Bystander healthcare training

The care of a patient is the highest priority, especially in the context of clinical learning. There are instances, however, where microaggressions threaten to derail care and positive learning experiences. Recognizing that microaggressions can target patients, students, and healthcare staff indiscriminately and at any time, the university wished to develop some just-in-time bystander resources for the clinical learning environment. I worked with the Chief Diversity Officer for The Ohio State University Wexner Medical Center, Dr. Leon McDougle, along with multiple DEI experts from the university to develop the materials. This was a complex project for which we were awarded the $25,000 Picker Gold Grant from the Arnold P. Gold Foundation. I wrote on the grant as well as worked directly with our non-profit partner Right To Be to develop the instructional materials below.

Project Highlights

Bystander Intervention Badge

When I first met with the SME for this project, he wanted a physical reminder that - at a glance - could tell students how to respond to a microaggression. Medical staff and students already carried on them a collection of laminated cards beneath a name badge that identified them to patients. The cards display hospital codes and other urgent safety information. We wanted to add a similar card but with information about how to be an upstander or ally for someone experiencing microaggressions in the clinical learning environment. The final product featured the 5Ds of Bystander Intervention, created by the non-profit organization Right to Be. Additionally, the badge has a QR code (see image below) that opens a mobile application with greater detail about the 5Ds and microaggressions.

Bystander Intervention Mobile App

I built the mobile app in a no-code platform called Glide. The app allowed us to share instructional content in the form of text, articles, infographics, and videos to support the 5Ds of Bystander Intervention shared on the badge.

Infographics

I developed the infographics in Adobe Express using re-colored vector images from Adobe Stock. I extended the color scheme from Right to Be's existing content. I worked with SMEs in the healthcare context to come up with the visual examples of various concepts, including the types of microaggresions, as shown here. Users of the app could download the infographics for their own use.

5D Interventions

I also developed eight videos that illustrated the application of Right to Be's 5D in the clinical learning environment. I used Vyond to create the videos, creating simplistic healthcare backgrounds in grayscale so that I could draw attention to a particular character's actions or words. I also chose to use certain colored clothing to identify a character as the target (purple), perpetrator (red), or bystander (light blue). I worked with SMEs across multiple departments at the university to write the scripts, translating their expertise and intimate knowledge of harm caused by microaggressions into stories that illustrated effective interruptions.

Hair Touching

Perpetual Foreigner

Pain Management

Gender

Pronouns

Disability

Body Size

Ableism

Quotables

Intelligent, innovative, and forward-thinking, Jackie Gish-Lieberman provided timely and important instructional design and grant writing contribution for the successfully funded Picker Gold Graduate Medical Education Challenge Grant application. The Ohio State University College of Medicine was one of two national awardees. Her contribution was instrumental for obtaining the award and submission of the Institutional Review Board application. The animated videos she created enhanced the learning objectives with aims she helped develop to optimize learning environments for physician residents and fellows in service to their patients.

Dr. Leon McDougle

Chief Diversity Officer, The Ohio State University Wexner Medical Center

Associate Dean for Diversity and Inclusion

Director, MEDPATH Premedical Postbaccalaureate Program

Professor of Family Medicine

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