Purpose
It is documented that many physicians struggle with unconscious bias towards certain patient populations and may provide substandard care to patients on the basis of age and biological sex. This project sought to provide a census of primary texts used in the instruction of anatomy in US medical schools in regard to the -isms of ageism and sexism.

Methods
Following a preliminary round of analysis, the protocol was refined, and a scale was created for each variable, age, and biological sex. The investigator recorded the name and edition of the textbook and then beginning with the first page of anatomical content, a page-by-page analysis was completed. Every picture or graphic, including the text description, was evaluated. All of the body of the text is read to evaluate for “-ism content” with a focus on age and biological sex with the scale values being recorded into an Excel sheet and highlighted in a physical copy of the text. After a census was taken of all potentially biased content in each of the included texts (5 textbooks and 2 dissection manuals), a basic count and average analysis were performed to determine the equality of representation.

Results
The representation of male and female images was relatively even whereas the written text showed more representation of male-directed terms. For age, image and text descriptions were focused on “adulthood” which was the category between young adults (18-25) and geriatric.

Conclusion
Accomplishing the specific aims of this project can contribute to the future of academia which leads to a reduction of bias being transmitted in the hidden curriculum of medical schools with a focus on training physicians to have fewer biases which leads to better patient care. Continued research is in progress to evaluate body habitus and gender bias.