458 Tackling racism through simulation: challenging conversations

Berg, Richard; Hall-Jackson, Megan; Penumala, Viswa Vani; Anpananthar, Amutha

doi:10.1136/archdischild-2022-rcpch.616

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a result of few opportunities for practice or to intervene in real time, supervisors may lack the skills or feel unprepared to combat racism in their clinical workspace. Human simulation offers a promising approach for supervisors to improve their antiracist actions in clinical practice 14,15 .…”

Section: Introductionmentioning

confidence: 99%

Anti-Black racism in clinical supervision: asynchronous simulated encounters facilitate reflective practice

Calhoun¹,

Martin²,

Adigun³

et al. 2023

MedEdPublish

View full text Add to dashboard Cite

Background Racist interactions in clinical practice remain a pervasive reality for Black healthcare providers. We sought to develop a framework to inform supervisors’ actions when confronting racism in clinical practice and protecting trainees under their oversight. Methods We conducted a qualitative study in which experienced supervisors responded to seven short, videotaped interactions between: 1) Black trainees and a simulated patient (SP) in a racist role; 2) the trainees and their respective supervisors; and 3) the trainees and their supervisors together with the SP. The clinical exchanges exemplified different types of racist (entrenching) or antiracist (uprooting) behaviors by the supervisors. After viewing each clip, participants wrote their reflections confidentially; they later joined a structured debriefing together. We used thematic analysis to identify supervisors’ behavioral patterns when confronting racist interactions. Results Based on the input of 52 participants recruited into five two-hour-long sessions, we categorized the behaviors of supervisors facing anti-Black racial injuries involving learners under their oversight. We organized supervisor behaviors into five interlocking domains, each with a range of possible themes: 1) Joining: from conciliatory to confrontational in communicating with the aggressor; 2) Explicitness: from avoiding to naming racism; 3) Ownership: from individual to shared responsibility of the event and the response to it; 4) Involving: from excusing to including the aggrieved party when confronting the aggressor; and 5) Stance: from protective to paternalistic in supporting the learner’s autonomy. Conclusions Our qualitative findings can provide a framework for facilitated discussion toward reflective practice among healthcare providers who may have experienced, witnessed, or intervened in anti-Black racist interactions. They can also help medical educators to inform faculty development to fight anti-Black racism in clinical practice. The video materials we developed are available for viewing and download and can be used or adapted as springboards for reflective discussion or faculty development activities.

show abstract

Section: Introductionmentioning

confidence: 99%

Anti-Black racism in clinical supervision: asynchronous simulated encounters facilitate reflective practice

Calhoun¹,

Martin²,

Adigun³

et al. 2023

MedEdPublish

View full text Add to dashboard Cite

show abstract

Anti-Black racism in clinical supervision: asynchronous simulated encounters facilitate reflective practice

Calhoun¹,

Martin²,

Adigun³

et al. 2023

MedEdPublish

View full text Add to dashboard Cite

Background Racist interactions in clinical practice remain a pervasive reality for Black healthcare providers. We sought to develop a framework to inform supervisors’ actions when confronting racism in clinical practice and protecting trainees under their oversight. Methods We conducted a prospective study in which experienced supervisors responded to seven short, videotaped interactions between: 1) Black trainees and a simulated patient (SP) in a racist role; 2) the trainees and their respective supervisors; and 3) the trainees and their supervisors together with the SP. The clinical exchanges exemplified different types of racist (entrenching) or antiracist (uprooting) behaviors by the supervisors. After viewing each clip, participants wrote their reflections confidentially; they later joined a structured debriefing together. We used thematic analysis to identify supervisors’ behavioral patterns when confronting racist interactions. Results Based on the input of 52 participants recruited into five two-hour-long sessions, we categorized the behaviors of supervisors facing anti-Black racial injuries involving learners under their oversight. We organized supervisor behaviors into five interlocking domains, each with a range of possible themes: 1) Joining: from conciliatory to confrontational in communicating with the aggressor; 2) Explicitness: from avoiding to naming racism; 3) Ownership: from individual to shared responsibility of the event and the response to it; 4) Involving: from excusing to including the aggrieved party when confronting the aggressor; and 5) Stance: from protective to paternalistic in supporting the learner’s autonomy. Conclusions Our qualitative findings can provide a framework for facilitated discussion toward reflective practice among healthcare providers who may have experienced, witnessed, or intervened in anti-Black racist interactions. They can also help medical educators to inform faculty development to fight anti-Black racism in clinical practice. The video materials we developed are available for viewing and download and can be used or adapted as springboards for reflective discussion or faculty development activities.

show abstract

458 Tackling racism through simulation: challenging conversations

Cited by 2 publications

References 0 publications

Anti-Black racism in clinical supervision: asynchronous simulated encounters facilitate reflective practice

Anti-Black racism in clinical supervision: asynchronous simulated encounters facilitate reflective practice

Anti-Black racism in clinical supervision: asynchronous simulated encounters facilitate reflective practice

Contact Info

Product

Resources

About