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Lightning Talk

Addressing the Harmful Effects of Microaggressions in Practice: Promoting a Culture of Respect in Interprofessional Teams Through Simulation

Monday, September 18, 2023, 12:00 pm - 1:00 pm CDT
Midge (Annamaria) Hobbs, OT, OTD, OTR
MGH Institute of Health Professions
Callie Watkins Liu, PhD
MGH Institute of Health Professions
Tony Williams, BS
MGH Institute of Health Professions
Rebecca Willman, OT, OTD, OTR
MGH Institute of Health Professions
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Track:
Attendee IPE Experience Track: Some experience with IPE
Keywords: simulationmicroaggressionsdiversity
Sample video
Lightning Talk Live Discussion Recording

This Lightning Talk has been grouped with others in a common theme. During the Summit session, presenters in this group will share their Lightning Talks in short presentations with a facilitated Q and A or group discussion. Please review the descriptions of the other Lightning Talks during this breakout session:

An Interprofessional Teamwork Simulation to Support Black Maternal Health: Team and Standardized Patient Perspectives Working Together to Impact Health and Healthcare Equity Through Telepractice

Lightning Talk Description: Microaggressions are a “form of disrespect, devaluation, prejudice, and exclusion of the recipients” that arise from conscious or unconscious bias (Ehie et al. 2021). Studies show that in clinical practice, microaggressions perpetuate health disparities and have a detrimental impact on outcomes as well as negatively influence the patient and provider relationship. Additionally, the harmful effects cause significant distress among clinicians and can lead to suboptimal care and burnout. Through shared learning experiences that emphasize curiosity and perspective-taking, carefully curated interprofessional education can lend itself to structural solutions with the potential to shape attitudes and behaviors of health professional students early in their respective training programs. Experiencing dissonance through experiential learning opportunities such as interprofessional simulations can prompt discourse and reflection, enable learners to question assumptions related to justice, equity, diversity, and inclusion (JEDI), foster a culture of care, and enhance both personal and professional growth in readiness for team-based practice.

At the MGH Institute of Health Professions (IHP), an integrated curriculum model was used to weave JEDI principles into the fabric of a one-credit interprofessional course; a required component for all first-year students across six different health care disciplines. The team-based simulations are designed to mirror practice using meaningful and relevant clinical case scenarios with simulated participants interfacing with students to support the process of discovery as they learn from, with, and about each other. Representatives from interprofessional education, instructional design, simulated participant programming, the student body, and the JEDI office at the IHP collaborated to address the growing concern around microaggressions in healthcare. The primary goal was to encourage learners to intentionally consider all client and team member information provided, including identities such as race, ethnicity, sex, gender, age, ability, culture, and socioeconomic status with respect and compassion and to learn how to advocate for client needs and equitable interprofessional care delivery.

This Lightning Talk describes the experience of embedding microaggressions into interprofessional curriculum team simulations, as well as the lessons learned for future iterations. Using their respective lenses, the presenters will describe the design process, including collaborating with the student body, the recruitment and training requirements for simulated participants and faculty facilitators, as well as the necessary resources used to support the student experience. The presenters will highlight the value of exposing students to microaggressions early in their interprofessional training to foster discourse and perspective taking, and shape respectful attitudes and behaviors for team-based clinical practice.

Accreditation Details

In support of improving patient care, this activity is planned and implemented by The National Center for Interprofessional Practice and Education Office of Interprofessional Continuing Professional Development (National Center OICPD). The National Center OICPD is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

As a Jointly Accredited Provider, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.

The National Center OICPD (JA#: 4008105) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs).

This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.

Text reads "Office of Interprofessional Continuing Professional Development" and shown are logos for the National Center for Interprofessional Practice and Education, the University of Minnesota School of Nursing, and the University of Minnesota College of Pharmacy.
 

Physicians: The National Center for Interprofessional Practice and Education designates this live activity for AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with their participation.

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

Nurses: Participants will be awarded contact hours of credit for attendance at this workshop.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Pharmacists and Pharmacy Technicians: This activity is approved for contact hours.

Athletic Trainers: This program is eligible for Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

Social Workers: As a Jointly Accredited Organization, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.

IPCE: This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credits for learning and change.

Learners can claim CE credit by completing the Daily Evaluation.