A Workshop on Interrupting Microaggressions for a Surgical Service: An Opportunity for Consultation-Liaison Psychiatry to Address Bias and Inequity.

Journal of the Academy of Consultation-Liaison Psychiatry
Jennifer Sotsky, Chineze Worthington

Abstract

Despite the growing body of literature discussing the impact of microaggressions on health care providers and patients, there has been no discussion of microaggressions in consultation-liaison (C-L) psychiatry literature. As a C-L fellow (JS) and an early career C-L psychiatrist (CW), we were asked to assist a surgical training program in creating a workshop on recognizing and interrupting microaggressions in the health care setting, particularly those directed towards providers. We describe the structure of our workshop and discuss the potential role for C-L psychiatrists in facing microaggressions. Many workshop participants described having witnessed microaggressions but had not spoken about them and felt unsure about how to respond to them. Drawing on the interpersonal skills we use in our C-L work, we were able to educate and support the group as well as facilitate discussion and problem-solving. Our experience suggests that as C-L psychiatrists integrated within the medical system, we are well-suited to educate ourselves and our colleagues about microaggressions. Literature describing similar "liaison" roles suggests that work on microaggressions may be a reasonable expansion of our scope of practice and may offer a fruit...Continue Reading

References

May 23, 2007·The American Psychologist·Derald Wing SueMarta Esquilin
Apr 21, 2017·Journal of Counseling Psychology·Gloria Wong-PadoongpattAnne Saw
Sep 17, 2018·Child and Adolescent Psychiatric Clinics of North America·Anna C MurielSue E Morris
Jul 11, 2019·JAMA Surgery·Madeline B TorresAmalia Cochran
Oct 12, 2019·Journal of Surgical Education·K Lauren BarnesRohini McKee
Oct 17, 2019·Current Psychiatry Reports·Daniel C McFarlandMichelle Riba
Dec 29, 2019·Journal of Vascular Surgery·Scott HardouinAlik Farber
Aug 25, 2020·Journal of Radiology Nursing·David Janeway
Nov 24, 2020·JAMA Network Open·Shalila S de BourmontAlicia Fernandez

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