Stepping-In for Respect

An Evidence-Based Model for Responding to Discriminatory Behavior: An Active Bystander Training

Creating a Culture of Respect and Inclusion Collaborative Project

The OHSU School of Medicine invested in and joined a national collaborative to create an environment of respect and inclusion by creating a training and interactive workshop using filmed scenarios and role-playing exercises. 

The school is partnering with OHSU's Center of Diversity and Inclusion in the rolling out of the training campus-wide. The curriculum uses Reader’s Theater script-based readings on actual experiences revolving around disrespect in an academic setting. These were developed to raise awareness of bias and set expectations to step in and address bias. 

Through Stepping-In for Respect, the School of Medicine reinforces its commitment to creating an environment where every individual has a sense of belonging, a voice that is heard, and the opportunity to achieve and thrive.

Workshop participants will learn and practice strategies for how to step in when witnessing or directly experiencing disruptive behaviors. Facilitators will help prepare participants turn difficult conversations into productive ones in order to stop disrespectful behaviors, reinforce our core values, and create our desired culture.

The Stepping-In for Respect training will enhance the School of Medicine's Active Bystander Intervention training and compliments the skills of the 4D's: Delegate, Distract, Delay and Direct taught in the training.

    Stepping-In for Respect is a bystander intervention training intended to cultivate a culture of respect and inclusion amongst colleagues and leaders, therefore having a positive impact on the workplace environment and healthcare delivery.

    Collaborative Project

    Stepping-In for Respect serves as the primary resource, data collection and networking site for this two-year, multi-institutional effort to improve the quality of the health care environment for patients, providers and health care teams.

    Participants of the workshops are provided an opportunity to discuss response strategies and are given institutional policies and protocols on reporting.  Workshops offer relevant reporting and support resources that can promote efforts for inclusion and eliminate bias in clinical and educational settings.  Participants also explore how messaging can foster an environment of respect and inclusion, and set expectations for patients, staff and trainees.


    • A two-year engagement in IRB-approved research with surveys to assess the effectiveness of workshops (pre, immediately post and 6-months post), as well as an annual survey of trainees
    • Access to a web portal for the Collaborative that includes research surveys, all planning materials, videos, reader’s theater, facilitator guides and resources to support organizational change
    • Opportunity to engage in a community of learning and practice with other healthcare institutions on challenges in fostering respect and inclusion
    • Opportunity to collaborate on publications and presentations by the Collaborative on topics of respect and inclusion
    • Opportunity to track and present/publish single-institution data
    • Engagement and participation in the Train the Trainer Workshop
    • Data management for the survey and climate data at your institutions
    • Opportunity to contribute ideas, solutions, planning and resource materials to the Collaborative web portal

    You will learn to:

    • Determine when intervention is needed by analyzing scenarios of real events in academic medicine
    • Apply intervention strategies for stepping in when witnessing or experiencing bias or discrimination
    • Reporting mechanisms and process
    • Role-play scenarios to practice your new skills

    You will benefit by:

    • Having a better understanding of the harm bias and discrimination causes
    • Being able to have open and honest conversations with peers on how to handle situations of disrespect
    • Taking an active role to mitigate harmful behaviors and acts

    Stepping-In for Respect collaborative partners

    • University of Virginia Health System
    • Duke University Health
    • Indiana University Health
    • Oakland University William Beaumont School of Medicine
    • Johns Hopkins University Medical Center
    • University of Michigan Medicine
    • Oregon Health & Science University School of Medicine



    Oregon Health & Science University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    American Medical Association

    OHSU School of Medicine designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    MOC II

    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

    •  1.25 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program; and
    • 1.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program.
    • 1.25 MOC points in the American Board of Ophthalmology’s (ABO) Maintenance of Certification program.
    • 1.25 Continuing Certification point in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC).
    • 1.25 MOC point in the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology™ (MOCA®) program, known as MOCA 2.0®.
    • 1.25 Lifelong Learning (CME) point in the in the American Board of Pathology’s Continuing Certification program.

    It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

    Approval Statement

    Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Continuing Certification Activities through the ABMS Continuing Certification Directory,  The Stepping In: Creating a Culture of Respect and Inclusion Collaborative Project has met the requirements as a Lifelong Learning CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:   

    • Allergy and Immunology
    • Anesthesiology
    • Colon and Rectal Surgery
    • Family Medicine
    • Medical Genetics and Genomics
    • Nuclear Medicine
    • Physical Medicine and Rehabilitation
    • Plastic Surgery
    • Preventive Medicine
    • Psychiatry and Neurology
    • Radiology
    • Thoracic Surgery
    • Urology

    MOC IV

    Providers who participate in the Stepping-in for Respect training, including the pre and post assessment, may be eligible for MOC Part IV credit through the School of Medicine ABMS Portfolio Program. Participation in the ABMS Portfolio Program recognizes activities designed to improve provider practices and the care of patients. Following completion of Stepping-in For Respect training, a member of the CPD MOC Part IV team will reach out via email. If you meet the criteria outlined in the meaningful participation requirements, you can complete the attestation link provided in the email for MOC IV credit.

    Visit the OHSU Continuing Professional Development website for information about the School of Medicine ABMS Portfolio Program, or reach out at if you have any questions.