Helping the learner to deal with microaggressions in the workplace: Individual, programmatic, and institutional-level
Danielle T Miller1, Esther H Chen2
1Department of Emergency Medicine Stanford University School of Medicine Stanford California USA.
AEM Education and Training
|October 7, 2021
Summary
Faculty educators need training to address microaggressions, which harm learners in clinical settings. This commentary offers strategies for managing and mitigating these harmful incidents to improve the learning environment.
Area of Science:
- Medical Education
- Workplace Psychology
- Healthcare Equity
Background:
- Microaggressions negatively impact learners, creating hostile educational environments.
- Faculty often lack training to effectively support trainees experiencing microaggressions.
- Addressing microaggressions is crucial for trainee well-being and development in clinical settings.
Purpose of the Study:
- To define microaggressions and their impact on trainees.
- To offer a framework for managing patient-to-learner microaggressions.
- To propose strategies for programmatic and institutional mitigation of microaggressions.
Main Methods:
- Commentary and literature review.
- Framework development for individual-level management.
- Strategy identification for systemic-level mitigation.
Main Results:
- Microaggressions create a hostile learning environment for trainees.
- Faculty require enhanced skills to support learners post-incident.
- Individual and systemic strategies are necessary for mitigation.
Conclusions:
- Effective management and mitigation of microaggressions are essential in clinical education.
- Training faculty to recognize and respond to microaggressions is critical.
- Programmatic and institutional changes can foster a more inclusive learning environment.
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