Microaggressions in Medicine

Microaggressions are brief and commonplace daily verbal, behavioral, or environmental indignities, whether intentional or unintentional, that communicate hostile, derogatory, or negative slights and insults (Sue et al., 2007)

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A quote reading, “You weren’t born here? But your English is so good!” (on a black circular background).

The title ‘Microaggressions’ in white lettering against a grey background.

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Microaggressions

[A background of an operating room]

A quote reading, “How can you be a surgeon if you can’t even reach over the table?” (in yellow lettering).

Microaggressions occur everywhere and can happen to anyone. They come from systemic and institutionalized biases. They are like cuts, don’t cut people with the words you use.

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How do Microaggressions make you feel?

A collage of words capturing the feelings associated with microaggressions (the words form an outline of a brain).

Text against a gray background, Let’s create change for our community: For more information about microaggressions, visit: som.georgetown/microaggressions; #KnowYourImpact



Microaggressions in Medicine

Microaggressions: "I was told not to practice different specialities"

[Background picture of statue outside of Dahlgren Memorial Library]
“I was told not to choose to practice different specialties if I ever wanted to have children.”
[Text enclosed in a red rectangular text box]
Microaggressions are brief and commonplace daily verbal, behavioral, or environmental indignities, whether intentional or unintentional, that communicate hostile, derogatroy, or negative slights and insults (Sue et al., 2007)
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To Respond, Take A.C.T.I.O.N.
(Cheung, F. Ganote, C.M., & Souza, T.J., 2016)
[“Carefully Listen” in red text, the rest in white ]
Carefully listen: If they disagree with your paraphrase, you could end the conversation or make a statement about their initial comment. If they agree with your paraphrase, explore their intent further.
[Red banner at the bottom of the flyer. On the left is the dark blue Office of Diversity and Inclusion Logo. On the right is a QR code that links to this webpage (som.georgetown.edu/microaggressions)]


What To Do About Microaggressions

Cheung, F., Ganote, C. M., & Souza, T.J. (2016) use the A.C.T.I.O.N. acronym as a safe way for people to address microaggressions at work or in society.

Take A.C.T.I.O.N.

Ask: Clarifying questions to assist with understanding the microaggressor’s intentions. 

Carefully listen: If they disagree with your paraphrase, you could end the conversation or make a statement about their initial comment. If they agree with your paraphrase, explore their intention further.  

Tell others: What you observed as problematic in a factual manner. 

Impact consideration: Ask for or state the potential impact of such a statement or action on others. 

Own your response: Own your own thoughts and feelings around the impact using first-person language.

Next steps: Request appropriate action be taken and check in with the target of the microaggresion. 

This strategy is also featured in the Harvard Macy Community Blog: https://www.harvardmacy.org/index.php/hmi/mededpearls-october-2018-microaggressions

Ganote, C., Cheung, F., & Souza, T. (2016). Micro-aggressions, micro-resistance, and ally development in the academy.

Where to Report Instances of Bias

Medical Student Life Advisory Committee: Procedures for Reporting an Incident of Mistreatment, Bias or Harassment

Anonymous Comment Box for Bias Reports

Read More About Microaggressions

Scholarly Article: “I, Too, Am a Physician” by Omonele Nwokolo

Photo Project: 21 Racial Microaggressions You Hear in Everyday Life

“I, Too, Am Harvard” Campaign