“I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions With the OWTFD Approach

Introduction Academic medicine has long faced the challenge of addressing health inequities, reflecting on how these contribute to structural racism, and perpetuating negative social determinants of health. Most recently, we have constructed opportunities for dialogues about racism, discrimination,...

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Autores principales: Sylk Sotto-Santiago, Jacqueline Mac, Francesca Duncan, Joseph Smith
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Publicado: Association of American Medical Colleges 2020
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Acceso en línea:https://doaj.org/article/1367338947954c978fd3b0fa11dc43c6
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spelling oai:doaj.org-article:1367338947954c978fd3b0fa11dc43c62021-11-19T13:45:15Z“I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions With the OWTFD Approach10.15766/mep_2374-8265.109712374-8265https://doaj.org/article/1367338947954c978fd3b0fa11dc43c62020-07-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10971https://doaj.org/toc/2374-8265Introduction Academic medicine has long faced the challenge of addressing health inequities, reflecting on how these contribute to structural racism, and perpetuating negative social determinants of health. Most recently, we have constructed opportunities for dialogues about racism, discrimination, and microaggressions (RDM). As such, we created a professional development program that encouraged participants to (1) openly discuss RDM and the impact they have in academia, (2) learn about tools to address and respond to RDM, and (3) move towards the creation of inclusive environments. The target audience included institutional leaders, faculty, trainees, professional staff, and health care teams. Methods We sought to meet workshop goals by integrating anti-racist dramaturgical teaching, introducing concepts knowledge, and practicing communication tools. To assess learning and evaluate our workshops, participants completed a pre- and postsurvey. Results Results showed that 30 participants were more comfortable with discussing issues related to race/ethnicity, gender identity/expression, sexual orientation, and spirituality after participating in the workshops. Prior to the two workshops, the percentage of learners who felt confident initiating conversations ranged from 29% to 54%. After the workshops, the percentage of learners who felt confident ranged from 58% to 92%. The greatest increase, 100%, was observed in the levels of confidence in initiating conversations related to race/ethnicity. Discussion Despite medical education's commitment to cultural competence and institutional mission statements that value diversity, equity, inclusion, and justice, professional development opportunities are limited. Participants strongly agreed their participation in such a workshop was relevant and important to their professional work.Sylk Sotto-SantiagoJacqueline MacFrancesca DuncanJoseph SmithAssociation of American Medical CollegesarticleDiversityHealth EquityInclusionAnti-racismProfessional DevelopmentRacismMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution DOAJ
collection DOAJ
language EN
topic Diversity
Health Equity
Inclusion
Anti-racism
Professional Development
Racism
Medicine (General)
R5-920
Education
L
spellingShingle Diversity
Health Equity
Inclusion
Anti-racism
Professional Development
Racism
Medicine (General)
R5-920
Education
L
Sylk Sotto-Santiago
Jacqueline Mac
Francesca Duncan
Joseph Smith
“I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions With the OWTFD Approach
description Introduction Academic medicine has long faced the challenge of addressing health inequities, reflecting on how these contribute to structural racism, and perpetuating negative social determinants of health. Most recently, we have constructed opportunities for dialogues about racism, discrimination, and microaggressions (RDM). As such, we created a professional development program that encouraged participants to (1) openly discuss RDM and the impact they have in academia, (2) learn about tools to address and respond to RDM, and (3) move towards the creation of inclusive environments. The target audience included institutional leaders, faculty, trainees, professional staff, and health care teams. Methods We sought to meet workshop goals by integrating anti-racist dramaturgical teaching, introducing concepts knowledge, and practicing communication tools. To assess learning and evaluate our workshops, participants completed a pre- and postsurvey. Results Results showed that 30 participants were more comfortable with discussing issues related to race/ethnicity, gender identity/expression, sexual orientation, and spirituality after participating in the workshops. Prior to the two workshops, the percentage of learners who felt confident initiating conversations ranged from 29% to 54%. After the workshops, the percentage of learners who felt confident ranged from 58% to 92%. The greatest increase, 100%, was observed in the levels of confidence in initiating conversations related to race/ethnicity. Discussion Despite medical education's commitment to cultural competence and institutional mission statements that value diversity, equity, inclusion, and justice, professional development opportunities are limited. Participants strongly agreed their participation in such a workshop was relevant and important to their professional work.
format article
author Sylk Sotto-Santiago
Jacqueline Mac
Francesca Duncan
Joseph Smith
author_facet Sylk Sotto-Santiago
Jacqueline Mac
Francesca Duncan
Joseph Smith
author_sort Sylk Sotto-Santiago
title “I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions With the OWTFD Approach
title_short “I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions With the OWTFD Approach
title_full “I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions With the OWTFD Approach
title_fullStr “I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions With the OWTFD Approach
title_full_unstemmed “I Didn't Know What to Say”: Responding to Racism, Discrimination, and Microaggressions With the OWTFD Approach
title_sort “i didn't know what to say”: responding to racism, discrimination, and microaggressions with the owtfd approach
publisher Association of American Medical Colleges
publishDate 2020
url https://doaj.org/article/1367338947954c978fd3b0fa11dc43c6
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