Biased information (recently termed bisinformation) continues to be taught in medical curricula, often long after having been debunked. In this paper, we introduce BRICC, a firstin-class initiative that seeks to mitigate medical bisinformation using machine learning to systematically identify and flag text with potential biases, for subsequent review in an expert-in-the-loop fashion, thus greatly accelerating an otherwise labor-intensive process. A gold-standard BRICC dataset was developed throughout several years, and contains over 12K pages of instructional materials. Medical experts meticulously annotated these documents for bias according to comprehensive coding guidelines, emphasizing gender, sex, age, geography, ethnicity, and race. Using this labeled dataset, we trained, validated, and tested medical bias classifiers. We test three classifier approaches: a binary type-specific classifier, a general bias classifier; an ensemble combining bias type-specific classifiers independently-trained; and a multitask learning (MTL) model tasked with predicting both general and type-specific biases. While MTL led to some improvement on race bias detection in terms of F1-score, it did not outperform binary classifiers trained specifically on each task. On general bias detection, the binary classifier achieves up to 0.923 of AUC, a 27.8% improvement over the baseline. This work lays the foundations for debiasing medical curricula by exploring a novel dataset and evaluating different training model strategies. Hence, it offers new pathways for more nuanced and effective mitigation of bisinformation.

Most Fairness in AI research focuses on exposing biases in AI systems. A broader lens on fairness reveals that AI can serve a greater aspiration: rooting out societal inequities from their source. Specifically, we focus on inequities in health information, and aim to reduce bias in that domain using AI. The AI algorithms under the hood of search engines and social media, many of which are based on recommender systems, have an outsized impact on the quality of medical and health information online. Therefore, embedding bias detection and reduction into these recommender systems serving up medical and health content online could have an outsized positive impact on patient outcomes and wellbeing. In this position paper, we offer the following contributions: (1) we propose a novel framework of Fairness via AI, inspired by insights from medical education, sociology and antiracism; (2) we define a new term, bisinformation, which is related to, but distinct from, misinformation, and encourage researchers to study it; (3) we propose using AI to study, detect and mitigate biased, harmful, and/or false health information that disproportionately hurts minority groups in society; and (4) we suggest several pillars and pose several open problems in order to seed inquiry in this new space. While part (3) of this work specifically focuses on the health domain, the fundamental computer science advances and contributions stemming from research efforts in bias reduction and Fairness via AI have broad implications in all areas of society.