Micro and Macroaggressions: How to Be an Ally

This is a brief article by Richard Gunderman and Dr. Kagetsu that appeared in JACR in 2017. We focus on steps to mitigate bias in the interview process.

http://www.jacr.org/article/S1546-1440(17)30209-0/fulltext

A brief video on Thinking Fast and Slow (Thinking fast is when your brain is on autopilot and results in unconscious bias)

https://www.youtube.com/watch?v=JiTz2i4VHFw

Microaggressions

A short video

Mosquito bite v shark bite (as noted by Brenda Allen)

A video ( I first saw this at the 2018 SNMA regional leadership conference in Delaware)

https://www.youtube.com/watch?v=nQ9l7y4UuxY

Our 2019 JACR article on microaggression

https://www.jacr.org/article/S1546-1440(19)30185-1/abstract

A NYT article (Thank you to Dr. Alice Chong @DrAliceChong )

https://www.nytimes.com/2020/03/03/smarter-living/how-to-respond-to-microaggressions.html

"In every good marriage, it helps sometimes to be a little deaf."

Ruth Bader Ginsburg

MRI and Microaggression!

I learned about this from the book:

Super Thinking: Gabriel Weinberg and Lauren McAnn

When someone says something try to consider the:

MRI (Most Respectful Interpretation)

for further reading:

https://www.ellevatenetwork.com/articles/7856-an-approach-that-can-change-your-business-life-for-the-better

https://nscblog.com/uncategorized/mri-most-respectful-interpretation/

https://fs.blog/2017/01/most-respectful-interpretation/

Watch the "where are you from" videos in the references

Mindfulness

Difficult Conversations

The coffee cup conversation

https://medicine.arizona.edu/education/professionalism/cup-coffee-initative

Being an upstander:

Reference

From HBR: To Combat Harassment, More Companies Should Try Bystander Training

https://hbr.org/2018/10/to-combat-harassment-more-companies-should-try-bystander-training

Sexual Harassment in Radiology: Prevalence and Opportunities for Improvement (JACR 2019)

https://www.jacr.org/article/S1546-1440(19)31180-9/fulltext \

The folks at ihollaback have created some modules

https://www.ihollaback.org/guide-bystander-intervention/

This is a quick pdf that summarizes the training

https://www.ihollaback.org/app/uploads/2016/11/Show-Up_CUPxHollaback.pdf

Check out our JACR piece

https://www.jacr.org/article/S1546-1440(20)30977-7/fulltext

Allyship

An MRI Online conference 7/28/20with Anu Obaro ( @anu_obaro), Dan Chonde (@DanChondeMD), and Onyinye Balogun (@GlobalRadOnc )

https://mrionline.com/courses/noon-conference/lessons/week-19-2/topic/racism-lets-talk-about-it-dr-anu-obaro-dr-daniel-b-chonde-onyinye-d-balogun-7-28-20/

Nice reference "punching up v punching down"

http://www.theinclusionsolution.me/unpacking-the-conversations-that-matter-its-just-a-joke-why-are-you-so-upset/

Action Items:

I like the mnemonic DREAM adapted from https://www.jacr.org/article/S1546-1440(19)30020-1/fulltext

Diversity: a diverse workforce can help us mitigate disparities, leaders should require accountability to improve diversity

Research: to reduce disparities

Education: we should practice cultural humility and always be learning about others.

https://sites.google.com/site/neuroradiologyprimer/diversity-curriculum

We made a glossary on the ACR website

https://www.acr.org/Member-Resources/Commissions-Committees/Women-Diversity

https://docs.google.com/document/d/1exITC1ZUT3jlv7a-IUyccMdVV1fNrep13UnwL2qYYLY/edit

Activism/Advocacy a recent NEJM article

https://www.nejm.org/doi/full/10.1056/NEJMp2021812

Meditation/mentorship: meditation can reduce unconscious bias, (as well as stress), mentoring someone unlike yourself can benefit both parties

a reference from HBR

https://hbr.org/2017/04/mentor-people-who-arent-like-you

When you get some more power/influence you can be a sponsor as well!

Great talk by Carla Harris (I got to see her give a live version)

https://www.youtube.com/watch?v=eYSNkf3lkas

Also from JAMA:

Mentoring in the Era of #MeToo

https://jamanetwork.com/journals/jama/article-abstract/2676115

References:

The link to the APDR Diversity and Inclusion resources:

https://www.apdr.org/program-directors/DEI-Curriculum

A NYT article on how to respond to microaggression (Thank you to Dr. Alice Chong @DrAliceChong )

https://www.nytimes.com/2020/03/03/smarter-living/how-to-respond-to-microaggressions.html

Where are you from?

https://www.youtube.com/watch?v=DWynJkN5HbQ

https://www.youtube.com/watch?v=RU_htgjlMVE

A video on white fragility

https://www.youtube.com/watch?v=ZPDpcYEdiOg

From an ARRS piece by Dr. Ruth Carlos

https://www.apa.org/monitor/2017/01/microaggressions

https://www.diagnosticimaging.com/ahra/how-handle-workplace-conflict

A resource from UC Santa Cruz:

https://academicaffairs.ucsc.edu/events/documents/Microaggressions_InterruptHO_2014_11_182v5.pdf

Some links from the Southern Poverty Law Center

https://www.splcenter.org/20150125/speak-responding-everyday-bigotry

AAMC antiracism

https://www.aamc.org/addressing-and-eliminating-racism-aamc-and-beyond?utm_source=sfmc&utm_medium=email&utm_campaign=C2C&utm_content=newsletter

From ARRS In-Practice by Ruth Carlos

https://arrsinpractice.org/in-the-moment-aggressions/

A talk by N. Kagetsu for MGH Diversity week 2020

http://mghraddiversity.org/diversityweek/

An article from our colleague Hirschel McGinnis

https://connect.sirweb.org/e-irq/participate/viewirqarticle?DocumentKey=b664d8e1-6122-4d35-8abc-c96a9b02ccd9

Books

Man's Search for Meaning-Victor E. Frankl

The Autobiography of Malcolm X- as told to Alex Haley

How to be an Antiracist- Ibram X. Kendi

Let me know if you have any questions/comments

nolan.kagetsu@mssm.edu