%0 Journal Article
%T A national pilot study on simulation-based upstander training for emergency medicine clinicians.
%A Mundo W
%A Vaughn J
%A Odetunde A
%A Donovan T
%A Alvarez A
%A Smith K
%A Brown C
%A Brown I
%A Datta S
%A Vora S
%A Ward-Gaines J
%J AEM Educ Train
%V 8
%N 3
%D 2024 Jun
%M 38800608
暂无%R 10.1002/aet2.10990
%X <B>UNASSIGNED: </B>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).<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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).<BR><B>UNASSIGNED: </B>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.