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Currently submitted to: JMIR Medical Education

Date Submitted: Jul 2, 2026
Open Peer Review Period: Jul 6, 2026 - Aug 31, 2026
(currently open for review)

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

The Microaffirmation Approach: A Tutorial to Improve Communication in Medical Education and Clinical Practice with Generative AI

  • David Stewart; 
  • Kate Bowers; 
  • Tonya Bailey; 
  • Tracey A.H. Taylor; 
  • Trini A. Mathew

ABSTRACT

Medical education and healthcare systems are inherently people-centered, yet high-stress clinical environments can foster implicit biases and microaggressions that disproportionally affect underrepresented minorities. Microaffirmations are small, intentional acts of expanding opportunities, gestures of inclusion, and graceful acts of listening, that may help to reduce these behaviors and improve psychological safety. This tutorial introduces an approach grounded in Universal Design Learning (UDL) theory to provide tailored, contextualized-driven resources, and human-centered training to integrate microaffirmations into undergraduate and graduate medical education and the clinical setting using generative artificial intelligence (AI) as a time-saving and efficient method of delivery. These AI methods, using effective prompt writing, generate visual aids that can be leveraged by clinicians to improve patient communication. The approach’s efficacy can be measured through future patient and family surveys, participation rates, and the potential reduction of workplace violence. While AI offers innovative solutions for improving peer and clinician patient experiences in medicine, this approach acknowledges essential limitations.


 Citation

Please cite as:

Stewart D, Bowers K, Bailey T, Taylor TA, Mathew TA

The Microaffirmation Approach: A Tutorial to Improve Communication in Medical Education and Clinical Practice with Generative AI

JMIR Preprints. 02/07/2026:106116

DOI: 10.2196/preprints.106116

URL: https://preprints.jmir.org/preprint/106116

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