Evidence map›Paper›PMID 39290215›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2024

Responding to Interprofessional Microaggressions: Bystander Training-A Virtual Simulation Curriculum for Internal Medicine Residents.

Radha Govindraj, Dhanesh D Binda, Angelique C Harris, Sonia Ananthakrishnan, Meghan E McGrath, Wendy Kuohung, Tun-Yi Hsu, Jennifer Siegel, Gopal Yadavalli

Abstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Radha GovindrajAssistant Professor, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine.ORCID 0000-0001-6225-0302
Dhanesh D BindaFourth-Year Medical Student, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine.
Angelique C HarrisAssociate Dean for Diversity & Inclusion, Boston University Chobanian & Avedisian School of Medicine; Executive Director for Faculty Development & Diversity, Boston University Medical Campus; Associate Professor, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine.
Sonia AnanthakrishnanAssistant Professor, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine.
Meghan E McGrathAssistant Professor, Department of Emergency Medicine, Boston University Chobanian & Avedisian School of Medicine.
Wendy KuohungAssociate Professor, Department of Obstetrics & Gynecology, Boston University Chobanian & Avedisian School of Medicine.
Tun-Yi HsuClinical Associate Professor, Department of Endodontics, Boston University Henry M. Goldman School of Dental Medicine.
Jennifer SiegelMedical Director, Transgender Health Program, Department of Medicine, Massachusetts General Hospital; Assistant Professor of Medicine, Harvard Medical School.
Gopal YadavalliClinical Associate Professor, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Literature demonstrates the detrimental impact of discrimination and microaggressions at personal and institutional levels in the health care workplace. Residents in our program requested curricula to help with addressing manifestations of bias. In response, we designed and implemented an adaptable and reproducible 4-hour virtual simulation session aimed at helping residents identify and constructively respond to microaggressions. Methods: This curriculum, influenced by a preceding needs assessment, was delivered to 68 senior internal medicine residents. It began with a didactic overview to establish foundational knowledge of bias. This was followed by a workshop focused on strategies to address microaggressions. The session culminated with skills practice in a virtual simulation activity where learners addressed microaggressions as bystanders in realistic case scenarios employing simulated participants. We administered pre- and postevaluation individual key-linked surveys assessing learner confidence in responding to microaggressions. Results: A total of 68 residents participated in the curriculum over two academic years, 27 of whom provided complete data for analysis. Overall, there was a statistically significant increase in learner confidence identifying microaggressions. As both a bystander and target/recipient of microaggressions, there were statistically significant increases in learner confidence addressing gender-based microaggressions, race-based microaggressions, and microaggressions reflecting other types of bias. Furthermore, there were statistically significant increases in learner confidence addressing microaggressions in low-acuity contexts, high-acuity contexts, across interprofessional disciplines, with a supervisor, and with a supervisee. Discussion: Our virtual experiential curriculum on responding to microaggressions can help increase learner confidence in addressing microaggressions.

Indexed as

AggressionCurriculumInternal MedicineInternship and ResidencyFemaleHumansInterprofessional RelationsMaleSimulation TrainingSurveys and QuestionnairesBystander TrainingCommunication SkillsDiversityEquityInclusionInterprofessional EducationMicroaggressionsSimulationVirtual Learning

Identifiers

PMID39290215
PMCPMC11405486

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.