Lightning Talk

Patient Safety Starts with Us - Training Interprofessional Teams to Respond to Patient Prejudice

Thursday, September 25, 2025, 12:00 pm - 1:00 pm CDT
patient prejudiceinterprofessional simulationmedical education

Lightning Talk Description:
This Lightning Talk presents a novel simulation-based educational framework developed to prepare interprofessional healthcare teams to effectively respond to patient prejudice toward providers (PPtP). Grounded in the lived experiences of minoritized clinicians, the project translates qualitative data into practical, team-based learning tools that foster resilience, inclusivity, and safer care environments.

Introduction:
Patient prejudice toward healthcare providers (PPtP) refers to biased or discriminatory behaviors from patients directed at providers based on perceived identity factors such as race, gender, or ethnicity. PPtP can erode provider wellbeing, disrupt team dynamics, and jeopardize patient safety. Educational responses to PPtP remain underdeveloped, particularly in interprofessional contexts. This project addresses that gap by developing a simulation framework grounded in the lived experiences of minoritized healthcare providers, aiming to equip teams with strategies for collective, effective response.

Methods:
Simulation scripts depicting PPtP scenarios were developed based on literature and the investigative team’s experience. These scripts were recorded as video vignettes and used in semi-structured interviews with minoritized healthcare providers at a single academic institution. Interview transcripts were analyzed using a realist, semantic coding process by a sub-team, followed by full team consensus to develop a conceptual model. The resulting data informed the creation of a PPtP simulation scenario template and a team performance assessment tool.

Results:
Sufficiency was achieved after six interviews. Fifteen themes emerged and were organized into four key domains:
Inner monologue and metacognitive strategies
Aligning multiple goals (e.g., care delivery, team preservation)
Strategies to manage conflict
Anticipating ripple effects beyond the encounter
These insights were integrated into simulation templates and assessment rubrics to train and evaluate team-based responses to PPtP.

Conclusion:
PPtP presents a significant threat to equitable care and workforce wellbeing. This project provides an evidence-informed, simulation-based education strategy that prepares interprofessional teams to respond with clarity, professionalism, and empathy. It advances the Quadruple Aim by improving both provider wellbeing and patient experience, and aligns with the Nexus Summit’s call for interprofessional collaboration and advocacy.