Microresistance
MedEdPearls May 2019: What microresistance frameworks might you use in your courses to empower students, address microaggressions, and foster a more inclusive learning environment in medical and health professions?
You have heard of microaggressions—“everyday subtle put downs directed towards a marginalized group which may be verbal or non-verbal and are typically automatic.” When these actions happen, whether in or out of the classroom, we’re often at a loss for how to address them.
During a session at the April Southern Group on Educational Affairs meeting, a team of presenters shared the concept of microresistance—“small-scale individual and/or collaborative efforts that empower targeted people and allies to cope with, respond to, and/or challenge microaggressions to ultimately dismantle systems of oppression.” Microresistance frameworks provide a structure for communication to address microaggresssions.
Open The Front Door to Communication is one of several microresistance frameworks. To use this framework, follow these communication steps:
- Observe: concrete, factual, and observable (not evaluative), “I noticed . . .”
- Think: thoughts based on observation (yours and/or theirs), “I think . . .”
- Feel: emotions, “I feel . . .”
- Desire: specific request or inquire about desired outcome, “I would like . . .”
Here is an example:
Observe: “I noticed some raised eyebrows and shaking of heads just now.”
Think: “I think some people are reacting strongly to the comments just shared.”
Feel: “I feel uncomfortable moving forward with our discussion until we talk about this some more.”
Desire: “Staying true to the discussion norms and guidelines we’ve set out for ourselves, I would like some of you to share what you are thinking and feeling right now so we can have a productive conversation about this.”
What microresistance frameworks have you used? Share your ideas on Twitter at #MedEdPearls!
For more information, please review these references:
- Sue, D. W. (2010). Microaggressions in everyday life: Race, gender, and sexual orientation. John Wiley & Sons, Inc.
- Cheung, F., Ganote, C., & Souza, T. (2016). Microaggressions and microresistance: Supporting and empowering students. Diversity and Inclusion in the College Classroom, 15.
- Cheung, F., Ganote, C., & Souza, T. (n.d.). Microresistance and Ally Development: Powerful antidotes to microaggressions.
About the MedEdPearls Author
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
- Associate Professor; Associate Dean, Faculty Development, Virginia Commonwealth University School of Medicine
- 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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