A national pilot study on simulation‐based upstander training for emergency medicine clinicians

Objective This study assesses the effectiveness of clinical simulation‐based training in boosting self‐perceived confidence for using upstander communication skills to confront racism, discrimination, and microaggressions (RDM). Methods We conducted an observational cohort study with emergency medic...

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Bibliographic Details
Published in:	AEM education and training Vol. 8; no. 3; pp. e10990 - n/a
Main Authors:	Mundo, William, Vaughn, Jordan, Odetunde, Adetoriola, Donovan, Tai, Alvarez, Al'ai, Smith, Kristyn, Brown, Cortlyn, Brown, Italo, Datta, Suchismita, Vora, Samreen, Ward‐Gaines, Jacqueline
Format:	Journal Article
Language:	English
Published:	United States 01-06-2024
Subjects:	diversity health equity microaggressions racism simulation upstanding microaggressions health equity upstanding diversity racism simulation
Online Access:	Get full text
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Summary:	Objective This study assesses the effectiveness of clinical simulation‐based training in boosting self‐perceived confidence for using upstander communication skills to confront racism, discrimination, and microaggressions (RDM). Methods We conducted an observational cohort study with emergency medicine professionals at the 2023 Scientific Assembly of the American Academy of Emergency Medicine in New Orleans, Louisiana. The study featured a clinical simulation‐based training on upstander communications skills session followed by small‐ and large‐group debriefs. Participants completed pre‐ and post‐training questionnaires assessing demographics and confidence in health equity competencies. This survey was used in a previous study with emergency medicine residents. Data were analyzed using an independent Student's t‐test, with a significance threshold of 0.05. Results Thirty‐two individuals participated in the simulation‐based training, and 24 completed surveys, with a 75% response rate. Most participants were non‐Hispanic (24, 85.7%) and women (18, 64%), with racial demographics mostly White (8, 28.6%), Black or African American (8, 28.6%), and Asian (6, 21.4%). After the workshop, there was a notable increase in self‐perceived ability and confidence in identifying RDM (from 7 ± 3.2 to 8.6 ± 1.6, p < 0.003), using upstander communication tools (from 6.1 ± 3.5 to 8.5 ± 1, p < 0.0001), and the likelihood of intervening in RDM situations (from 7.1 ± 3.3 to 8.8 ± 1.1, p < 0.0002). Conclusions The clinical simulation‐based training significantly improved participants' confidence and self‐perceived ability to address RDM in simulated clinical environments. This training method is a promising tool for teaching health equity topics in clinical medicine.
Bibliography:	Teresa Y Smith Supervising Editor ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2472-5390 2472-5390
DOI:	10.1002/aet2.10990