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• W4282930255 abstract "We appreciate engagement with our AM Last Page, “Addressing Microaggressions in Academic Medicine,” including the critical feedback provided by Nakajima, and by Davis and Park. We based this infographic on key literature on microaggressions in academic medicine from the past decade. Psychologist D.W. Sue popularized the term “microaggressions” and expanded our understanding of various forms. 1 Ackerman-Barger and Jacobs described a humanistic Microaggressions Triangle Model that encourages people to view microaggressions from multiple perspectives and construct responses with the goal of rebuilding and strengthening relationships, reputations, and community. 2 Their model was tested with students, faculty, and leadership in academic medicine and found to improve knowledge, self-efficacy, bystander interventions, and engagement in conversations that promoted inclusion. 2 The goal of our infographic was to distill important yet complex information into quickly digestible graphics for broad audiences. However, we appreciate the valid criticisms of the result. We approach our work in this area with humility and openness, and would like to take this opportunity to address valid criticisms this work has received, which call out limitations inherent to infographics, and the need for continued learning and conversations about cumulative trauma, blame, responsibility, underlying systems of power and oppression, and precise vocabulary and definitions around microaggressions. We agree that the harm of microaggressions, rooted in systemic and institutional oppression, should not be minimized with the prefix “micro” and that the vocabulary used to describe microaggressions and their impact needs to be critically reexamined. We also acknowledge the valid points that the onus should not be on the victim to educate perpetrators and build resilience and that resilience is not the solution to a toxic or abusive environment. To that end, we agree that perpetrators, bystanders, and institutions hold the burden to change oppressive systems and must be held accountable. Furthermore, we acknowledge there are 4 areas of the infographic we could have designed differently. First, placing bystander and institution responses in distinct areas and not conflating them. (Though we cannot ignore the role of institutional, structural, and systemic oppression, even in individual microaggressions, we agree “institutions” are distinct from “bystanders.”) Second, acknowledging a distinction between individual microaggressions that arise interpersonally and macroaggressions that arise on a systemic level. 1 Third, acknowledging the trauma of repeated microaggressions, especially on recipients from systemically oppressed or marginalized groups. And fourth, clearly calling out racism, sexism, heteronormism, classism, and the intersectionality of these forces as the pathology. We hope to continue engaging in conversations around insidious acts of oppression and their implications in academic medicine while conscientiously using infographics and other tools to engage broader audiences." @default.
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• W4282930255 date "2022-05-19" @default.
• W4282930255 modified "2023-09-26" @default.
• W4282930255 title "In Reply to Nakajima and to Davis and Park" @default.
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• W4282930255 doi "https://doi.org/10.1097/acm.0000000000004648" @default.
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