ArticleMedEdPORTAL : the journal of teaching and learning resources
Becoming Active Bystanders and Advocates: Teaching Medical Students to Respond to Bias in the Clinical Setting.
Article in MedEdPORTAL : the journal of teaching and learning resources. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sexual Harassment, Abuse, and Discrimination in Obstetrics and Gynecology: A Systematic Review.JAMA network open · 2024Pooled it
- Perceived Microaggressions Among Student Physical Therapists During Their Doctor of Physical Therapy Education: A Mixed-Methods Study.Journal, physical therapy education · 2026Article
- Racism and anti-racism in medical education: a cross-sectional study of Finnish medical students' perspectives.BMC medical education · 2026Article
- Experienced or witnessed racism and microaggressions during medical education: an exploratory survey of medical learners at a large Canadian medical school.Canadian medical education journal · 2026Article
- A Qualitative Vignette Study of Perceived Barriers and Facilitators of Bystanders in Racism in the Higher Education Context in Finland.Journal of interpersonal violence · 2026Article
- Addressing a Gap in Health Equity Education: A Qualitative Analysis of a Longitudinal GME Course.Journal of general internal medicine · 2025Article
- Speak Up! Simulation Workshop: Teaching Graduate Medical Trainees to Recognize and Respond to Microaggressions in the Clinical Setting.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- Recognising and managing bias and prejudice in healthcare.BJA education · 2024Review
- Responding to Interprofessional Microaggressions: Bystander Training-A Virtual Simulation Curriculum for Internal Medicine Residents.MedEdPORTAL : the journal of teaching and learning resources · 2024Article
- Experiences with Racism Among Asian American Medical Students.JAMA network open · 2023Article
- Seeking Racial Equity in Hematology and Oncology: a Fellow-Led Educational Series to Promote Reflection and Action.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Article
- Active Bystander Training: Using Standardized Patient Methodology to Teach Residents to Navigate Microaggressions in Patient Encounters.MedEdPORTAL : the journal of teaching and learning resources · 2023Article
- Preparing Medical Students for Anti-racism at the Bedside: Teaching Skills to Mitigate Racism and Bias in Clinical Encounters.MedEdPORTAL : the journal of teaching and learning resources · 2023Article
- DARE Training: Teaching Educators How to Revise Internal Medicine Residency Lectures by Using an Anti-racism Framework.MedEdPORTAL : the journal of teaching and learning resources · 2023Article
- Experiences of transgender and nonbinary physicians during residency training.International journal of transgender health · 2023Article
- Exploring the experiences and expectations of pharmacist interns in large general hospitals in China: from the perspective of interns.BMC medical education · 2022Article
- "I have to do twice as well" - managing everyday racism in a Swedish medical school.BMC medical education · 2022Article
- What Happened and Why: Responding to Racism, Discrimination, and Microaggressions in the Clinical Learning Environment.MedEdPORTAL : the journal of teaching and learning resources · 2022Article
- By Medical Students, for Medical Students: A Narrative Medicine Antiracism Program.Journal of medical education and curricular developmentArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIncidents of bias and microaggressions are prevalent in the clinical setting and are disproportionately experienced by racial minorities, women, and medical students. These incidents contribute to burnout. Published efforts to address these incidents are growing, but gaps remain regarding the long-term efficacy of these curricular models. We developed and longitudinally evaluated a workshop that taught medical students a framework to respond to incidents of bias or microaggressions.
methodsIn October 2019, 102 Vanderbilt core clerkship medical students participated in an hour-long, interactive, case-based workshop centered around the 3 D's response behavior framework: (1) direct, (2) distract, and (3) delegate. Participants were surveyed before and after the training, and both qualitative and quantitative data were collected. A refresher workshop was offered 8 months later, which added two additional D's: delay and display discomfort.
resultsAfter the workshop, respondents' knowledge of the assessed topics improved significantly, as did their confidence in addressing both personally experienced and witnessed incidents. Respondents initially indicated a high likelihood of using response behaviors to address incidents. The workshop did not consistently modify behavioral responses to experienced or witnessed incidents. Ninety-one percent of respondents agreed the workshop was effective. DISCUSSION: This workshop provided an effective curriculum to sustainably improve participant knowledge and confidence in responding to incidents of bias and microaggressions. This resource can be adopted by educators at other institutions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.