Discover and read the best of Twitter Threads about #ImplicitBias
Most recents (24)
.@MacEmerg Virtual Regional Rounds: Thankful for the opportunity to share about #DEI in #MedEd and practice #upstander skills to address #microaggressions within the #ER.
🗣️#MedTwitter: Here's a #Tweetorial of how you can be an #upstander!
🗣️#MedTwitter: Here's a #Tweetorial of how you can be an #upstander!
.@MacEmerg Virtual Regional Rounds: #DEI in #MedEd: Being an #upstander!
💭Why does #DEI matter? Many benefits, here are just a few:
🗺️Improved cultural competence
🏥Expanded delivery of health care to low resource settings
🗨️Improved intellectual discussion in MedEd
💭Why does #DEI matter? Many benefits, here are just a few:
🗺️Improved cultural competence
🏥Expanded delivery of health care to low resource settings
🗨️Improved intellectual discussion in MedEd
.@MacEmerg Virtual Regional Rounds: #DEI in #MedEd: Being an #upstander!
💭The issue is that Racism exists on all levels. And because its so embedded in our societies, it's hard to recognize and even harder to change.
💭The issue is that Racism exists on all levels. And because its so embedded in our societies, it's hard to recognize and even harder to change.
This is what targeted racial harassment looks like: nitpicking things like “smiled” or “wore clothes like a celebrity, as a celebrity” or “bought cookware.” It is part of the “gold digger” narrative.
This is common in #healthcare “#professionalism” where there is hazing & bullying by racist &/or classist made up non-rules lacking standards…yet people are called “breaking the rules.”
It’s exactly how bullies operate: double standards, mislabel/smear, exclude, marginalize.
It’s exactly how bullies operate: double standards, mislabel/smear, exclude, marginalize.
In the U.K., “BAME” includes the formerly colonized, thus making race constructs or power different from U.S. as latter had race-based chattel slavery.
Thing is, those formerly colonized have many who have internalized self hate & racism.
psycnet.apa.org/record/2021-69…
Thing is, those formerly colonized have many who have internalized self hate & racism.
psycnet.apa.org/record/2021-69…
This 👇🏽👇🏿👇🏻 This is why #BLM exists & why “implicit bias” is not only real but it kills
Why, when you see it, say something, do something
The system changes not by sharing tweets & hashtags but actions & consequences & removal of toxicity from the system
Follow #BlackTwitter
Why, when you see it, say something, do something
The system changes not by sharing tweets & hashtags but actions & consequences & removal of toxicity from the system
Follow #BlackTwitter
Above #MedEd #TikTok improvement: #citeblackwomen who lead this work (not only utilized the savior mindset of Black & brown as victims) #Blackexcellence @citeblackwomen center Black women
Send #SoMe traffic to Black creators & activists. #healthcare twitter.com/i/lists/122380…
Send #SoMe traffic to Black creators & activists. #healthcare twitter.com/i/lists/122380…
Take #sharethemic initiative. It allowed #Blackexcellence to speak thru #influencer accounts to large followings for a day. I looked at before/after numbers, it did NOT drive any additional traffic to the actual accounts of those voices. Resurfacing this:
https://t.co/VZ26WWNxRP
https://t.co/VZ26WWNxRP
@KaleeHolland @SIGPerspectives Oh gosh no this isn’t true anatomically.
Linguists who focus on the physiology of spoken language talk about different ‘phonation types’ at the glottis - that is, different ways of letting air pass between the fleshy membranes that are the vocal folds 1/…
Linguists who focus on the physiology of spoken language talk about different ‘phonation types’ at the glottis - that is, different ways of letting air pass between the fleshy membranes that are the vocal folds 1/…
@KaleeHolland @SIGPerspectives The ‘modal phonation’ is the type where the air pressure coming from the lungs is balanced with the tension of the vocal folds, so that as the air pushes the vocal folds apart, their tension pulls them back together. They open and close evenly along the length in a regular cycle
@KaleeHolland @SIGPerspectives Here’s a crummy simulation of the same process, using a balloon! The air exiting the neck of the balloon pushes apart the membranes and their tension pulls them back together. This creates a smooth wave.
It's been over a week since @TedLasso Episode 6 for which I was asked to be a guest on the amazing #MedLasso podcast with @ETSshow and @TheRealDoctorT. While we covered quite a bit, there was SO much we couldn't get to. Sharing a brief 🧵 here.
explorethespaceshow.com/podcasting/med…
explorethespaceshow.com/podcasting/med…
I mentioned at the beginning that I had major #ImplicitBias when we first met @TheKeeleyJones. Since then, she has become one of my FAVORITE characters, for many reasons.
There is so much more to her than what is on the surface. She epitomizes don't judge a book by its cover.
There is so much more to her than what is on the surface. She epitomizes don't judge a book by its cover.
Funny I reacted to her initial entrance in that way as I have often been told I am too bubbly/ enthusiastic to be taken seriously or seen as a professional. Goes to show you how these unconscious stereotypes can influence all of us, even when we have been on the receiving end.
#ACC21
Ensuring diversity - acc21.virtual-acc.org/engage-channel/
Come listen to these wonderful talks in how we strengthen diversity -
Ensuring diversity - acc21.virtual-acc.org/engage-channel/
Come listen to these wonderful talks in how we strengthen diversity -
#ACC21
I love the advice to have cross professional recruiting, e.g. include other #ACCCVT in recruiting physicians and vice-versa.
I love the advice to have cross professional recruiting, e.g. include other #ACCCVT in recruiting physicians and vice-versa.
#ACC21
Make interprofessional practice a baseline. Implement this early and foundational to curricula.
Make it "a thing" to utilize the strengths of team members in care.
Respect the title! All have earned theirs. Introduce by title in front of the patient
#CardioTwitter
Make interprofessional practice a baseline. Implement this early and foundational to curricula.
Make it "a thing" to utilize the strengths of team members in care.
Respect the title! All have earned theirs. Introduce by title in front of the patient
#CardioTwitter
The only feelings to center on are those of black community
Wrong use of this quote during the week of #DerekChauvinTrial
Some people “feel” things if a white male faces accountability
Amy Cooper’s feelings: call cops
Racism & racism lite has always focused on “feelings” #BLM
Wrong use of this quote during the week of #DerekChauvinTrial
Some people “feel” things if a white male faces accountability
Amy Cooper’s feelings: call cops
Racism & racism lite has always focused on “feelings” #BLM
When @ayshakhoury or @uche_blackstock were authentic in their feelings: ended careers
Black female physician #DrSusanMoore having “knowledge” or a “voice”
while DYING
made others
*feel* “intimidated.”
This is part of a known pattern for WOC
@COCoQC
#BLM #BlackintheIvory
Black female physician #DrSusanMoore having “knowledge” or a “voice”
while DYING
made others
*feel* “intimidated.”
This is part of a known pattern for WOC
@COCoQC
#BLM #BlackintheIvory
This is a repeating pattern of “feelings” used against tellers of uncomfortable truths that #MLK described in the letter from the Birmingham jail.
Seeking order > justice or overpolicing are all to protect only certain “feelings” of “security” while those like #adamtoledo die.
Seeking order > justice or overpolicing are all to protect only certain “feelings” of “security” while those like #adamtoledo die.
1/
#WhatsYourWhy
Grady elevator
Her: "Is that my girl Dr. Manning?"
Me: "Heeeey! I haven't seen you in a minute!"
*elbow bump*
Her: "I ain't used to seeing you with scrubs on and not in your heels!"
Me: "Girrrrl. It's crushing my soul to not wear heels!"
*laughter*
#WhatsYourWhy
Grady elevator
Her: "Is that my girl Dr. Manning?"
Me: "Heeeey! I haven't seen you in a minute!"
*elbow bump*
Her: "I ain't used to seeing you with scrubs on and not in your heels!"
Me: "Girrrrl. It's crushing my soul to not wear heels!"
*laughter*
2/
Her: "At first I didn't even know that was you! And you grew your hair some."
Me: "And you changed your hair, too. I like it!"
Her: "Girl, this a wig."
*laughter*
Her: *patting head* "The #COVID makeover, chile."
Me: *nodding* "I know that's right."
*silence*
Her: "At first I didn't even know that was you! And you grew your hair some."
Me: "And you changed your hair, too. I like it!"
Her: "Girl, this a wig."
*laughter*
Her: *patting head* "The #COVID makeover, chile."
Me: *nodding* "I know that's right."
*silence*
3/
Me: "Hey--you get the #COVIDVaccine yet?"
Her: "Nah."
Me: *raising eyebrows*
Her: "I decided to wait."
I jutted out my lip under my mask and nodded.
Her: "I'm in my 30's. And nobody older or sick live with me. So I'm waiting."
Me: *squinting* "Waiting for. . . ?"
Me: "Hey--you get the #COVIDVaccine yet?"
Her: "Nah."
Me: *raising eyebrows*
Her: "I decided to wait."
I jutted out my lip under my mask and nodded.
Her: "I'm in my 30's. And nobody older or sick live with me. So I'm waiting."
Me: *squinting* "Waiting for. . . ?"
For my chief year grand rounds presentation, a mentor suggested that I use it as an opportunity to share my experience going through surgery training and having children. He suggested I share both the good the bad.
I loved this idea. It felt like we would be doing an M&M conference on our lived experiences as humans going through professional and personal challenges. I liked the idea that what was seen as a “problem” (pregnant surgery resident)...
became an opportunity for us to change our culture to be more inclusive. I wanted to include the fact that we were able to increase awareness of surgery boards accommods for pregnancy during training among our residents, and as a result more women were considering fam planning.
#MedRacism continuing to uphold the status quo.
When we say minoritized and racialized people in medicine, regardless of position, are afraid to speak up because of #retaliation,
👇🏾👇🏾👇🏾👇🏾👇🏾 is what we mean.
When we say minoritized and racialized people in medicine, regardless of position, are afraid to speak up because of #retaliation,
👇🏾👇🏾👇🏾👇🏾👇🏾 is what we mean.
Academia will destroy someone’s career and livelihood before they even think about becoming introspective or take any responsibility for their bias and racism.
Dr. @ayshakhoury does not deserve this. Her students don’t deserve to lose their teacher. And her community doesn’t deserve losing a good physician.
We are only a few days away from #WIMStrongerTogether #WIMSummit. Let's spotlight some of our incredible speakers. If you haven't registered yet, there is still time! If you can't attend all sessions live, they will be recorded and available for 1 year!
womeninmedicinesummit.org
womeninmedicinesummit.org
Let's start with ER Physician, regular @CNN and @MSNBC contributor and @researchaffirm and @BrownDigiHealth leader, researcher, advocate, and healthcare leader Dr. @meganranney. Come and hear her speak on How We Can Join Together to Make Change. #womeninleadership
Dr. @DrBonnieMason is the VP if Diversity and Inclusion @acgme, founder of @beyondtheexamroom, orthopedic surgeon and national healthcare leader will be speaking on leadership. She has decades of experience educating mentoring and sponsoring the next generation of clinicians.
I don't know who needs to hear this, but providing examples of being nice or supportive to women in your own family does not make on a feminist or pro-woman nor does that make you anti-racist regarding POC or WOC or BIPOC. The "I am a good person" is at the root of much harm.
Okay, I do know who needs to hear this and this was not really a subtweet because the individuals who fit this description do not use Twitter. But there is more than one individual who may or may not need to have some deep reflection on what "I am a good person" says about ego.
This is from Australia. If in these times, as a not BIPOC, certainly as a not Black person in America, you are asking "Are you calling me a racist?!" (when that word not uttered but, yes, #implicitbias exists and racism is a #public health crisis)....
researchgate.net/publication/43…
researchgate.net/publication/43…
1/11 I, like so many others, was and am deeply troubled by the now-retracted JAHA "diversity" article and what it purports to represent, and what it does represent, which are entirely different. Kudos to @DrQuinnCapers4 for his leadership, and that of many others. 👏👏👏
2/11 Personally, the article—and more importantly, the mindset it reflects—is repugnant to me. As an Asian American physician, it is all the more painful and embarrassing for me to read. It’s like your racist relative ruining the big holiday happiness. 🦃🍷🥧🧧🧧
3/11 But clearly, there are people who think this way, that applaud the “data”, that feel that they are somehow exposing the elephant in the room that they think is inclusion efforts or affirmative action or any other means to ensure diversity in medicine . . . 👩⚕️👨⚕️👩🏿⚕️👨🏿⚕️👩🏻⚕️👨🏼⚕️😷
So excited for the #NtlMtg20 to kick-off!!!
Ready to hear from @NASPADavid, Aimee, Courtney & so many other amazing people in our field!
Ready to hear from @NASPADavid, Aimee, Courtney & so many other amazing people in our field!
how many ways must it be shown?
is there still any question that
the system is biased
(thread)
is there still any question that
the system is biased
(thread)
this hits close to home, as a black man serving in the software development field for 15+ years, and father of two boys
there is systemic bias in most existing (facial recognition) systems
there is systemic bias in most existing (facial recognition) systems
these systems misidentify black people, at times with dire consequences,
and are far better at correctly identifying white people
because these systems were created by white people who were ignorant of or negligent towards
the presence and the full implications of their bias
and are far better at correctly identifying white people
because these systems were created by white people who were ignorant of or negligent towards
the presence and the full implications of their bias
So grateful that @javeedsukhera accepted my invitation to speak on #bias #implicitbias #oppression to @MacAnesthesia
Live tweeting some pearls!
Stigma has a negative impact on clinical outcomes
Live tweeting some pearls!
Stigma has a negative impact on clinical outcomes
Shame is not an effective pedagogic strategy in calling out stigma. Shaming and calling out may actually make problem worse
Education may be helpful but it also isn’t enough alone
Education may be helpful but it also isn’t enough alone
We often have conversations about #equity that are blaming (“us” vs. “them”)
Blame has an inverse relationship with accountability
Blame has an inverse relationship with accountability
In all places, particularly, in #Pakistan, extremely important for mothers, female role models & #HeforShe men to encourage young women and girls to be expressive, out of box, push boundaries, and never go silent.
Admire you on so many levels @ayesha_mian1
#womeninleadership
Admire you on so many levels @ayesha_mian1
#womeninleadership
The only way to advocate for the voiceless and marginalized is to use any source of privilege one may have to create space, amplify others, and be willing to be told one is “too much” in myriad ways. What is the standard to measure too much, tho? If measure is status quo...
Who designed the metrics of “just right” vs “too much” and who defined “good” vs “bad”?
What gender, ethnicity/tribe, religion, etc wrote “the rules” - overt & unspoken?
What cultural triggers are there to invoke, anger, disgust, shame?
Who is in/out group?
Are others silent?
What gender, ethnicity/tribe, religion, etc wrote “the rules” - overt & unspoken?
What cultural triggers are there to invoke, anger, disgust, shame?
Who is in/out group?
Are others silent?
It’s an interesting approach at @MITSloanFellows - placed into teams rather than allowed to select own team. The teams are formed so there is likely to be misalignment and conflict. And then we have to work together for grades. We cannot do usual bonding activities via Zoom
Teams are being coached & cautioned that it is easy to create “in” and “out” groups to exclude, marginalize, label some in group. Instead, keep open communication and pause prior to forming any conclusion.
mindtools.com/pages/article/…
mindtools.com/pages/article/…
“Identify where on ladder you are.
Are you:
-Selecting your data or reality?
-Interpreting what it means?
-Making or testing assumptions?
-Forming or testing conclusions?
-Deciding what to do and why?”
Vet, verify, listen, consider
(This seems especially relevant for biases)
Are you:
-Selecting your data or reality?
-Interpreting what it means?
-Making or testing assumptions?
-Forming or testing conclusions?
-Deciding what to do and why?”
Vet, verify, listen, consider
(This seems especially relevant for biases)
The #LEADatStanfordMed is hosting our graduation event tonight! Our scholars from diverse backgrounds and specialties have spent 10 months with us focusing on leadership capacity building and developing educational materials to advance #diversityandinclusion.
We've even adapted to #COVID19, and showed activism on campus in solidarity against #RacismInAmerica
#BlackLivesMatter #WhiteCoatsForBlackLives #LEADatStanfordMed #SoMeDocs
#whatdoctorslooklike
#BlackLivesMatter #WhiteCoatsForBlackLives #LEADatStanfordMed #SoMeDocs
#whatdoctorslooklike
One voice can create a unified message
Why don't we speak up?
Be part of the conversation. There are multiple ways to use your voice.
#LEADatStanfordMed #crucialconversations #WhiteCoatsForBlackLives #BlackLivesMatter
Why don't we speak up?
Be part of the conversation. There are multiple ways to use your voice.
#LEADatStanfordMed #crucialconversations #WhiteCoatsForBlackLives #BlackLivesMatter
Thread for allies on #BlackintheIvory
Be this kind of a person. We know the existing level of power differential between faculty & students or trainees.
Now add #BlackintheIvory
Step up. Be an ally. Report on behalf even if not asked. If you see power abused, speak up.
Be this kind of a person. We know the existing level of power differential between faculty & students or trainees.
Now add #BlackintheIvory
Step up. Be an ally. Report on behalf even if not asked. If you see power abused, speak up.
As a doctor, need to be able to do one’s job. Also, a doctor is in a position to protect others, *if* role is recognized. #BlackintheIvory
Those prestige/hierarchy oriented, treat some people poorly
(I get mistaken for cleaning person or receptionist)
Those prestige/hierarchy oriented, treat some people poorly
(I get mistaken for cleaning person or receptionist)
Reporting on black student, trainees, & faculty #SoMe and #SciComm posts is higher - due to #implicitbias or overt racism
Black culture often offends
Institutions need to screen OUT frivolous reporting on black ppl - NOT assume fault
#BlackintheIvory
Black culture often offends
Institutions need to screen OUT frivolous reporting on black ppl - NOT assume fault
#BlackintheIvory
Let’s talk #safetyculture
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
This framework has been applied to reducing harm, mostly through medication error (though intended to achieve population health)
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
What has not been clearly stated in any of these #safety framework is disparities, structural inequity, or racism
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
The @AmerMedicalAssn's stance on Taking care of our students: Preparing for the 2021 residency application cycle.
So far.. lots of #medstudents attending this sesh
Most programs are considering #virtualinterviews
#MedStudentTwitter #MedED #classof2021
So far.. lots of #medstudents attending this sesh
Most programs are considering #virtualinterviews
#MedStudentTwitter #MedED #classof2021
Lots of important stakeholders represented in the Coalition for Physician Accountability.
Next month: watch out for the report on pathways for graduating medical students (#class2020) and their journey to residency.
#MedStudentTwitter
Next month: watch out for the report on pathways for graduating medical students (#class2020) and their journey to residency.
#MedStudentTwitter
"We anticipate stakeholders will commit to policies that prioritize these guiding principles yet recognize the necessity for innovation and flexibility in this new #COVID19 environment"
Marketers hired by hospitals can be new source of exploitation
They know that the most credibility is with nurses & doctors
So will use employees for marketing & extension of hospital brand
But quick to penalize same employees for own, personal use of #SoMe
=Value extraction
They know that the most credibility is with nurses & doctors
So will use employees for marketing & extension of hospital brand
But quick to penalize same employees for own, personal use of #SoMe
=Value extraction
I mean, personally, I built my reputation outside of hospital activities
I created, as volunteer, used no hospital or university resources, paid my own travel or obtained community grants, then yes, was recognized internally after creating external success, like this:
I created, as volunteer, used no hospital or university resources, paid my own travel or obtained community grants, then yes, was recognized internally after creating external success, like this:
Or like this - I do all of this on own. No one trained me. I pay membership fees to LinkedIn
If I were to mess up, I’d need to deal with consequences from hospital, licensing bodies, etc
Wherever I go, I contribute to good optics & metrics
massgeneral.org/news/article/m…
If I were to mess up, I’d need to deal with consequences from hospital, licensing bodies, etc
Wherever I go, I contribute to good optics & metrics
massgeneral.org/news/article/m…
