Building a Tool Kit for Medical and Dental Students: Addressing Microaggressions and Discrimination on the Wards.

Case-Based Learning Communication Skills Cultural Competence Curriculum Development Dentist Discrimination Diversity Health Equity Inclusion Leadership Development/Skills Microaggression Physician Professionalism Racism Tool Kit

Journal

MedEdPORTAL : the journal of teaching and learning resources
ISSN: 2374-8265
Titre abrégé: MedEdPORTAL
Pays: United States
ID NLM: 101714390

Informations de publication

Date de publication:
03 04 2020
Historique:
entrez: 1 5 2020
pubmed: 1 5 2020
medline: 25 6 2021
Statut: epublish

Résumé

Microaggressions, subtle slights related to characteristics such as race, gender, or sexual orientation, in a clinical setting can sabotage the therapeutic alliance. Curricula tailored specifically towards medical students that raise awareness of microaggressions and aim to change behavior are absent. We created a 2-hour workshop to prepare preclinical medical and dental students to recognize and respond to microaggressions in clinical practice. The workshop consisted of a didactic portion describing microaggressions and strategies for responding to them and a case-based small-group portion to practice strategies. Participants completed electronic pre- and postworkshop surveys. Of 163 students participating in the workshop, 121 (74%) completed the preworkshop survey, 105 (64%) completed the postworkshop survey, and 81 (50%) completed both. Preworkshop, 48% reported female gender, and 36% reported underrepresented in medicine status. The majority (77%) had witnessed or experienced microaggressions in the clinical setting, and 69% reported very good or excellent familiarity with the concept of microaggressions. The curriculum appeared to significantly mitigate challenges associated with microaggressions, including reductions in perceived difficulty in identifying microaggressions ( Given the high self-reported prevalence of microaggressions in the clinical setting, students need the skills to respond. This innovative session improves readiness to address microaggressions by helping participants build and practice these skills in a supportive environment.

Identifiants

pubmed: 32352030
doi: 10.15766/mep_2374-8265.10893
pmc: PMC7187912
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

10893

Informations de copyright

Copyright © 2020 Sandoval et al.

Déclaration de conflit d'intérêts

None to report.

Références

BMC Med Ethics. 2017 Mar 1;18(1):19
pubmed: 28249596
Appl Nurs Res. 2013 Nov;26(4):251-6
pubmed: 23938129
Am J Public Health. 2016 Feb;106(2):223-9
pubmed: 26691122
Am J Public Health. 2015 Sep;105(9):1831-41
pubmed: 26180976
Acad Med. 2016 Mar;91(3):301-4
pubmed: 26717506
Acad Med. 2018 Nov;93(11):1694-1699
pubmed: 29384751
BMC Med Educ. 2015 Feb 01;15:6
pubmed: 25638211
Teach Learn Med. 2002 Spring;14(2):92-7
pubmed: 12058552
MedEdPORTAL. 2016 Aug 26;12:10439
pubmed: 31008217
J Gen Intern Med. 2006 Oct;21(10):1116-20
pubmed: 16836623
J Gen Intern Med. 2007 Sep;22(9):1231-8
pubmed: 17594129
J Gen Intern Med. 2010 May;25 Suppl 2:S146-54
pubmed: 20352510
Am Psychol. 2007 May-Jun;62(4):271-86
pubmed: 17516773
Med Teach. 2018 Dec;40(12):1308-1309
pubmed: 29375008
Perspect Med Educ. 2017 Apr;6(2):82-90
pubmed: 28247207
Am J Public Health. 2012 May;102(5):979-87
pubmed: 22420787
Am J Pharm Educ. 2013 Jun 12;77(5):97
pubmed: 23788808
MedEdPORTAL. 2016 Dec 28;12:10523
pubmed: 30984865
Psychol Bull. 2009 Jul;135(4):531-54
pubmed: 19586161
MedEdPORTAL. 2016 Jun 24;12:10422
pubmed: 31008202
J Pak Med Assoc. 2015 Oct;65(10):1050-5
pubmed: 26440831
J Racial Ethn Health Disparities. 2018 Feb;5(1):34-49
pubmed: 28342029
BMJ Qual Saf. 2015 Nov;24(11):671-80
pubmed: 26199427
Med Educ. 2011 Mar;45(3):249-60
pubmed: 21299600
JAMA. 2016 May 17;315(19):2071-2
pubmed: 27187296
J Educ Health Promot. 2017 Aug 09;6:75
pubmed: 28852665
Ann Thorac Surg. 2003 Oct;76(4):S1377-81
pubmed: 14530068
Ann Fam Med. 2013 Jan-Feb;11(1):43-52
pubmed: 23319505
JAMA Netw Open. 2018 Sep 7;1(5):e182723
pubmed: 30646179
Sex Transm Infect. 2008 Apr;84(2):150-1
pubmed: 17974595
Curr Probl Pediatr Adolesc Health Care. 2014 Jul;44(6):170-81
pubmed: 24981666
J Gen Intern Med. 2013 Nov;28(11):1504-10
pubmed: 23576243
Med Teach. 2019 Oct;41(10):1112-1117
pubmed: 30277121
Patient Educ Couns. 2009 Dec;77(3):338-43
pubmed: 19796912
N Engl J Med. 2016 Feb 25;374(8):708-11
pubmed: 26933847
Am Psychol. 2008 May-Jun;63(4):274-5; discussion 277-9
pubmed: 18473616
J Couns Psychol. 2011 Oct;58(4):470-80
pubmed: 21875180
Health (London). 2004 Jan;8(1):101-27
pubmed: 15018720
MedEdPORTAL. 2017 Jul 12;13:10601
pubmed: 30800803
J Youth Adolesc. 2012 Jul;41(7):831-46
pubmed: 22453294
Acad Med. 2013 Mar;88(3):301-3
pubmed: 23442430
Acad Med. 2016 Nov;91(11 Association of American Medical Colleges Learn Serve Lead: Pr):S64-S69
pubmed: 27779512
Cultur Divers Ethnic Minor Psychol. 2012 Apr;18(2):153-164
pubmed: 22506818
Med Educ. 2013 Jun;47(6):547-56
pubmed: 23662871
N Engl J Med. 2013 Jan 24;368(4):302-5
pubmed: 23343060

Auteurs

Raquel Sofia Sandoval (RS)

Medical Student, Harvard Medical School.

Titilayo Afolabi (T)

Medical Student, Harvard Medical School.

Jordan Said (J)

Medical Student, Harvard Medical School.

Spencer Dunleavy (S)

Medical Student, Columbia University College of Physicians and Surgeons.

Avik Chatterjee (A)

Physician, Boston Health Care for the Homeless Program.
Associate Epidemiologist, Division of Global Health Equity, Brigham and Women's Hospital.
Instructor, Harvard Medical School.

Daniele Ölveczky (D)

Assistant Professor of Medicine, Harvard Medical School.
Inclusion Officer, Department of Medicine, Beth Israel Deaconess Medical Center.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH