12:00pm

Introduction/Goals for Workshop: Rameshwari V. Tumuluru, MD
 

12:05pm

Overview of upstander training and the introduction to the IQEE (Interrupt, Question, Educate, Echo) framework. Five cases will then be presented: Rickquel P. Tripp, MD

12:35pm 

Exercise

Rickquel P. Tripp, MD will define and describe upstander training along with the IQEE framework (Interrupt, Question, Educate, Echo). Five (5) cases (upstander drills) with smaller breakout discussions to follow. These upstander cases are designed for the audience to think about what aspects within “your” particular health setting add a layer of complexity to these cases (scenarios) and how “they” may handle these aspects as an upstander.
The five case themes are as follows:

• Case 1: You are attending a quarterly staff meeting where several psychiatrists and psychologists are providing updates related to their division. During a transition, your colleague Dr. Sharma (Indian American cis female) begins to approach the speaker Dr. Smith to ask a question. Your Department Chair Dr. Anderson (white cis male) interrupts her and states, "Dr. Smith doesn't have time to hear your catty comments. You should go sit down."
   
• Case 2: Today is your first day working with Jason Lee, an Asian man, who just joined your research program. Unbeknownst to you, several subjects have cringed when Jason enters the room to administer the questionnaire and they don’t want to interact with him because he is “Chinese” and they are saying that he caused the COVID19 pandemic.  These comments and nonverbal behaviors have not been addressed by any member of the team prior to today.  It happens again when Jason and you walk into the room to interview Sue Smith, one of the study participants. Sue refers to Jason as “Mr. Chang” and states she doesn’t want to talk to him.
   
• Case 3: You are in the nurses station on the inpatient floor. You overhear a staff member, Suzanne, state, ”I’m so upset they are getting rid of the Aunt Jemima name. I used to love that syrup, but now I’m not going to buy it since they ruined a perfectly great product.” You see your colleague Janet (a Black woman) look down at the floor and shake her head in disappointment.
   
•  Case 4: You are in the nurse's station on the inpatient floor and overhear staff discussing an incident that just happened. As they are recounting the incident, which they acknowledge was totally inappropriate and one relates that a first-year resident was taking the history from a combative patient on the Tox service and yelled at her, “I don’t want a [N word] taking care of me”.  The trainee is nearby and you can see that she can hear the staff discussing the situation.  One staff member says she feels terrible that the trainee had to hear the N word but says the entire word multiple times in recounting the situation.  You see the trainee looking down and seeming upset.
   
• Case 5: You are running a virtual Grand Rounds presentation. The speaker is presenting on health care disparities and inequities experienced by marginalized communities. About 15 minutes into the talk, a strange noise interrupts the presentation and a voice begins using hate speech and slurs related to the subject matter of the talk.

Participants will engage in small group discussions after reviewing the cases to address the IQEE framework:

• Interrupt

• Ask speaker to elaborate on what she/he means (calm, nonjudgmental tone)
• Helps us clarify the exact meaning behind her/his statement (the What)

• Question

• Demonstrate attempt at understanding his/her perspective (the Why)
• Reduces defensiveness in the conversation

• Educate

• Create a different way of looking at a situation
• Use “I” to communicate the impact of the situation while avoiding blaming
• May help speaker uncover their own unconscious biases

• Echo

• Two-part approach from both parties---
• Apologize & Acknowledge VS Resistance & Re-educate or Report

1:05pm

Discussion and Question & Answer Session: Rickquel Tripp, MD

Each smaller Zoom breakout discussion group will be moderated by no more than two facilitators: Drs. Rickquel Tripp, Layla Banihashemi, Morgan Faeder, Ben Handen, Jody Glance, Cesar Escobar-Viera, Dan Buysse, Tushita Mayanil, Jill Glausier, Dana Rofey,Traci Kennedy and Mr. Reynold Joseph. The smaller groups will reconvene after discussing the cases with their respective groups and Dr. Rickquel Tripp will then gather feedback from each smaller group--within the larger group setting--on the reactions to the cases and discussion (links to behavioral health – “your” work and experiences.) This will also help create discussion and identify ideas and ways to help dismantle inequities, whether individually, in “your” unit or department or on a broader level.
 

1:20pm

Ending Comments: Dr. Rameshwari Tumuluru

1:30pm

Adjourn