Microaggressions

MedEdPearls October 2018: Exploring the A.C.T.I.O.N. acronym as a safe approach for addressing microaggressions at work and developing a response strategy before microaggressions occur.

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).

Microaggressions can have a macro affect, particularly when considering the cumulative burden for individuals and organizations over time. Microaggressions show up everywhere in society including in our classrooms, clinics, hallways, on social media, in our neighborhood watch app, and at the grocery store!

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.

Developing a response strategy BEFORE a microaggression appears, builds efficacy in faculty, staff, students and trainees who must respond in real time to microaggressors. Collecting data on frequency or patterns of microaggression can help organizations and individuals design approaches systematically, empowering the people who shape our cultures.

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

Ask: Ask clarifying questions to assist with understanding the microaggressor's intentions. Try, “I want to make sure I understand what you were saying. Were you saying...?”

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.

Tell others: Indicate what you observed as problematic in a factual manner. “I noticed that...”

Impact consideration: Ask for or state the potential impact of such a statement or action on others. “What do you think people think when they hear that type of comment?”

Own your response: Own your own thoughts and feelings around the impact by using first-person language. “When I hear your comment, I think/feel...”

Next steps: Request appropriate action be taken and check in with the target of the microaggression. “I would appreciate it if you would stop making these types of comments, because...”

You can advance the dialogue about how to respond to microaggressions at your organization with this open access downloadable infographic


References 

  1. Cheung, F., Ganote, C. M., & Souza, T.J. (2016). Microaggressions and microresistance: Supporting and empowering students. In Faculty Focus Special Report: Diversity and Inclusion in the College Classroom.
  2. Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271-286. 

Linda M. Love Headshot.

Linda M. Love, EdD is a health professions educator and organizational developer. She is the Director of Faculty Development, an Interprofessional Academy of Educators Scholar, and Assistant Professor in the Department of Psychiatry at the University of Nebraska Medical Center. Linda’s areas of professional interest include career development and professional identity development of medical educators, developing new generations of health professions educational leaders, and teaching/learning in the Information Age. Linda can be followed on Twitter or contacted via email.

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The MedEdPearls are a collaborative, peer-reviewed, monthly brief intended to provide practical tips and strategies for medical and health professions educators to enhance teaching and learning.
  • Jean Bailey, PhD – Virginia Commonwealth University School of Medicine
  • Carrie Bowler, EdD, MS, MLSCM (ASCP) – Mayo Clinic School of Continuous Professional Development
  • Kristina Dzara, PhD, MMSc (Educators ’16; Assessment ’16; HCE 2.0 ’17) – Saint Louis University School of Medicine
  • Shanu Gupta, MD, SFHM – University of South Florida Morsani College of Medicine and Tampa General Hospital
  • Jennifer Hillyer, PhD – Northeast Ohio Medical University
  • Larry Hurtubise, PhD, MA (HCE 2.0 '16) – The Ohio State University
  • Anna Lama, EdD, MA – West Virginia University School of Medicine
  • Machelle Linsenmeyer, EdD, NAOME (Assessment ’07) – West Virginia School of Osteopathic Medicine
  • Skye McKennon, PharmD, BCPS, ACSM-GEI – Washington State University Elson S. Floyd College of Medicine
  • Rachel Moquin, EdD, MA – Washington University School of Medicine
  • Stacey Pylman, PhD – Michigan State University College of Human Medicine
  • Leah Sheridan, PhD – Northeast Ohio Medical University
  • Lonika Sood, MBBS, MHPE – Washington State University Elson S. Floyd College of Medicine
  • Mark Terrell, EdD – Lake Erie College of Osteopathic Medicine
  • Stacey Wahl, PhD – Virginia Commonwealth University School of Medicine

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