Interrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students

Introduction Microaggressions are connected to broader conceptualizations of the impact of implicit bias and systems of inequity. The body of evidence supporting the need for more-open discussions in medical education about race, racism, and their impact on health disparities continues to grow. Some...

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Autores principales:	Rhonda Graves Acholonu, Tiffany E. Cook, Robert O. Roswell, Richard E. Greene
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Microaggressions Bias Racism Health Disparities Empathy Communication Skills Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/83c93443974545e9ab20db299933758d
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spelling	oai:doaj.org-article:83c93443974545e9ab20db299933758d2021-11-19T13:45:48ZInterrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students10.15766/mep_2374-8265.109692374-8265https://doaj.org/article/83c93443974545e9ab20db299933758d2020-07-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10969https://doaj.org/toc/2374-8265Introduction Microaggressions are connected to broader conceptualizations of the impact of implicit bias and systems of inequity. The body of evidence supporting the need for more-open discussions in medical education about race, racism, and their impact on health disparities continues to grow. Some have advocated for the importance of bringing anti-racist pedagogy into medical education curricula, which involves explicitly attempting to move beyond people's comfort zones and acknowledging that discomfort can be a catalyst for growth. To discuss the intent and impact of microaggressions in health care settings and how we might go about responding to them, we developed a workshop for third-year undergraduate medical students within a longitudinal undergraduate medical education diversity and inclusion curriculum. Methods This workshop occurred during a regularly scheduled clerkship intersession during the 2016–2017 academic year for third-year undergraduate medical students (N = 154). Prior to the workshop, the students were asked to anonymously submit critical incident reports on any microaggressions experienced or witnessed to develop case studies for problem-based learning. Teaching modalities included lecture, problem-based learning with case studies, pair and share, and facilitated small- and large-group debriefs. Results The session was evaluated using a 4-point Likert scale to assess students' comfort in learning about the information presented. Ninety-eight percent felt confident in identifying microaggressions, and 85% felt confident in interrupting microaggressions when they occur. Discussion This personalized workshop exposes students to microaggressions personally experienced by colleagues with an attempt to interrupt them using empathy, awareness, and communication techniques.Rhonda Graves AcholonuTiffany E. CookRobert O. RoswellRichard E. GreeneAssociation of American Medical CollegesarticleMicroaggressionsBiasRacismHealth DisparitiesEmpathyCommunication SkillsMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Microaggressions Bias Racism Health Disparities Empathy Communication Skills Medicine (General) R5-920 Education L
spellingShingle	Microaggressions Bias Racism Health Disparities Empathy Communication Skills Medicine (General) R5-920 Education L Rhonda Graves Acholonu Tiffany E. Cook Robert O. Roswell Richard E. Greene Interrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students
description	Introduction Microaggressions are connected to broader conceptualizations of the impact of implicit bias and systems of inequity. The body of evidence supporting the need for more-open discussions in medical education about race, racism, and their impact on health disparities continues to grow. Some have advocated for the importance of bringing anti-racist pedagogy into medical education curricula, which involves explicitly attempting to move beyond people's comfort zones and acknowledging that discomfort can be a catalyst for growth. To discuss the intent and impact of microaggressions in health care settings and how we might go about responding to them, we developed a workshop for third-year undergraduate medical students within a longitudinal undergraduate medical education diversity and inclusion curriculum. Methods This workshop occurred during a regularly scheduled clerkship intersession during the 2016–2017 academic year for third-year undergraduate medical students (N = 154). Prior to the workshop, the students were asked to anonymously submit critical incident reports on any microaggressions experienced or witnessed to develop case studies for problem-based learning. Teaching modalities included lecture, problem-based learning with case studies, pair and share, and facilitated small- and large-group debriefs. Results The session was evaluated using a 4-point Likert scale to assess students' comfort in learning about the information presented. Ninety-eight percent felt confident in identifying microaggressions, and 85% felt confident in interrupting microaggressions when they occur. Discussion This personalized workshop exposes students to microaggressions personally experienced by colleagues with an attempt to interrupt them using empathy, awareness, and communication techniques.
format	article
author	Rhonda Graves Acholonu Tiffany E. Cook Robert O. Roswell Richard E. Greene
author_facet	Rhonda Graves Acholonu Tiffany E. Cook Robert O. Roswell Richard E. Greene
author_sort	Rhonda Graves Acholonu
title	Interrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students
title_short	Interrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students
title_full	Interrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students
title_fullStr	Interrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students
title_full_unstemmed	Interrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students
title_sort	interrupting microaggressions in health care settings: a guide for teaching medical students
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/83c93443974545e9ab20db299933758d
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Interrupting Microaggressions in Health Care Settings: A Guide for Teaching Medical Students

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