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Recognizing and Responding to Overt Racism Towards Medical Trainees: Using the IRES Tool and Scripted Language.

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Summary
This summary is machine-generated.

Medical faculty can now better respond to overt racism targeting trainees. A workshop using the IRES tool and practice sessions improved their ability to support learners in clinical settings.

Keywords:
Anti-racismCase-Based LearningDiscriminationDiversityEquityFaculty DevelopmentInclusionMicroaggressionRacismScripting

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Area of Science:

  • Medical Education
  • Anti-Racism Training
  • Clinical Learning Environments

Background:

  • Medical educators often lack effective strategies to address racism directed at trainees.
  • Existing methods for microaggression response may inadvertently harm targets.
  • There is a need for faculty development in responding to overt racism to support trainees.

Purpose of the Study:

  • To equip medical faculty with methods to recognize and respond to overt racism.
  • To enhance trainee support within the clinical learning environment.
  • To develop faculty confidence and competence in addressing racist incidents.

Main Methods:

  • A faculty development workshop was designed with didactic and experiential components.
  • The IRES (identify, respond, end, support) tool was introduced for responding to overt racism.
  • Participants engaged in case-based practice sessions and debriefing, followed by a survey.

Main Results:

  • A faculty development workshop improved participants' ability to distinguish and respond to overt racism versus microaggressions.
  • Confidence in responding to overt racism and debriefing skills increased significantly (p < .001).
  • Scripted language was identified as a valuable tool for promoting upstander behavior.

Conclusions:

  • A novel framework effectively enhances faculty's response to racism targeting trainees.
  • Experiential learning and scripted language are crucial for effective anti-racism training.
  • This training model is adaptable for residents, fellows, and other healthcare disciplines.