Addressing the Elephant in the Room: Microaggressions in Medicine

Molina, Melanie F.; Landry, Adaira; Chary, Anita; Burnett-Bowie, Sherri-Ann M.

doi:10.1016/j.annemergmed.2020.04.009

Cited by 56 publications

(46 citation statements)

References 32 publications

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“…In medicine, microaggressions and implicit bias may be encountered throughout medical training and clinical practice in interactions with colleagues, superiors, patients, and patients' families. 5,6 Examples of microaggressions in medicine include demeaning comments, nonverbal disrespect, generalizations of social identity, assumption of nonphysician status, role-or credential-questioning behavior, explicit epithets, rejection of care, questioning or inquiries of ethnic/racial origin, and sexual harassment. 7 An example of microaggressions in medicine was fully displayed when physician Tamika Cross described her experience of being turned away from helping an unresponsive passenger during a flight emergency.…”

Section: What Are Microaggressions?mentioning

confidence: 99%

Microaggressions in Medicine

Feaster¹,

McKinley-Grant²,

McMichael³

2021

Cutis

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IN COLLABORATION WITH THE SKIN OF COLOR SOCIETYMicroaggressions are behaviors that stem from implicit bias and occur at an interpersonal level. In medicine, microaggressions may be encountered both in training and clinical practice. Although often unintentional or unconscious by the offender, microaggressions are harmful to the health and safety of women and underrepresented minority (URM) medical students, residents, physicians, other providers, and patients. This article aims to define microaggressions, present example scenarios, and provide discourse regarding microaggressions within the framework of medicine.

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Section: What Are Microaggressions?mentioning

confidence: 99%

Microaggressions in Medicine

Feaster¹,

McKinley-Grant²,

McMichael³

2021

Cutis

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“…[emotion] by this and hope that we can listen to each other more moving forward [desired outcome]." 46  A bystander can stand up against the observed bias and instead be an ally who gives the appropriate credit: "Great point Dr. X. I believe Dr. Thompson was just saying that." 47,48  The leader of this tumor board can intentionally prime members in private communication beforehand about this tendency such that the behavior can be pre-empted.…”

Section: She Tries To Speak Again But She Is Ignoredmentioning

confidence: 99%

“…I'm speaking.” The target can address it in person after the episode (“open the front door approach”) 45 : “I noticed that you interrupted me [microaggression] when I was talking, which made me think that you didn't believe that what I had to say was important [implication]. I am frustrated [emotion] by this and hope that we can listen to each other more moving forward [desired outcome].” 46 A bystander can stand up against the observed bias and instead be an ally who gives the appropriate credit: “Great point Dr X. I believe Dr Thompson was just saying that.” 47 , 48 The leader of this tumor board can intentionally prime members in private communication beforehand about this tendency such that the behavior can be pre-empted. Formal bystander training can be made available such that other attendees are primed to respectfully intervene or “defend” Dr Thompson when witnessing such behavior.…”

Section: Casementioning

confidence: 99%

Mitigating Implicit Bias in Radiation Oncology

Diaz

Suneja

Jagsi

et al. 2021

Advances in Radiation Oncology

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“…10 We recognize that racial discrimination can manifest in more subtle ways, such as microaggressions, or commonplace verbal or behavioral exchanges that convey hostility-often unintentionallytoward marginalized groups. 11 Given significant variability in healthcare providers' recognition and acceptance of microaggressions as discriminatory, 12 our advocacy here focuses on unified institutional responses to interpersonal racism. We are interested in increased discussion about protecting the rights and wellbeing of emergency physicians at the same time that we address patients' medical needs, particularly in our climate of profound political polarization in the United States.…”

Section: Introductionmentioning

confidence: 99%