Overview
When providers fail to acknowledge the impact of differences in power and privilege between patients (families) and themselves, it often leads to unconscious biases that impede the quality of communication and care they deliver. 
Similarly, misunderstanding the effects of adverse childhood or community events on patients can lead to misdiagnosis or lapses in available interventions. Making inaccurate inferences and assumptions about patients/families can have a negative impact on important communication and quality of care.  The need to introduce better communication methods and recognized tools to mitigate the gaps mentioned above is at the core of this session, with the intent of both improving communication and care between providers and patients, as well as reducing the degree of clinicians' moral distress that often leads to requests for ethics consultations.

Learning Objectives

• Identify how using the Ladder of Inference will guard against making incorrect assumptions about patients.
• Articulate how they will reframe questions to patients that take into account the ACE tool- the adverse childhood events effects on their presentation.
• Identify at least one aspect of the power and privilege wheel to recognize ways to interact with patients that will guard against inherent biases.