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Comment & Response
November 27, 2019

The GRIT (Gather, Restate, Inquire, Talk It Out) Framework for Addressing Microaggressions

Author Affiliations
  • 1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota
  • 2Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota
JAMA Surg. Published online November 27, 2019. doi:https://doi.org/10.1001/jamasurg.2019.4427

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:

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