Specialty Disrespect is a Microaggression
“Is ___ even a real specialty?”

#Notjustajoke
Know the signs of specialty disrespect as a microaggression:
- Verbal, noverbal, and environmental slights, snubs or insults
- Intentional or unintentional
- Communicate hostile, derogatory, or negative messages to target persons based solely upon their group membership
- Hidden messages that invalidate the group identity or experiential reality of target persons
- Demean on a personal or group level
- Communicate to victims that they are lesser human beings or suggest they do not belong with the majority group
- Threaten and intimidate, or relegate the victim to inferior status and treatment
#SpecialtyDisrespect

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Know the signs of specialty disrespect as a microaggression
- Internal med docs are “nerds”
- How are you going to do ortho.. You’re so small (and a woman)
- People in psych are psychotic themselves
Funny Hurts
#OWNYOURIMPACT
- OB/GYN residents are mean and miserable
- Did you pass step 1? Okay, then you can definitely match psychiatry
- Surgeons just want to operate. Don’t care about the patient
From a survey regarding GUSOM student experiences

#SpecialtyDisrespect
Light Intent
Heavy Impact
“I’m afraid to talk about my interests”
“I have reconsidered my specialty”
#NOTJUSTAJOKE
“Is ___ even a real specialty?”

#Notjustajoke
How to respond to specialty disrespect with stop, talk and roll:
- Stop:
- Stop the conversation
- Keep an appropriate distance in case the situation escalates
- Assess the situation
- Talk:
- Immediately consult with your supervising resident or attending
- Roll:
- Reach out to school of medicine staff or peers for immediate, confidential and safe support
#SpecialtyDisrespect

When asked how specialty disrespect statements made them feel, this is what students said (image of word map with words):
- Stigmatized
- Disrespected
- Scared
- Mistreated
- Labeled
- Offended
- Pressured
- Abused
- Wary
- Harmed
- Unprofessional
- Negative
- Disappointed
#ownyourimpact
#SpecialtyDisrespect

I’m afraid to talk about my interests
I have reconsidered my specialty
Quote bubbles: “It was just a joke” and “Get over it”
Light Intent.
Heavy Impact.
#notjustajoke