Natalie Guerrier McKnight, MD, Assistant Dean for Faculty, UVA School of Medicine, Inova Campus; Ghofrane Benghanem, MD, Inova Emergency Room Physician; Sarah Calardo, DO, Inova Pediatric Chief Resident; Kamilah Halmon, MD, Inova Pediatric Hospital Medicine Fellowship Director; Maybelle Kou, MD, Med, Inova GME Simulation Director, Pediatric Emergency Room Physician; Kenia Lobo, DO, Inova Pediatric Resident; Anna B. Newcomb, PhD, MSW, LCSW, Trauma Research Manager, Inova Trauma Center, Inova Fairfax Medical Campus; Courtney Port DO, MPH, Inova Pediatric Hospitalist and Resident Quality/Safety Curriculum Director; Shira Rothberg, LCSW, Trauma Survivors Network Coordinator, Inova Trauma Center; Patty Seo-Mayer, Inova Pediatric Residency Associate Program Director, Pediatric Nephrologist; and Elise Switzer, MD, CHSE, Inova Pediatric Hospitalist
Medical trainee mistreatment is a common occurrence, with many learners experiencing harassment or discrimination during their training. In the 2019 AAMC GQ, 8.5% of medical students reported being “subjected to racially or ethnically offensive remarks/names” by faculty, staff or colleagues. At our institution and others, patients and families have also been identified as a source of bias. Microaggressions and overt acts of discrimination have a negative impact on trainees. Even when educators commit to fostering a positive learning climate, it can be difficult to appropriately support learners without faculty development. Utilizing video simulations as a starting point, our highly interactive workshop will provide participants with the skills and tools needed to personally respond to instances of bias and prepare participants to have more substantive conversations with learners about bias in medicine at their home institutions. Presenters will explain debriefing methods and introduce tools for addressing bias. Utilizing simulation videos and small group breakout sessions, participants will debrief scenarios, role-play responses to witnessed bias, and address implicit biases and their impact on patient care. Examples of escalation pathways, reporting methods, and support systems will also be reviewed. Lastly, participants will be provided with a RISE Workshop Toolkit which includes a Facilitator’s Guide, Workshop presentation slides with video vignettes, the participant survey, and the tools for communication and peer support, as a ready-to-use workshop available for further implementation. By the end of this workshop, participants will be able to: practice individual response to discrimination in the healthcare setting using STR (Stop, Talk, Roll); utilize the STR and STEP(Step Back, Think through Biases, Evaluate Emotions, Prevent Patient Impact) tools to educate trainees on responding to discrimination in the healthcare setting; and apply DARE (Discover, Actively Listen, Recognize, Educate) to support trainees who have experienced or witnessed discrimination in the healthcare setting.