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Faculty Physician and Trainee Experiences with Micro- and Macroaggressions: a Qualitative Study.
Cynthia Kay1,2, Joanne Bernstein3,4, Natalie Yass4
1Clement J. Zablocki VA Medical Center, Milwaukee, WI, USA. ckay@mcw.edu.
Journal of General Internal Medicine
|February 15, 2022
Summary
Physician trainees and faculty experience micro- and macroaggressions, which negatively impact them. Qualitative interviews revealed lasting effects and suggested institution-wide education as a key intervention for these stereotype threats.
Area of Science:
- Medical Education
- Physician Well-being
- Health Equity
Background:
- Micro- and macroaggressions are stereotype threats with detrimental effects.
- Existing survey data confirms their prevalence, but qualitative insights are limited.
- Understanding physician trainees' and faculty's lived experiences is crucial.
Purpose of the Study:
- To explore the impact of micro- and macroaggressions on physician trainees and faculty.
- To gather qualitative data on personal experiences and perceptions of these aggressions.
Main Methods:
- Virtual, semi-structured interviews with 14 physicians and trainees (students, residents, fellows, faculty).
- Conducted at a tertiary, urban, US academic medical center and associated hospitals.
- Grounded theory approach to analyze qualitative data.
Main Results:
- Four themes emerged: definition, experience, aftereffect, and education/training.
- Participants reported diverse emotional responses and lasting impacts, with faculty noting cumulative effects.
- Institutional diversity was a support, and mandatory education was favored as an intervention.
Conclusions:
- Micro- and macroaggressions significantly impact physician trainees and faculty.
- Lasting emotional and psychological effects were reported.
- Institution-wide education and policy changes are recommended to combat these aggressions.
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