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Patient’s belittling comments, inquiries into one’s racial/ethnic origins,credentials and/or abilities are frequent experiences for residents and faculty per published reports across specialties. Even more of us witness these microaggressions: 74%-89% of internal medicine residents witnessed such aggressions within the last year. Cumulatively microaggressions are detrimental to learning, patient care, and well- being; effects compounded for non-white male individuals. To create an optimal clinical learning environment, we all must learn to stand up to microaggressions consistent with the 2022 AAMC DE&I equity competencies! Participants will experience a proven interactive, small group upstander workshop for patient-initiated microaggressions framed using Robert Livingston’s PRESS model. In facilitated small groups, participants will enact several common patient microaggression scenarios with selected participants assuming various roles (eg, patient, attending/preceptor, residents one of whom will be the microaggression recipient). During the enactment one participant will use a simple upstander mnemonic (GRIT) with optional scripts and then re-run and/or debrief before trying another scenario. References, training materials and evaluation results will be provided to conclude the session.
Simpson D, Smith R, La Fratta T, Frederick T, Bidwell J. Standing Up to Patient Microaggressions. Workshop. ACGME Annual Meeting. Nashville, TN. February 24-25, 2023.
Academic Affairs