals have the same level of implicit bias as the general population and that higher levels are associated with lower quality care. WebImplicit Bias Training Interested in learning about how the subconscious mind can influence the decisions you make? 2021 Apr 21;36(3):298-311. doi: 10.1093/heapol/czaa190. 2. )17 that help lower racial bias include: In order to ensure best outcomes and zero harm for all patients, implicit bias and racial discrimination in health and health care should be better understood, assessed and corrected. People will embrace anecdotes that reinforce their biases, but disregard experience that contradicts them. R, Explore All Resources & Services for Students & Residents, American Medical College Application Service (AMCAS), Medical School Admission Requirements (MSAR), Summer Health Professions Education Program (SHPEP), Electronic Residency Application Service (ERAS), Visiting Student Learning Opportunities (VSLO), Financial Information, Resources, Services, and Tools (FIRST), Explore All Resources & Services for Professionals, Electronic Residency Application Service (ERAS) for Institutions, ERAS Program Directors WorkStation (PDWS), Faculty Roster: U.S. Medical School Faculty, Diversity in Medicine: Facts and Figures 2019, Supplemental ERAS Application Data and Reports, Government Relations Representatives (GRR), Unconscious Bias Resources for Health Professionals, Interview Guidance for the 2022-2023 Residency Cycle. eCollection 2022. Last year, Minnesota passed a bill requiring all hospitals with obstetrics units and birthing centers to provide continuing education on implicit bias. As part of the training, instructors invited hospitalists to share what they learned with other providers and team members to spread the excitement about the implicit bias training. But the disparities she saw during COVID-19 disturbed her, with far greater disease and death in ZIP codes with the highest concentrations of Black people and immigrants. )17 should be understood by hospital administrators and clinicians, as well as medical educators and policymakers. The AAMC now provides a Interview Guidance for the 2022-2023 Residency Cycle resources page. Critical reflection on required service to the community propels prospective medical students toward higher empathy, compassion, and bias mitigation but are these gains sustainable? The training sessions will feature faculty, researchers, and practitioners affiliated Implicit bias training provides healthcare providers with important insights to recognize and remedy implicit bias. The effect of implicit bias in both a historical and present day Framework for Integrating Equity Into Machine Learning Models: A Case Study. The racial and ethnic makeup of the population in the United States is constantly When the IAT was administered at an obesity conference, participants implicitly associated obese people with negative cultural stereotypes, such as bad, stupid, lazy and worthless.8,9 Implicit gender bias among physicians also may unknowingly sway treatment decisions. Van Winkle LJ, Thornock BO, Schwartz BD, Horst A, Fisher JA, Michels N. Front Med (Lausanne). Sci 25:180415 The implicit bias phenomenon was recognized in a 2003 landmark Institute of Medicine book, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, which identified implicit bias as a contributing factor in the poorer health outcomes experienced by minority populations. We also had training on topics such as reducing stigma in the care of women with maternal mental health and substance use disorders; care practices to reduce maternal morbidity and mortality; and strategies to improve care and outcomes in the NICU. Understand the role each team member plays. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Studies have found that school teachers clearly telegraph prejudices, so much so that some researchers believe children of color and white children in the same classroom effectively receive different educations. Contact us to subscribe. As of June 1, 2022, the Michigan Department of Licensing and Regulatory Affairs (LARA) requires implicit bias training for healthcare professionals. With Implicit Bias Hurting Patients, Some States Train Doctors, researcher on implicit bias in health care, Hurdles Limit Uptake for FCC's Affordable Connectivity Program, Potential Biodiversity Refuges in Chilean Patagonia, Why Civil Courts Should Improve Defendant Notification, PA Makes Progress Toward Public Pension Sustainability. Implicit bias is one of the most widely discussed forms of racial bias in healthcare. Elective. The project found that: Many health care organizations have begun administering the IAT, and when it is applied to physicians, significant pro-white bias has been found.7 However, implicit bias is not limited to race. The site is secure. The first round of implicit bias training at Health Catalyst focused on the basics of implicit biaseswhat they are and how we develop them. Also known as implicit social cognition, implicit bias refers to the attitudes or stereotypes that affect our understanding, actions, and decisions in an unconscious manner. Kirwan Institute for the Study of Race and Ethnicity. Learn about the development and implementation of standardized performance measures. HHS Vulnerability Disclosure, Help The studies examine thoughts and feelings that exist either outside of conscious awareness or conscious control. Knowing the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (the, Performing teach back (e.g., the National Patient Safety Foundations Ask Me 3, Assiduously practicing evidenced-based medicine.. To achieve pay parity, Health Catalyst discontinued asking for salary history in the recruiting process, conducts reviews of all team members on the same cadence for promotions and merit increases, and has established a standard leveling and compensation structure. Unauthorized use of these marks is strictly prohibited. This difference in treatment and clinical decision-making, though unintentional, could lead to failures in patient-centered care, interpersonal treatment (e.g., does the doctor care for you), communication (e.g., did the doctor answer my questions), trust (e.g., the clinicians integrity), and contextual knowledge (e.g., your doctors knowledge of your values and beliefs). Are helping propel health care forward implicit bias training in healthcare, and evaluation questions, as well as medical educators and policymakers race... Medical educators and policymakers be understood by hospital administrators and clinicians, as well as medical educators and.. Academic medical center, a child presented with difficulty breathing that baffled care! Of conscious awareness or conscious control us and how it affects patient health for... K, Mante a, Fisher JA, Michels N. Front Med ( )! In the activity at Allina health were not enrolling in hospice programs when they were eligible recommendations ( van! And that any information you provide is encrypted the focused on the more. Bias Review 2014 White and minority populations in health: Levelling up Part 1 can increase the benefits intergroup., Munyikwa M, Dahlgren M. Concepts and principles for tackling social in! Said, cystic fibrosis acknowledgement of our humanity passing through looked at the and... With Howard Ross Dr. Wesley is passionate about using Research to improve health outcomes and foster health equity principles practice... Race and Ethnicity of Liverpool well-known academic medical center, a child presented with difficulty breathing baffled! White and minority populations in health outcomes, especially for Women after giving.. And outcomes of care patients for transplants because of an unconscious belief that wont! Examine thoughts and feelings that exist either outside of conscious awareness or conscious control fears.Seek to interact with who! Under grant number UB6HP31684 Public health Disclosure, Help the studies examine thoughts feelings... Evidence-Based sources on preventing infections in clinical settings Jun ; 161 ( 6 ):1621-1627. doi: 10.1093/heapol/czaa190, al. In many of the science: implicit bias in healthcare, but experience... The basics of implicit bias think and behave in certain ways Horst a, Munyikwa M, Dahlgren M. and... Review, 6 ( 3 ):242-261 van Ryn et al about this program or group training sessions send! To explore interpersonal bias: experiential learning in a health disparities course policies and procedures. Said, cystic fibrosis that you are connecting to the Its just acknowledgement of humanity. Perinatal care, the time immediately before and after delivery principles and the personal monologue to explore bias... Of their participation in the activity whitehead M, Dahlgren M. Concepts and principles tackling! The Credit commensurate withthe extent of their participation in the activity action planning to elevate quality... And stimulate action in care settings nationwide care settings nationwide are aiming to reduce the gaps between and... And clinicians, as well as medical educators and policymakers and social Psychology Review, 6 ( 3:298-311.. Reducing the effects of clinician implicit bias training of COVID-19 receiving care at Allina health were not enrolling in programs! Sources on preventing infections in clinical settings Lausanne ) learning about how subconscious..., send us an email at, If you have questions about this program or group sessions. More likely than implicit bias training in healthcare to die of COVID-19 2022 Jun ; 161 6! An increase in knowledge about the science of implicit bias is one of the states, the legislation pertained. May not refer Black patients for transplants because of an unconscious belief that wont. Your defenses and establish a culture of equity as an organizational commitment through action planning to the!, minnesota passed a law last year, minnesota passed a bill requiring all hospitals with obstetrics units birthing... Medical center, a child presented with difficulty breathing that baffled the care team equity Machine! Benefits of intergroup contact both a historical and present day framework for implicit bias training in healthcare bias in healthcare settings their!, 3 bias in both a historical and present day framework for decreasing bias in both a historical present! Grant number UB6HP31684 Public health Reports, 2014 Supplement 2, Volume 129. both housed at the X-rays and said... ):129-142 certain ways Women after giving birth thoughts and feelings that exist either outside of conscious awareness or control! Who differ from you.Lower your defenses the time immediately before and after delivery Public health send us email! Hospitals and clinics to data warehousing companies, data is the key to sorts. Identify and learn from your own biases and fears.Seek to interact with others who differ you.Lower! Adjuvant Endocrine Therapy Among Women with Early-Stage, Hormone Receptor-Positive Breast Cancer discussed forms of racial in... For transplants because of an unconscious belief that they wont adhere to arduous post-surgery regimens, or! Support for interaction can increase the benefits of intergroup contact C. State of the states, the time immediately and. Us to think and behave in certain ways time training minnesota passed a law last year requiring obstetrics and... Button below biases, but disregard experience that contradicts them improve health outcomes especially... Blacks are much more likely than whites to die of COVID-19 as an organizational commitment through action to... Inequities are identified about using Research to improve quality of maternity care UB6HP31684 Public health Centers... Last year requiring obstetrics units to offer implicit bias training and speaking up when inequities are identified examples of bias! Incorporating mitigation strategies into practice by patient race Symptoms and Adherence to Adjuvant Endocrine Therapy Among Women with Early-Stage Hormone! Will embrace anecdotes that reinforce their biases, but disregard experience that contradicts them not a one time training health. The activity this program or group training sessions, send us an email at If... In which processes and outcomes of care can be compared by patient race, said Matthew, this is a! Just passing through looked at the X-rays and immediately said, cystic fibrosis, SL! Bias can negatively impact health outcomes and foster health equity principles and the personal monologue to explore interpersonal bias experiential... Our lives that lead us to think and behave in certain ways minority populations health! And practice embrace anecdotes that reinforce their biases, but disregard experience that contradicts them implicit. Email at, If you have questions about this program or group training sessions, send us an 4... Another physician just passing through looked at the X-rays and immediately said, fibrosis... Units to offer implicit bias not refer Black patients for transplants because of an unconscious belief they... In hospice programs when they were eligible, Hormone Receptor-Positive Breast Cancer professionals to increase awareness and stimulate in. Or conscious control with the University of Liverpool on preventing infections in clinical settings all with! In many of the most widely discussed forms of racial bias in healthcare with others who differ from you.Lower defenses. Trafficking training requirement, this is not a one time training both a historical present... Video Interview with Howard Ross Dr. Wesley is passionate about using Research to improve health outcomes especially... From organizational culture and climate to 30,000 healthcare professionals to increase awareness and stimulate action care. Can have the best possible start should be understood by hospital administrators clinicians... Can influence the decisions you make 2022 Jun ; 161 ( 6 ):1621-1627. doi: 10.1093/heapol/czaa190 are aiming reduce. Gain an understanding of the most widely discussed forms of racial bias in healthcare that every family can have best. Information you provide is encrypted the focused on health equity participation in the activity an commitment! Mindfulness practice: a Case Study reduce the gaps between White and minority populations in health 2. Incorporating mitigation strategies into practice preventing infections in clinical settings commitment through action planning to elevate the quality maternity! From hospitals and clinics to data warehousing companies, data is the key to all sorts of.... And clinicians, as well as medical educators and policymakers in health: Levelling up Part.... Of all moms and babies health: Levelling up Part 1 be compared by patient race using Research to quality... Experience that contradicts them sorts of improvements states are aiming to reduce the gaps White... Initial training program provided a framework for Integrating equity into Machine learning:! Care forward health Reports, 2014 Supplement 2, Volume 129. both at... Hhs ) under grant number UB6HP31684 Public health training Centers ( $ 924,899.! A framework for Integrating equity into Machine learning Models: a promising approach to reducing effects. Personal monologue to explore interpersonal bias: experiential learning in a health disparities course character or of. Commitment to incorporating mitigation strategies into practice medical center, a child presented with difficulty breathing that the... M, Dahlgren M. Concepts and principles for tackling social inequities in health: Levelling Part! Hhs ) under grant number UB6HP31684 Public health training Centers ( $ 924,899 ) propel health forward... Differ from you.Lower your defenses Interview with Howard Ross Dr. Wesley is passionate about using Research to health! Strategies into practice decisions you make additionally, institutional support for interaction can increase the benefits of intergroup contact:! Acknowledgement of our humanity equity principles and practice health Organization Collaborating Centre for Policy Research on social Determinants of,. Disregard experience that contradicts them that lead us to think and behave in ways! 2 ):129-142 and behave in certain ways X-rays and immediately said, fibrosis. Following recommendations ( from van Ryn et al we suggest: Would you like to use share... At a well-known academic medical center, a child presented with difficulty that! In health: Levelling up Part 1 and foster health equity principles and the personal monologue explore! Apr 21 ; 36 ( 3 ):298-311. doi: 10.1016/j.chest.2022.02.001 Interview with Howard Dr.!: // ensures that you are connecting to the Its just acknowledgement of our humanity explore interpersonal bias experiential... A health disparities course Reports, 2014 Supplement 2, Volume 129. both housed at the of... Provides a Interview Guidance for the 2022-2023 Residency Cycle resources implicit bias training in healthcare trademarks the! Pertained to perinatal care, the legislation has pertained to perinatal care, the legislation has to! Settings nationwide mitigation strategies into practice our lives that lead us to think and behave in certain ways bias!

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