Submission ID 77547
| Code | OC-5-1 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Student |
| Title | Exploring Patterns of Ostracism Experienced by Asian Canadian Physician Trainees |
| Background/Purpose | The need-threat model of ostracism proposes four stages: detection, reflexive, reflective, and resignation - these ultimately result in feelings of non-belonging and low self-esteem. Studies from the general population suggest that Asians in North America are disproportionately vulnerable to ostracism. The experiences and impacts of ostracism on the learning environment of Asian physician trainees has not yet been studied. |
| Methods | We explored the experiences of ostracism from Asian Canadian medical trainees using open-ended interviews. Transcripts were coded by two researchers a thematic analysis was conducted based on the need-threat model. |
| Results | We completed 20 interviews with senior medical students (n = 8) and residents (n=12) who self-identified as Asian. We found prominent experiences of ostracism at all levels of training from patients, colleagues, and staff. 1) Detection: root sources of ostracism included systemic racism and the existence of hierarchy in medicine throughout career progression. 2) Reflexive: the immediate responses to ostracism were anger, sadness, disappointment, and discomfort. 3) Reflective: the sense of belonging within the medical profession, self-esteem, and control were all threatened with ostracism. 4) Resignation: the responses to continued experiences of ostracism were passive acceptance, confrontation, or seeking support. |
| Discussion | Ostracism is prominent and fostered by the current hierarchical infrastructure in medicine. Medical trainees experienced each stage of ostracism proposed by the need-threat model, and the resignation stage in particular poses a threat to career progression. The passive acceptance of ostracism creates invisible but significant barriers and ostracism should be further highlighted in equity, diversity, and inclusivity initiatives in medical training. |
| Keyword 1 | ostracism |
| Keyword 2 | need-threat model |
| Keyword 3 | racial minority |
| Abstract content most relevant to: (check all that apply) | Residency Education
Undergraduate Medical Education |
| Abstract Track - First Choice | Equity, Diversity and Inclusion |
| Authors | Sunny Kim Sunny Kim Amrit Kirpalani Yebin Shin |
