Discover and read the best of Twitter Threads about #WomenInMedicine

Most recents (24)

In my 2019 job search, I used @AAMCtoday reports to find what I might expect to earn as a junior #WIC

In @JAMAInternalMed, @teresa_wang88, @pamelasdouglas, & I use these data to ask if disparities in 💰 & promotion persist despite ⬆️ #WomenInMedicine

2/7: We examined the 2018-2019 @AAMCtoday Faculty Salary Report

Extracted median annual salary, faculty rank, and gender for
21,905 faculty within
13 #InternalMedicine specialties at
154 U.S. medical schools

What'd we find?
📈Women = ~40% of total full-time faculty across all ranks

📉Gender distribution was more equal at junior faculty ranks; however, only ~25% of Professors & Chiefs across all IM specialties were women

💰Women’s median annual salary was lower across all ranks

What else?
Read 7 tweets
10 numbers that show gender pay gap in healthcare- a thread from a recent report
#gendergap #genderpaygap #healthcare

#womeninmedicine @WomenAs1 @DrToniyaSingh @Drroxmehran @DrJMieres @cardioPCImom @athenapoppa @mikevalentineMD @DickKovacs @DBelardoMD @JulieSilverMD
#1: The pay gap is widening: from 25.2% in 2019 to 28% in 2020: earning ~$116,000 less than men in medicine per year
#gendergap #genderpaygap #healthcare
#2: The gaps varied by specialty, where the widest pay gaps were for orthopedic surgery (an average pay gap of $122,677) and otolaryngology (an average pay gap of $108,905)
#womeninmedicine #genderpaygaps #mindthegap
Read 11 tweets
#WomenInMedicine, If you've been thinking that the gender pay gap in healthcare was going to be fixed anytime soon, these 10+ facts will give you pause. #Thread… @beckershr @amy_gottlieb
1. In 2020, the gender pay gap widened from 25.2 percent in 2019 to 28 percent, with female physicians earning on average $116,289 less than men annually, according to a Doximity report that analyzed 44,000 physician salaries.…
2. The gaps varied by specialty, where the widest pay gaps were for orthopedic surgery (an average pay gap of $122,677) and otolaryngology (an average pay gap of $108,905).…
Read 11 tweets
I wrote this article for my own catharsis. I never expected it to be peer reviewed. When @NEJM accepted it, I experienced my first panic attack. 1/
@WomenInMedicine @WomeninOnc @AMWADoctors @womeninmedchat @WomeninAcademi1
My sudden physiologic reaction took me by surprise and was really embarrassing – I was super tachycardic, diaphoretic, and vasovagal. Then had an intense parasympathetic reaction with acute-onset diarrhea. TMI, sorry. 2/
When I managed to recoup, I realized - how dare this system, this culture, make me feel so panicked about being vulnerable, truthful, and righteously angry? 3/
Read 7 tweets

Really, what else are you even watching today #ASCO21!?! /1
.@PamelaKunzMD starts by sharing the #ASCO20 team decided to postpone session b/c it was so important to them. And they really wanted to get MEN in the room. ❤️that #heforshe leadership, @BurrisSkip; See the influence of @MLJohnsonMD2 and @tmprowell all over this! #ASCO21 /3
Read 16 tweets
LONG week on call @HamHealthSci. Lots of calls about #VITT post AZ vaccine. I'm transparent w my patients - I believe empowerment leads to earlier detection, better outcomes, less stress. So I'm grateful to @heysciencesam for creating tools to help me be transparent with YOU! 🧵
If you've had AZ 4-28 days ago, be on the lookout for the following symptoms. If you have them, seek medical attention! (Sam, thx for making the doctor in this graphic look JUST LIKE ME 😜 #GenXZeneca #WomenInMedicine)
How do migraine sufferers know if this is a VITT headache? VITT headache often worse, more persistent, or has diff features than your usual headache. It might go with visual changes. When in doubt: seek care. We're educating clinicians about VITT here:…
Read 10 tweets
Word “racism” silenced, actively, by #MedEd #MedTwitter #healthcare#professionalism” & “communication” labels

Saying “racism” offends or “hurts feelings” > actual #BLM deaths

If #professionalism itself is racist -makes sense that word suppressed
What @ayshakhoury experienced pushes out & silences many

If the editors of @JAMA_current resist hearing word “structural racism” then they certainly are not publishing papers using that word

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest
Journal gatekeeping: men
Behavior gatekeeping: women/HR

#accountability only for white men
-> we miss “Amy Cooper” in #academia, #HR, #professionalism #compliance…

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest
Read 18 tweets
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
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
#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.
Read 13 tweets
In light of the Boston police Union leader child abuse, this is very plausible, even probable. I have 2x, on behalf of someone else, reported, via Title IX - the woman or gay man was not feeling safe enuf to report. Yes, there is blowback when one reports. But we can’t be silent.
I am a mandated reporter as a #pediatrician. I *must* report for my patients or face legal consequences. Am same for staff, students, trainees. But in #EmergencyMedicine who do I call if a child may be unsafe at home? Sometimes, cops. Are cops safe?…
I have seen #mentalhealth and entire life paths destroyed by abusers preying on children like: This happened to too many people I know. I have seen institutions intimidate, mislabel, bury stories of the victims. (Some predators wait until 18th birthday.)…
Read 29 tweets
I have a range of writing & #communication styles

Outside the ED of hospitalist medicine, when I “talk like a man” - direct, unvarnished truths and or “taking up too much space”, there is pushback, affront. Others have noted men with same style as me are👍
In reality women can’t just email or communicate “like a man” for same results. Society *expects* different communication from women.

I’ve never been an exclamation point person but I use smiley faces

These studies + anecdotal experience:

“women don't negotiate for a very simple reason: they sense—correctly—that it will hurt them if they do... when women *do* negotiate... they end up worse off than if they’d kept their mouths shut”

Read 25 tweets
Shame & #impostersyndrome = energy waste you canNOT afford (I realized w/ chronic illness & pain). You WILL fall - while rest & recovery are important - sometimes the ball about to drop is too important
Don’t miss your shot

BUT do miss a lot of shots. I promise you, it will drain you of less energy to try over and over than to try to be perfect. You will ALWAYS fail to be perfect. You will only sometimes fail to make the shot


Of course there will be these people, (whether in reality or your perception of it - but perception becomes reality).

They have only as much power as YOU give them.

Go to your beginner’s mind. Find that inner child’s courage.

Read 8 tweets
When folks online think women at midcareer are “too much” or “overcompensate”

you are 100% right

=working 3-10x as hard to get 1/2 as far
on display

Tired of experiencing us online?
Try living this way ALL THE TIME
If you don’t recognize it, ask yourself whether your goals and/or identity align with power, privilege, structural inequity

..and in how many domains?

How complex or intersectional is your identity?

Centering on self is the best way to misinterpret the world around you.
If you start by asking yourself questions

you will start to learn to ask others questions, not assume

One version is called “the beginner’s mind” or a child-like curiosity about the world that promotes learning & understanding

Opposite of expert
Read 19 tweets
LOVE being faculty at @MIT this semester for a class on #dataanalytics & #datascience. I tend to PM my mentees, especially women and #blackexcellence to start to prepare questions to ask. Too often people stay silent. Speak up. Never be embarrassed to show #curiosity.
Listening right now to mid-semester progress reports from teams and am feeling like such a proud #datascience #BigData #bigdataanalytics momma. Bear cubs doing good (well AND good in world)

LOVE that this is a space within @MIT that focuses on #SDoH and #equity.
Literally right now, hearing about a study on #socialmedia chatter as a driver of vaccines hesitancy driven by #Twitter - start postulate "cause/effect" by an incident that happens within days after a vaccine - like ppl automatically assume a death is "caused" by vaccine
Read 27 tweets
Doctors, especially female doctors, are rushing to defend Dr. Birx

“male-centered” world is problem = latest knee jerk “feminist” defense

Men cause female doctors to not speak on scientific facts in public?

Why isn’t female doctors saving lives of WOC part of “feminism”?
The same doctors who will jump on the “racism!” bandwagon vs @JAMA_current if vs a *man*

will rush to cover up for a woman/peer who *operationalizes* structural racism

The face of structural & medical racism is female

And women will defend women rather than be held accountable
@DrJRMarcelin published this in @JAMA_current. Women of color, specifically black women, need to be leading the conversation on #COVID19 in America because when #publichealth systems fail on top of medical racism, you get exactly the results we got.…
Read 30 tweets
@meganranney do you stand by “Birx became inextricably tied to the harmful decisions of her negligent, disastrously ignorant boss” in your @CNN defense of Dr. Birx?

Is this ageism & ableism cuz of “male-centered”
or is Birx’s female doctor brain capable of independent thought?
At what point will #WomenInMedicine and #womeninstem believe that women are full adults

who are responsible accountable for our own words?

I know it is soooooo scary to be around men 😱

and I guess some of us are so petrified we can’t figure out #SciComm scientists?
The child-woman or wilting woman of smelling salts is a Western construct

Keep me out of your opinion, @meganranney - this minority & WOC holds Birx accountable as a scientist, physician, public servant, & woman who lost a >50 y/o mother to #COVID19

My mother is dead
Read 11 tweets
I went down a rabbit hole of women and academic productivity this morning...

Spurred by a recent Washington Post article (which buried the lede) showing that due to COVID19 academic women are losing 7.5 to 10 hrs/week of research if they have kids <7 yo… Change in how academics spent their time during the pandemic
This is a CRISIS for academic promotion.

Pre-pandemic, studies showed disparities in publication rates between women/men.

There are 100s of articles describing this, but these 2 are pertinent to #AcademicMedicine…… Table 2 from Raj 2016 article. Men vs Women publications of
Unfortunately, since the pandemic started, the gender gap in publication seems to be worsening.…
Read 10 tweets
We know from @SashaShillcutt & @JulieSilverMD’s @NEJM paper, that social media has become an important avenue for women physicians to gather, providing #WomeninMedicine new avenues to share information & experiences:… #SheforShe
We wanted to better understand the #womenincardiology Twitter network – not just how many tweets, but more *how* the network is being used & if it is *useful*
We analyzed #ACCWIC #WomeninCardiology #ilooklikeacardiologist #AHAWIC #WomeninEP & #SCAIWIN
Read 16 tweets
The gender pay gap in medicine - a thread which I would like to dedicate to my colleagues who have been telling me for the last two decades that no such thing exists, this is the evidence. #womeninmedicine #ilooklikeasurgeon 🧵1/lots
Firstly, a gender pay gap refers to a difference in money earned between the genders. It is an established measure of women’s position in the economy and is the result of social & economic factors that reduce women’s earning capacity @WGEAgency
One myth is that the fixing the gender pay gap is all about ensuring equal pay, such as through standardised pay grades. This oversimplifies the fact that the gap is from complex factors and requires cultural change to allow full participation of women in the workforce.
Read 17 tweets
Challenges, hurdles, and lost opportunities but substantial contributions nonetheless
Thank you to the many many special nurses that have lead, supported, cared and better changed my career
Read 4 tweets
Dr. Cook begins her #CCC50 Lifetime Achievement Award talk with reflection on her own 1st presentation ever as an #ICU fellow- at an @SCCM Congress! She was struck by the interprofessional group of attendees.(Thread)

#NationalWomenPhysiciansDay #WomenInMedicine #clinicalresearch
Her first lesson learned to impart to us.


An early senior researcher said to her early in career:
"I just don't think research is in your future"

Imagine what #CriticalCare world would have lost if she had listened.

#CCC50 #pulmcc #PedsICU
Dr. Cook: Sometimes dialogue is more important than consensus. You have the TRUST YOUR GUT. #CCC50

You're not growing until you're changing. Defining moments for bravery may come along when you least expect them. Be brave. #WomensPhysicianDay #PedsICU #pulmcc #ICU
Read 14 tweets
Happy #NationalWomenPhysiciansDay to my amazing female physician friends and colleagues who serve in medicine. Today honors the birthday of Dr. Elizabeth Blackwell, the first woman to receive a medical degree 172 years ago

She was rejected from each medical school she applied to, except Geneva Medical College (upstate New York). The dean and faculty, usually responsible for evaluating an applicant, were not able to make a decision due to the special nature of Blackwell's case. They decided to vote
They put the issue up to a vote by the 150 male students of the class with the stipulation that if one student objected, Blackwell would be turned away. The young men voted unanimously to accept her!
Thus, in 1847, Blackwell became the first woman to attend Med School in the US
Read 4 tweets
Spent the evening facilitating a virtual bookclub meeting with @WUSTLmed student AMWA group. Their chosen book below

Really thoughtful discussion about the #genderbias patterns and strategies

Some key takeaways below
#WomenInMedicine #MedEd #MedTwitter
Gender bias patterns

➡️Prove it again
🚺 judged on accomplishments
🚹 judged on potential
🔑⬇️stretch roles

🚺don’t apply until meet 100% qualifications
🚹apply if meet 60%
🔑 Missed opportunities

🎯Keep list of accomplishments, take a leap, form group to celebrate wins
Gender bias patterns cont’d

Too nice-> not respected
Too assertive-> not liked

Words matter
Pushy-> Persuasive
Aggressive -> Assertive
Emotional -> Passionate
🔑Check your biases

Written words matter in LOR
🔑Focus on accomplishments not only personality
Read 4 tweets
OUR NEW STUDY out @JAMAInternalMed is on personal attacks & sexual harassment of physicians on social media.

Authors on #MedTwitter here and 1st author med student 👏🏽@traependergrast & @ShikhaJainMD @MDaware @MikeGisondi @ShikhaJainMD @NikiWoitowich…
This paper is the result of a survey we did on social media in Feb-Mar 2019 so pre pandemic. We posted a @Bitly link daily on our accounts to track engagement. 464 completed our survey of 1103 views (42%).
~1 in 4 physicians on social media reported being attacked. No diff by gender. Most common reason: advocacy on vaccines & other public health issues like gun control. Attacks on race & religion too. Reports of employers being called, getting doxxed, and even death threats. Image
Read 12 tweets
#NewYear2021 reflections - a 🧵

Had an unintentionally profound moment with an executive coach recently.

She said “maybe you should just stop thinking about what's next and enjoy that you’ve arrived."

What? I almost 😢. ♥️ stopped. But wait - there's important context...
I was telling her my life story, the professional twists and turns.

The part where my husband got cancer.

The part when I left academic clinical medicine- my love, and my identity.

Would I still "be" a doctor?

Would my accomplishments and work matter? Or be nothing...
I had, after all, pretty much achieved all the "important" things.

Invited speaker around the 🌏
Academic rank/promotion
Examiner for my specialty’s Board
Board of Directors for multiple orgs
Many national committees
Teaching residents/students
Successful separate businesses
Read 10 tweets

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