Tackling discrimination in medicine head on: the impact of Bystander Intervention Training

Tyson, Leanne, Skinner, Jane, Hariharan, Bhairavi, Josiah, Benz, Okongwu, Kaobimdi and Semlyen, Joanna ORCID: https://orcid.org/0000-0001-5372-1344 (2024) Tackling discrimination in medicine head on: the impact of Bystander Intervention Training. Medical Teacher. ISSN 0142-159X

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Abstract

Purpose: A mixed-methods study to evaluate Bystander Intervention Training (BiT), a simulation-based small-group training programme designed to teach skills to tackle discrimination.   Materials and methods: Norwich Medical School delivered the intervention online between January 2020 and June 2023 to medical students, physician associate trainees, and qualified doctors. A sample of 569 participants was used in the main analysis. Participants completed pre- and post-training and follow-up evaluations.   Results: Paired post-training scores were significantly different (all p < 0.001) from the pre-training scores for all 12 questions, in favour of the post-training scores. Of the 159 participants who completed follow-up questionnaires, 27 (17.9%) reported having the opportunity to be an active bystander; of those, 23 (85%) intervened. Scores in the follow-up questionnaire were significantly higher than those in the pre-training survey and significantly lower than those in the post-training questionnaire (p < 0.001). Participants had an increased sense of responsibility to be an active bystander and were empowered to challenge discrimination. Participants from marginalised groups expressed positive views about the training.   Conclusions: Interventions that allow open discussion and carefully supported personal disclosure in safe spaces, where difficult and uncomfortable discussions can occur, with an opportunity to change behaviour, must be developed to tackle discrimination.

Item Type:	Article
Uncontrolled Keywords:	bystander intervention training,communication skills,discrimination,simulation,education ,/dk/atira/pure/subjectarea/asjc/3300/3304
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health
Related URLs:	http://www.scopus.com/inward/record.url?...
Depositing User:	LivePure Connector
Date Deposited:	04 Mar 2024 18:36
Last Modified:	19 Mar 2024 09:30
URI:	https://ueaeprints.uea.ac.uk/id/eprint/94533
DOI:	10.1080/0142159X.2024.2316849

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