To the Editor We applaud Torres et al1 and JAMA Surgery for highlighting microaggression in health care. We addressed microaggression during a Mayo Clinic–sponsored continuing medical education conference: “GRIT (Growth, Resilience, Inspiration, and Tenacity) for Women in Medicine” in September 2018 and have since presented at other regional and national venues. Individuals experiencing microaggressions vary based on gender identity, ethnicity, race, age, disability, and even type and level of professional training. However, many fear that their own comments or actions may be labeled as microaggressions, leading to accusations of racism, sexism, or prejudice. Two of the frameworks reviewed by the authors (“Open the Front Door” and “XYZ”) direct the recipient on how to respond to microaggressions but do not prompt the recipient to ask for clarifications on comments or actions. We have developed a method to address microaggressions in a nonaccusatory manner, with opportunities for both sides to reflect on the potential effects of statements and actions, using the mnemonic GRIT:
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Warner NS, Njathi-Ori CW, O’Brien EK. The GRIT (Gather, Restate, Inquire, Talk It Out) Framework for Addressing Microaggressions. JAMA Surg. Published online November 27, 2019. doi:https://doi.org/10.1001/jamasurg.2019.4427
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: