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Mitigating Microaggressions in Medical Education Through the TRAUMA Framework.
Christen D Johnson1, Elise V Mike2, Antoinette Leonard Jean-Charles3
1C.D. Johnson is director of medical education and research and a family physician, Heart of Ohio Family Health Center, Columbus, Ohio, and faculty lead for culturally responsible curricula, Boonshoft School of Medicine, Wright State University, Dayton, Ohio.
Microaggressions negatively impact medical students, especially from underrepresented backgrounds. The TRAUMA framework offers a structured approach to address and mitigate these harmful communications in medical education.
Area of Science:
- Medical Education
- Social Psychology
Background:
- Microaggressions are subtle, often unintentional communications that demean members of stigmatized groups.
- These experiences pose significant emotional, psychological, and physical challenges for underrepresented medical students.
- Existing medical education structures often lack adequate strategies to address microaggressions.
Purpose of the Study:
- To introduce the TRAUMA framework as a comprehensive strategy for responding to microaggressions in medical education.
- To provide guidelines and interventions for students, faculty, and institutions to reduce the impact of microaggressions.
Main Methods:
- Development of the TRAUMA framework by the authors.
- The framework outlines key components for a systemic response.
- Focus on improved support, faculty development, and environmental changes.
Main Results:
- The TRAUMA framework provides a structured approach to address microaggressions.
- It encompasses student support, faculty/institutional guidelines, and faculty development.
- Recommendations include improving classroom environments and measuring culture change.
Conclusions:
- Addressing microaggressions is crucial for the well-being of all medical students, particularly those from minoritized backgrounds.
- The TRAUMA framework offers a practical and organized method for medical institutions to combat microaggressions.
- Implementing this framework can foster a more inclusive and supportive learning environment in medical education.
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