Upstander Training: Creating an Optimal Clinical Environment for Our Patients and Learners

The Joint Commission (previously The Joint Commission for the Accreditation of Hospitals) has warned that intimidating and disruptive behaviors among health care professionals can cause medical errors, preventable adverse outcomes, and decreased patient satisfaction.  One source of these behaviors is patients.  Indeed, the frequency of belittling comments, inquiries into one’s racial/ ethnic origins, credentials and/or abilities – commonly referred to as microaggressions -  are unfortunately frequent experiences for medical students, residents and faculty per published reports across specialties.  The cumulative effect of these microaggressions has been shown to have multiple detrimental effects on learning, patient care, and well-being.  

Framed using Robert Livingston’s PRESS model this module prepares you to stand up and respond to microaggressions by understanding: 1)the Problem highlighting the frequency and consequences of microaggressions; 2) its Root causes including implicit bias and structural factors; 3) Shift from Empathy to taking action as an upstander; 4) by adopting a Strategy uses a microaggression mnemonic (GRIT); and 5) closes by acknowledging the potential Sacrifice (personal and professional risks of being an upstander) .  During the module, participants will judge the best upstander response to three common occurring microaggressions scenarios where the patient is the source and a learner the recipient using the GRIT mnemonic.

This course is available to Advocate Health Care providers (employed and independent) and caregivers only. 

Target Audience

This activity is designed for teaching physicians across all specialties; medical students, residents, and fellows.

Learning Objectives

At the end of this session, learners should be able to:

  1. Summarize PRESS Model (Problem, Root causes, Empathy, Strategy, Sacrifice) as a lens for upstander training. 
  2. Apply a microaggression mnemonic with adjunct scripts as needed to common microaggression scenarios
  3. Create a safe place to practice approaching and standing up to microaggressions.

Additional Information

Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
    Aurora Health Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. Aurora Health Care designates this activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
    Attendance Credit
    • 1.00 Approved AMA PRA Category 1 Credit™
Course opens: 
05/11/2023
Course expires: 
05/11/2025
Cost:
$0.00
Rating: 
5

Faculty

Jacob Bidwell, MD, VP AUWMG & Medical Education WI; Advocate Health
Theresa Frederick, Manager Medical Education Programs; Advocate Health
Tricia La Fratta, MBA, Manager Medical Education Programs; Advocate Health
Kristin Ouweneel, MBA, Director Continuing Medical Education; Advocate Health
Esmeralda Santana, C-TAGME, Medical Education Coordinator Ld; Advocate Health
Deborah Simpson, PhD, Academic Affairs Education Director; Advocate Health
Roxanne Smith, MD, Faculty Physician; Advocate Health

Disclosure

The planner(s) and speaker(s) have indicated that there are no relevant financial relationships with any ineligible companies to disclose.

Accreditation Statement
In support of improving patient care, Advocate Health is jointly 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.

 

Credit Statement(s)

American Medical Association (AMA) 
Advocate Health designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
    Aurora Health Care is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. Aurora Health Care designates this activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
    Attendance Credit
    • 1.00 Approved AMA PRA Category 1 Credit™

Price

Cost:
$0.00
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Click “Take Course” to register for this program.  

This course is available to Advocate Health Care providers (employed and independent) and caregivers only. 

Contact the IPCE officeffice at cme@aah.org if you have any questions or need assistance.