“A everyday, subtle put-downs that unconsciously or unintentionally expresses or reveals a prejudiced attitude toward a member of a marginalized group, such as a racial minority. These small, common occurrences include insults, slights, stereotyping, undermining, devaluing, delegitimizing, overlooking or excluding someone. Over time, microaggressions can isolate and alienate those on the receiving end, and affect their health and wellbeing”

Source: Harvard (https://edib.harvard.edu/files/dib/files/dib_glossary.pdf)

Hamilton Centre for Civic Inclusion
“A charitable organization driven by a mission to mobilize all Hamiltonians to create an inclusive and welcoming city. Founded in 2006, HCCI has undertaken an extensive number of initiatives that have made a measurable impact of the vision of building a united community that respects diversity, practices equity, and speaks out against discrimination. To achieve this, the organization engages with partners and supporters and works hard to be both proactive and responsive as society evolves and new challenges emerge.”

Current Programs: Hamilton Civic Leadership Program, Black Youth Mentorship Program, EDI Training, Anti-Racism Conference.

Hamilton Community Legal Clinic
“In its 2017 Strategic Plan HCLC committed to achieving inclusive justice for all communities in Hamilton. We are doing this through advancing the organization’s decolonization, advocating for marginalized communities, recognizing particular struggles of intersectional oppression and building strong relationships with advocacy groups, institutions and partners. We have embarked on a journey to develop and implement a robust Anti-Racism Anti-Oppression (ARAO) Plan.”

UnsCripted Medicine: Clinical Communication Pearls | Microagressions Part 1

Episode Description:
“Join us as we dive into the definition and origin of the term “microaggression”, describe how these develop in the workplace and the clinic, and identify the deleterious effects that these aggressions have on women and URM (e.g. exacerbating imposter syndrome). Dr. Kelly also describes the discrete, subtle forms that these aggressions take (micro-assaults, micro-insults, and micro-invalidations), and provides key insight and advice as to how victims can navigate these aggressions in effective and constructive ways.”

UnsCripted Medicine: Clinical Communication Pearls | Microagressions Part 2: Approaching Microaggressions as a Bystander

Episode Description:
“In our discussion, Dr. Kelly relays key points about the delicate and subtle approach to managing microaggressions directed to our patients or colleagues. These include recognizing microaggressions when they occur, considering how our own implicit biases may blind us or contribute to such aggressions, and maintaining a mindset of cultural humility whenever a patient or colleague feels harmed by the words or actions of another.

Dr. Kelly also shares her key tips on how to be a “good bystander” when faced with a microaggressions, including:
1. Recognize microaggressions when they occur
2. Realize our own implicit biases and how they play into such aggressions
3. Have a planning approach for handling these attacks on patients or colleagues
4. Have the courage and humility to ask patients or colleagues when they feel attacked
5. Know when to ask for help from your own team when facing microaggressions”

Run the List: Addressing Implicit Bias and Microaggressions

Episode Description:
“They explore their definitions for implicit bias and microaggressions, the contexts in which they emerge in medicine, and their own perspectives experiencing and witnessing the harms of them in the hospital and in medical school. They also discuss frameworks for acknowledging and reducing implicit bias and microaggressions and end with key takeaways for listeners”

Royal Pharmaceutical Society: Very comprehensive and a lighter read appropriate for many audiences.

AAMC: Many great articles addressing several EDI topics including Microaggression.

University of Colorado: Definition, analogy, examples, and actions on how to address Microaggressions.

All The Little Things by BADLANDS

“This new short film from director Meena Ayittey takes a closer look at the toll taken on one man after a series of race-related micro-aggressions.

Based on the real experiences of people of colour (PoC) working in the advertising and creative industry, the film is the first piece of work created as part of the studio’s RAW initiative (Racism at Work), which is volunteer-led and aims to promote openness about race and mental wellness through storytelling.”

The Look by Saturday Morning and Anthony Mandler 

“This is a hard-hitting spot targeting racial bias against black men. It follows an African American man going about his daily life, only to be confronted at every turn – from taking his child swimming to running for a packed lift – with casual (and not so casual) racism, which manifests itself in ‘the look’ of the ad’s title. The extent of the problem comes into razor-sharp focus in the final courtroom scene, when the viewer’s own prejudice is exposed by a clever plot twist. Powerful stuff.”

Conscious/ Explicit Bias: “Prejudices that you are aware of and that usually discriminate against people or groups; usually involves malicious intent.”

Unconscious/ Implicit Bias: “Beliefs and attitudes that operate outside of a person’s awareness and control. Unconscious bias can be in direct contrast with the beliefs and values you think you hold. You may not even be aware that you hold these biases, or that they are affecting your attitudes and behaviours.”

Includes: Affinity Bias, Attribution bias, Ageism, Beauty bias, Confirmation bias, Conformity bias, Contrast effect, Gender bias, Cognitive biases (Includes: Actor-observer bias, Anchoring bias, Attentional bias, Availability heuristic, Confirmation bias, Dunning-Kruger effect, False consensus effect, Functional fixedness, Halo effect Misinformation effect, Optimism bias, Self-serving bias

Source: https://cpdonline.co.uk/knowledge-base/safeguarding/types-of-bias/

Hamilton Centre for Civic Inclusion

“A charitable organization driven by a mission to mobilize all Hamiltonians to create an inclusive and welcoming city. Founded in 2006, HCCI has undertaken an extensive number of initiatives that have made a measurable impact of the vision of building a united community that respects diversity, practices equity, and speaks out against discrimination. To achieve this, the organization engages with partners and supporters and works hard to be both proactive and responsive as society evolves and new challenges emerge.”

Current Programs: Hamilton Civic Leadership Program, Black Youth Mentorship Program, EDI Training, Anti-Racism Conference.

Hamilton Community Legal Clinic

“In its 2017 Strategic Plan HCLC committed to achieving inclusive justice for all communities in Hamilton. We are doing this through advancing the organization’s decolonization, advocating for marginalized communities, recognizing particular struggles of intersectional oppression and building strong relationships with advocacy groups, institutions and partners. We have embarked on a journey to develop and implement a robust Anti-Racism Anti-Oppression (ARAO) Plan.”

Hamilton Family Health Team

The HFHT is a healthcare team with the mission of being free of bias. Primarily for patients, but also, aims to allow for fellow healthcare providers to connect and employ and promote some of their methods or teachings.

“Many of our colleagues are committed to increasing their knowledge of the histories supporting systemic racism and to do the personal work of exploring their own privilege, biases and complicit behaviour.”

Bard or bias?
“Quiet Storm’s Create Not Hate initiative launches two films by young under-represented Londoners that challenge racial stereotyping. It’s the pay-off to the story of Heated Conversation, directed by Quiet Storm founder Trevor Robinson, which cleverly reveals the bias of a very beige couple making very wrong assumptions about the young Black males’ activities.”

The Look by Saturday Morning and Anthony Mandler 

“This is a hard-hitting spot targeting racial bias against black men. It follows an African American man going about his daily life, only to be confronted at every turn – from taking his child swimming to running for a packed lift – with casual (and not so casual) racism, which manifests itself in ‘the look’ of the ad’s title. The extent of the problem comes into razor-sharp focus in the final courtroom scene, when the viewer’s own prejudice is exposed by a clever plot twist. Powerful stuff.”

Seeing Patients: A Surgeon’s Story of Race and Medical Bias, With a New Preface
“In this blend of memoir and manifesto, Dr. White draws on his experience as a resident at Stanford Medical School, a combat surgeon in Vietnam, and head orthopedic surgeon at one of Harvard’s top teaching hospitals to make sense of the unconscious bias that riddles medical care, and to explore how we can do better in a diverse twenty-first-century America.”

Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
“The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients’ and providers’ attitudes, expectations, and behavior are analyzed. Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.”

“An unearned, sustained advantage that comes from race, gender, sexuality, ability, socioeconomic status, age, and other differences.”

Source: Harvard (https://edib.harvard.edu/files/dib/files/dib_glossary.pdf)

“The social, economic and political advantages or rights held by people from dominant groups on the basis of gender, race, sexual orientation, social class, etc. Unearned social power (set of advantages, entitlements, and benefits) accorded by the formal and informal institutions of society to the members of a dominant group (e.g., white/Caucasian people with respect to people of color, men with respect to women, heterosexuals with respect to homosexuals, adults with respect to children, and rich people with respect to poor people). Privilege tends to be invisible to those who possess it, because its absence (lack of privilege) is what calls attention to it.”

Source: The University of British Columbia (https://vpfo.ubc.ca/edi/edi-resources/edi-glossary/#:~:text=be%20more%20appropriate.-,Privilege,orientation%2C%20social%20class%2C%20etc.)

Medicine’s Disability Blindspot: Vaccine Roll-out, Privilege, and Access | Medical Humanities Podcast

“An outlook at how disabled lives have been affected by the COVID-19 pandemic and, in particular, by the current vaccine roll-out. Alice Wong, a disabled activist, and Alyssa Burgart, an anesthesiologist and ethicist at Stanford University, tell Medical Humanities’ Editor-in-Chief, Brandy Schillace, how disabled lives have been overlooked in this crisis, as the very systems and designs of medicine cater to the able-bodied.”

Racism and Privilege in Medicine | FLEXcast- The Faculty Learning Exchange

“In this episode, we are talking about racism, privilege, and some of the reasons we don’t speak up when faced with bias and discrimination. We want to share our conversation, our experiences, and some things we’ve learned. We’re all learning…and we all need to start having conversations like this.”

The Privilege of Providing Primary Care | Antidotes, Stories in Medicine

“Primary care is one of the least glamorous areas of medicine a provider can go into prompting many doctors, physician assistants, & nurse practitioners to opt for specialties that come with higher salaries, greater recognition, & more esteem. However, primary care providers are often the first call & biggest advocate for their patients in the complex world of medicine resulting in long lasting relationships that can hardly be found elsewhere.

Warning: Please be advised sensitive subjects are discussed as always, but this episode contains a case about suicide which may be particularly troubling for some listeners.”

Race and Medicine: An organized activity for white providers with the aim of understanding Privilege.

Recognizing Your Privilege: “Suitable for all individuals, this course will show your teams why being an ally for others can truly make a difference”

A hospital is no place for a fair fight:
“Angry and resolute, this ad for UChicago Medicine shows both survivors who fight diseases in their own body and the doctors who fight for others.”

Dear White Parents, talk to your kids:

“In a moving PSA, Dear White Parents shows white parents having uncomfortable discussions with their children, understanding that their child’s own discomfort or sadness cannot be put above the safety of other people who are at risk of bigotry. There’s a lot of emotional work done by white people to unpack white privilege, and the ability to show the moment where white people experience an understanding of the racial divide in America without putting the burden on People of Color to show sympathy or share their own experiences is deeply important to helping raise an anti-racist generation.”

Cybercash: Stared At:

“The advert lampoons the typical social campaign model that exploits sentiment for effect. In this manner, the advert presents the prejudices rich people suffer from. The sequence shows the alienation suffered by society’s affluent minority. They are always stared at causing them to lead reclusive lives.”

“The exploitative historical, political, social, and economic system established when one group or force takes control over a colonized territory or group; the unequal relationship between colonizer and the colonized.”

Source: https://www.diversity.pitt.edu/education/diversity-equity-and-inclusion-glossary

S1E30: What is the impact of racism and colonialism on healthcare? | LSHTM Viral

“Dr Hirsch walks us through some of the challenges faced by Black, Asian, and minority ethnic people during COVID-19, what the impact of racism within healthcare systems looks like, and how we can start facing the legacy of colonialism in global health.”

An Indigenous Nurse’s Perspective- Healthcare, Colonialism, and Allyship | The Grritty Nurse Podcast

“In this episode, Amie and Sara sit down to talk with Rachel Radyk, a registered practical nurse about her experiences in nursing school as an Indigenous student, her thoughts about allyship, colonialism, residential schools, missing and murdered Indigenous Women and Girls. We discuss as healthcare providers how we can have actionable calls to justice and accountability for Indigenous Peoples. The time is now to learn and understand what Indigenous heath & healthcare should look like.”

Decolonizing Science

“Decolonizing Science is a grassroots organization and podcast run entirely by a black scientist currently obtaining their PhD in the field of biological sciences. The goal is to bridge the gap between activism and science by educating underprivileged communities and everyday people. The topics Decolonizing Science seeks to shed light on are environmental racism, health disparities and discrimination in the medical and research fields. We need to deconstruct colonial ideologies that have dictated and defined our understanding of science and medicine.”

Power and Privilege Module: This is a module on “colonization, whiteness, power and privilege. All these concepts are interrelated when it comes to understanding the past and current state of Indigenous peoples in Saskatchewan, and in Canada.”

Decolonizing Education Certificate: “brought to you by the Centre for Indigegogy and is for Indigenous and non-Indigenous people who want to develop their capacity to understand Indigenous perspectives in the history of colonization to contemporary realities in Canada.”

Project READY (Reimagining Equity & Access for Diverse Youth): A free online professional development curriculum on Indigeneity and Colonialism.

The Star Article: “A history of Canada’s medical colonialism against Indigenous people and why it needs to be recognized as genocide: doctors”

“Power is unequally distributed globally and in society; some individuals or groups wield greater power than others, thereby allowing them greater access and control over resources. Wealth, whiteness, citizenship, patriarchy, heterosexism, and education are a few key social mechanisms through which power operates. Although power is often conceptualized as power over other individuals or groups, other variations are power with (used in the context of building collective strength) and power within (which references an individual’s internal strength). Learning to “see” and understand relations of power is vital to organizing for progressive social change”

Source: https://canvas.ubc.ca/courses/31444/pages/2-dot-1-key-terms?module_item_id=1553268

Power Dynamics in Leadership
The Art of Coaching
“The messy reality of effective leadership is rarely discussed within pop-culture books, TED Talks or other educational outputs. This episode serves to bridge that gap by providing a primer into how we as leaders can better understand power dynamics and political maneuvers within organizations.
Power is fluid, and it is a part of life.”

4 Ways to re-define power at work to include women of colour
TED Talks Daily

“With many women of color considering exiting the workforce due to unfair conditions, it’s time to reshape systems in order to put an end to this massive loss of talent. Exposing the harmful repercussions of racist, toxic organizational cultures, soul coach Rha Goddess and corporate inclusion visionary Deepa Purushothaman share four pathways to reimagine work so women of color are centered as leaders. Instead of aspiring to a “seat at the table”, they urge us to remake the whole table — and stop fighting for “one broke-ass chair.””

https://open.spotify.com/episode/5nMx96o3G4czqeascoF7SY

Module: “designed to introduce you to some complex issues surrounding the concepts and theoretical frameworks of identities, power, and privilege.“

https://canvas.ubc.ca/courses/31444/pages/1-introduction-to-power-privilege-and-bias?module_item_id=1531926

Informational Guide: The High Cost of Power Problems in the Workplace

https://diamondleadership.com/wp-content/uploads/2017/10/DiamondLeadership_WhitePaper_PowerProblemsinWorkplace_Final.pdf

“The tax of extra responsibilities placed on minority faculty in the name of efforts to achieve diversity —but this unfair tax is, in reality, complex. Unlike taxes, (which are theoretically shared by all) the following responsibilities are not shared equally by all faculty, and disproportionately burden URMM [Underrepresented Minority in Medicine] faculty.

The URMM faculty responsibility “tax” or disparity includes the following categories: responsibility for achieving diversity efforts, racism, isolation, mentorship, clinical, and promotion inequities.

Source: https://www.researchgate.net/publication/271707956_Addressing_disparities_in_academic_medicine_What_of_the_minority_tax

Hamilton’s Social Landscape Bulletin: Census Quick Facts- Visible Minorities in Hamilton

https://www.sprc.hamilton.on.ca/wp-content/uploads/2017/11/Hamiltons-Social-Landscape-Bulletin-Census-Quick-Facts-Visible-Minorities-in-Hamilton-1.pdf

Hamilton & Area Resources for Racialized Communities

https://cmhahamilton.ca/wp-content/uploads/2020/06/Hamilton-and-Area-Resources.pdf

The Black Doctors Podcast: Minority Tax Reform- Avoiding Overtaxing Minorities When We Need Them Most

“This week’s episode features another journal club. It covers the article that defines and discusses the “minority tax” that is levied so frequently towards minority academic clinicians. This minority tax leads to an increased work load, increased stress and decreased promotion rates. It likely contributes to a high attrition rate of minority physicians from academic medicine.
We hope you enjoy this Journal Club edition of Ethically Sourced. In the future, we will feature additional articles that are relevant to our mission. We hope that generating discussions on Clinical Medical Ethics and Culturally Competent Care will have a positive impact on the lives of disenfranchised patients.”

URM JAM: Counteracting the Minority Tax for URM Faculty

“In this episode of the URM JAM, our hosts address the minority and gratitude taxes for URM faculty, which can be defined as the disparity in responsibilities that affect minority faculty in the name of diversity and the obligation felt to future generations of students. They discuss the impact of these taxes on career choices, professional pursuits, and promotion for URM faculty. Our hosts share advice based on life experience and suggest ways for individuals and institutions to counteract the minority tax.”

The DEI Shift: The Minority Tax

“In this episode, we discuss the minority tax and the negative effects it can have on our wellbeing. Learning Objectives:
1. Define the concepts of minority tax and majority subsidy.
2. Identify ways minority tax can manifest during one’s career and contribute to long-term burnout.
3. Identify strategies allies can employ to alleviate the minority tax for underrepresented colleagues.
4. Identify the important role diversity in the workforce plays in alleviating minority tax.
5. Outline strategies that underrepresented minorities can use to balance multiple responsibilities and avoid the negative effects of minority tax.
6. Strategize ways to implement aspects of a “trauma” protocol model at their own institutions.”

“The “ability to access” the functionality of a system or entity, and gain the related benefits. The degree to which a product, service, or environment is accessible by as many people as possible. Accessible design ensures both direct (unassisted) access and indirect access through assistive technology (e.g., computer screen readers). Universal design ensures that an environment
can be accessed, understood, and used to the greatest extent possible by all people”

Source: https://edib.harvard.edu/files/dib/files/dib_glossary.pdf

“Refers to the intentional design or redesign of technology, policies, products, and services (to name a few) that increase one’s ability to use, access, and obtain the respective item. Each person, regardless of ability status, is afforded the opportunity to acquire the same information, engage in the same interactions, and enjoy the same services in an equally effective and equally integrated manner, with substantially equivalent ease of use. Although this might not result in identical ease of use, any person with a disability must be able to obtain information, to which they are otherwise permitted to access, in a timely manner as fully, equally, and independently as a person without a disability.”

Source: https://www.diversity.pitt.edu/education/diversity-equity-and-inclusion-glossary

Accessibility and inclusion in healthcare
Coda Change
“Nas Campanella is a high-profile public media identity whose experience of being a blind patient provides a first-hand account of the access and inclusion challenges she faced within the healthcare system. Facing early childhood memories which involved countless hospital visits, she remembers needles, cannulas and feeling incredibly anxious about going into the operating theatre. That was, until the day that she stopped and said, I’ll do this (surgery) if it is my last. The concept that a patient with a disability isn’t necessarily seeking a cure for a problem is often difficult to understand for healthcare professionals, who go into medicine to make people better. Understanding how to provide better care for this population is a crucial step towards achieving equitable accessibility and inclusion for patients with a disability.”

https://open.spotify.com/episode/2T0BAelDPWXAe85o2suXKH

Improving healthcare accessibility and delivery for improved women’s health
Talking HealthTech
“In this episode, Pete and Emma discuss the accessibility of healthcare resources and expertise for women. They also look at the work going on to help improve healthcare for women around the country.

This episode is perfect for anyone with an interest in women’s health. We hear from a women’s health expert about how digital health is used in creating a community for women where they can access advice and educational content and have consultations with actual clinicians.”

https://open.spotify.com/episode/3hOGONeVXUiYUi2Nw1yqs1 

Radical Accessibility
TEDx Shorts
“Dr. SeriaShia Chatters champions and outlines a move to greater societal equity for those with disabilities through what she calls “radical accessibility”.”

https://open.spotify.com/episode/1y6hyF0s9dbOotaRFHpmhF

Special Healthcare Provider Edition of the Accessibility Standards for Customer Service Compliance Kit

https://accessibilityconsultants.ca/wp-content/uploads/2013/06/DRAFT_Healthcare_Compliance_Kit_FINAL_RG20111122.pdf

E-Learning Modules: Timely Access to Primary Care

“Every day, primary care providers are faced with the challenge of balancing supply and demand to meet their patients’ needs. Busy waiting rooms and stressful workplaces are common – but they don’t have to be.

As part of our ongoing commitment to improving health quality across the province, Health Quality Ontario is offering these e-learning module to help your primary care practice see patients on the day they call in or on a day of their choosing.”

https://www.hqontario.ca/Quality-Improvement/E-Learning-and-Events/E-Learning-Modules-Timely-Access-to-Primary-Care

Equipping for Equity Modules

“Have you been trying to provide good care but it just seems like there are a million barriers? Do you want to provide better care to people who seem hardest to serve? Do you want to be more satisfied in your work? Do you want to have a bigger impact?
If you’re a health care or social service provider, staff member or leader in a health care organization, these modules are for you.”

https://equiphealthcare.ca/equipping-for-equity-online-modules/

Access for all; why digital design for your whole market matters

“Accessibility in design isn’t just about the visually impaired, says Chris Perowne, Head of Design at INITIALS, and while that’s still important, there are many other considerations to take into account if you want to make your brand an open door for everyone.”

https://www.shots.net/news/view/access-for-all-why-digital-design-for-your-whole-market-matters

How to create accessible documents

“When authoring documents using Microsoft Office or Google Apps, there are a few simple principles that are relevant for almost all document types. These principles are meant to improve the readability and accessibility of your documents for individuals with disabilities.”

https://www.torontomu.ca/accessibility/guides-resources/accessible-documents/