<p>Much remains to be done to assist residents, unit staff, and institutions to respond to overtly racist patients. The history of racial violence in this country must be confronted when developing recommendations about how to respond to racist patients. We have attempted to suggest concrete actions that residents, units, and institutions could use to address racial violence (summarized in&nbsp;<a href="javascript:void(0)" onclick="javascript:showSlideShowByImageID('T1', '00001888-201908000-00014');">Table 1</a>); all stakeholders should be trained in these procedures, and significant effort may be required to reinforce that racism is considered a form of assault or violence. These actions may also be useful for assisting residents who are subject to harassment and verbal assault due to other forms of bigotry (based on ability, body habitus, gender identity or expression, religion, sexual orientation, etc.), though the history of each type of bigotry should be considered when formulating specific recommendations. Although we have focused on residents in this manuscript, we believe that these recommendations are also pertinent to other trainees, unit staff, and faculty. Hospitals and academic institutions must be proactive in designing systems that will support diverse trainees in maximizing their learning and contribution to the organization&rsquo;s mission.</p>