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Addressing microaggressions in racially charged patient-provider interactions: a pilot randomized trial
Jonathan W Kanter1, Daniel C Rosen2, Katherine E Manbeck3
1University of Washington, Seattle, USA. jonkan@uw.edu.
BMC Medical Education
|March 27, 2020
Summary
A pilot study found that a novel workshop improved medical providers' emotional rapport and responsiveness with patients of color. This intervention, incorporating mindfulness and interracial contact, may help reduce racial health disparities.
Area of Science:
- Social and contextual behavioral sciences
- Medical education
- Health equity research
Background:
- Racial bias in medical care is a critical public health concern.
- Microaggressions and patient-provider interactions require innovative training solutions.
- Improving communication with patients of color is essential to reduce health disparities.
Purpose of the Study:
- To pilot a randomized trial of an innovative clinical workshop.
- To decrease medical providers' expression of bias and negative stereotypes towards patients of color.
- To enhance provider communication and rapport during racially charged medical encounters.
Main Methods:
- A pilot randomized trial involving 25 medical students and recent graduates.
- An intervention workshop utilizing mindfulness and interracial contact principles.
- Assessment of provider self-report and observed behaviors in simulated patient encounters with standardized Black patients.
Main Results:
- Intervention participants showed greater improvements in observed emotional rapport and responsiveness.
- Improved self-reported explicit attitudes toward minoritized groups were noted.
- Enhanced self-reported working alliance and closeness with standardized patients were reported by the intervention group.
Conclusions:
- Medical providers may exhibit bias in specific racially charged moments with patients of color.
- Interventions incorporating mindfulness and interracial contact may reduce racial health disparities.
- This pilot study suggests a promising approach for improving provider-patient interactions and health equity.
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