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I-RANT: Training session on a novel, scripted, bystander microaggression intervention tool for medical students.
Emily Grass1,2, Caroline Astemborski3,4, James M Lewis5
1Department of Emergency Medicine, Prisma Health Upstate, Greenville, SC, USA. emilyegrass@gmail.com.
BMC Medical Education
|December 19, 2024
Summary
A new training program significantly improved medical students' ability to recognize and intervene in microaggressions. The I-RANT tool empowers learners to address these subtle hostilities effectively.
Area of Science:
- Medical Education
- Healthcare Professional Development
- Bystander Intervention Strategies
Background:
- Microaggressions negatively impact healthcare learners' well-being.
- Existing strategies lack empirical support and clear intervention guidance.
- A novel, scripted bystander intervention tool, I-RANT, was developed.
Purpose of the Study:
- To assess a training session's impact on learners' microaggression recognition.
- To evaluate changes in learners' confidence in intervening.
- To measure competency in applying the I-RANT tool.
Main Methods:
- A pre-experimental study involving 97 medical students.
- A 90-minute training session on the I-RANT tool (Introduction, Role Naming, Affirming Target, Negating Microaggression, Transitioning).
- Pre- and post-intervention surveys (MCQ for recognition, Likert scale for confidence) and faculty-observed role-play assessments.
Main Results:
- Significant improvement in microaggression identification (MCQ scores increased, p < .001).
- Increased self-reported confidence in intervening (p < .001).
- 97% of students demonstrated competence in using the I-RANT tool during role-play.
Conclusions:
- The I-RANT training effectively empowers learners to address microaggressions.
- Statistically significant improvements were observed in recognition and confidence.
- The I-RANT tool provides a practical method for intervening in microaggressions during patient encounters.
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