39 Microaggressions: The Things We Say That May Hurt Others

https://302.buzz/PM-WhatAreYourThoughts

I am so excited to welcome another pediatric trainee to the podcast. My guest, Dr. Nina Kuei, MD has always aspired to be a physician. After a long journey, including 6 years of working in the medical field between undergrad and medical school, she’s found herself in her happy place; Pediatrics. Nina received her medical degree from the Medical College of Georgia and completed her pediatrics residency at the Grand Rapids Helen DeVos Children's Hospital in Michigan. She'll be moving to Cleveland, Ohio for her Developmental-Behavioral Pediatrics Fellowship and wishes to pursue a Sleep Medicine Fellowship afterward.

Nina has a passion for diversity, equity, and inclusion topics in clinical medicine. Nina co-founded the pediatric program’s Diversity and Inclusion Committee. Today, we’ll be talking about Microaggressions and how we can improve the clinical medicine workspace for everyone.

[00:01] Dr. Nina Kuei Shares Her Background With Us

• Growing up and receiving her medical training in the south, Dr. Kuei moved out to Grand Rapids, MI to be a Pediatrics Specialist
• She didn’t plan to go into pediatrics initially, but she discovered how fulfilling it was for her.
• She initially wanted to pursue a fellowship in Sleep Medicine, but then decided to go for Developmental-Behavioral Pediatrics first

[06:05] What Are Microaggressions?

• With the current social climate of rampant hate crimes against Asians and the unrest surrounding George Floyd’s death, microaggressions are a topic we need to be discussing.
• Dr. Kuei explains what microaggressions are
• Acts or language that communicates bias towards another person or group
• Stems from systemic racism
• Often times are subconscious
• How microaggressions feel to the receiver
• Dr. Kuie explains microassaults, microinsults, and microinvalidations
• Educating ourselves and seeking to understand

[16:53] How We Can Educate Ourselves To Understand and Avoid Causing Microaggressions

• Implicit bias testing
• See links below for articles, podcasts, and resources for self-educating on this topic
• If you witness a microaggression, do something about it
• Microaggressions that are prevalent in the medical field
• Microaggressions from patients
• Microaggressions within an interprofessional team
• Dealing with microaggressions as the receiver
• The power of self-affirmation

[27:14] Dr. Nina Kuei’s Quality Improvement Project Regarding Microaggressions

• An educational intervention
• Taking medical providers from a 17% to a 63% level of confidence in their ability to identify microaggressions
• Standing up for victims helps validate them and opens up doors for conversation
• The importance of discussing microaggressions
• Being comfortable with being uncomfortable
• We all have our own innate biases
• We have to be vulnerable enough to admit our own weaknesses without shaming

[37:24] Closing Segment

• What advice would you give your younger self?
• I would allow myself a lot of grace
• Final Takeaways:
• Nina describes microaggressions as small signals towards marginalized populations that may demean, insult or hurt the...