Discover and read the best of Twitter Threads about #WomeninMedicine

Most recents (24)

1/21 “Is there a nurse or doctor on board?”

Clinicians—have you ever responded to one of these?

Last week I left the hospital and boarded a flight for my vacation. I then responded to the mother of all in-flight emergencies…
2/ This was a flight with hundreds of people from Boston, so I estimated there would be at least 15 doctors. Turns out I was the only adult medicine doctor, BUT there was a cardiac nurse with me.
3/ The patient was middle-aged and experiencing crushing chest pain. We asked for the medical kit, took vital signs and performed an exam. By the way, you cannot hear sh*t through a stethoscope in the air. I could hear bilateral breath sounds, but that’s about it.
Read 24 tweets
I want to put a 🙌 out to #MedTwitter

I may not tweet a lot but I do follow and gain quite a bit so I want to share how it has changed the way I carry myself and provide care.

It’s a thread.
2/
Patient asks the case manager when the doctor is going to see him

I spent 30 minutes updating him earlier that day 🤔

Pre-twitter: ok
Post-twitter: Sir, I’m in charge of your care, tell me a bit more about why you didn’t think I was your doctor.
#WomenInMedicine @AMarshallMD
3/
Overhear the nurses talking about a patient who made a veiled but serious threat to them during the course of care.

Pre-twitter: I’m sorry.
Post-twitter: 😠 that’s not OK. How can I support you?

#MedTwitter #NurseTwitter
@BrowofJustice
Read 11 tweets
Read 7 tweets
Here are my #clinicalpearls from #IM2019. #meded #medtwitter #WomeninMedicine Share yours! 1/
The oral bioavailability of bumetinide and torsemide is 80-100% vs 10-100% for furosemide. If patients aren’t responding to furosemide orally, consider switching.

#IM2019 #clinicalpearls 2/
Vascular atrial fibrillation=mitral stenosis or mechanical valve. Vitamin K antagonists preferred over NOACs.

#clinicalpearls #IM2019 3/
Read 71 tweets
Here is my attempt at organizing the massive number of replies to my request for physicians on Twitter to follow for my #MPLSVAGrandRounds talk “Social Media in Medicine”
Here is the original thread, which has lists of people in just about every specialty you could think of, and quickly went beyond my ability to organize.
When going through these lists, @Doctor_V reminded me this important point:
Read 27 tweets
@smartlikemum 1- All male panels #manels are unacceptable now. Many resources & support for this. #PLOSCompBio’s “Ten Simple Rules to Achieve Conference Speaker Gender Balance” should help: ncbi.nlm.nih.gov/pmc/articles/P… @RACSurgeons @NeelaJan @csl888 @DrRachelleENT @drnikkistamp @TimesUpHC @ranzcog
@smartlikemum @RACSurgeons @NeelaJan @csl888 @DrRachelleENT @drnikkistamp @TIMESUPHC @ranzcog 2-“If you ignore 50% of the population, you’re never going to achieve what is potentially possible. It is absurd to suggest any enterprise that intentionally excluded half the talent pool could thrive”–@Scott_Gilmore macleans.ca/society/life/i… @DrKatrin_Rabiei @LiangRhea @dr_ashwitt
Read 13 tweets
4 yrs med school
3 yrs residency
3 yrs fellowship
To prepare to be a doctor
And I'm good at it.
Really good.
Then comes parenthood.

No training
No classes
No manuals
To prepare to be a parent
And I feel like I'm often failing at it.
Really failing.
With the 1st baby
It's exhausting and overwhelming
But we finally get the hang of it
Think, ok I can do this.

Time for another one.

Then the rules change.
Read 7 tweets
This is @TChanMD taking over the account this morning. Getting ready to live tweet the talk by Dr Gillian Hawker (@UofTDoMChair) who will be speaking on the important topic of #MindingTheGap in #AcademicMedicine!
Dr. Hawker starts with a great quote: "I'm not here to bash men."
This is VERY true, men are our allies in the fight for equity. - TC
#HeForShe
@UofTDoMChair @ @MacDeptMed
There is a strong business case for DIVERSITY.
Diversity can help with...
Decision-making, problem-solving
Productivity
Worker satisfaction
Community Engagement
Fosters innovation.
Promotes organizational values

#WomenInMedicine
Read 27 tweets
@mtobiasneely @NIH @TIMESUPNOW @MeTooSTEM @socwomen @Clayman_Inst @ASAnews @insidehighered @chronicle @JHUmetoo @ProfSharona @AnnOlivarius @darakass @maddow @CWolinetzNIH @SUNYChancellor @NLMdirector @rejoicePhD @CWGreider @500womensci @500WIM @JamesRPriestMD @scoutout @JulieSegre @kaymtye @HannahValantine @choo_ek @KayKosmos 3. @McLNeuro is founder of @MeTooSTEM. Her department chair, Sweatt, on leave for allegedly drugging and raping a student, was allowed to be part of the decision to reverse her tenure (at the request of Dean Jeffrey Balser) after tenure had been approved.the-scientist.com/news-opinion/v…
Read 27 tweets
@McLNeuro @DrAilshire @JMGrohNeuro @sbarolo @hormiga @risss_evans @KKTreseder @SarahEMyhre @batssiki @sbrietz Set up ways to continue dialogue with @NIHDirector & committee–ongoing conversation & input. Action plan before you leave. Also make clear any further delays are unacceptable. Action plans, strong regulations/policies must be instituted immediately. Petition is excellent example.
@McLNeuro @DrAilshire @JMGrohNeuro @sbarolo @hormiga @risss_evans @KKTreseder @SarahEMyhre @batssiki @sbrietz @NIHDirector 1- Many excellent thoughts/suggestions in thread. We thought a list of comments/support/urgency from many sectors may be useful. Concerning that @NIHDirector has not made clear, active efforts to stop #SexualHarassment by @NIH grant holders while @NSF & other orgs have.
@McLNeuro @DrAilshire @JMGrohNeuro @sbarolo @hormiga @risss_evans @KKTreseder @SarahEMyhre @batssiki @sbrietz @NIHDirector @NIH @NSF 2- Why isn’t #SexualHarassment a top #NIH priority. Why the resistance to actively creating strong policies against #SexualHarassment to protect #WomenInMedicine #WomenInScience #WomenInSTEM #WomeninEngineering, even when called out repeatedly by many. What’s the real issue here?
Read 16 tweets
Drop everything right now and
Read.
This.
Article.

Whether your a millennial yourself or trying to understand them, *this* defines the extreme pressures of our generation. #meded #hcsm #hcldr #WomenInMedicine

buzzfeednews.com/article/annehe…
Does this not perfectly describe every millennial doctor you’ve ever worked with? This is exactly the crisis in #MeEd and medicine in general. The recent #USMLEPassFail discussion is the perfect example.
This is bleeding into other generations as well.

The true answer to burnout like this is probably to just say no, to stop doing all these things - but the ramifications will destroy our health and any chance of security, financial or otherwise.

This is the millennial bind.
Read 5 tweets
****THREAD****

A true story about what Women in Anesthesiology & #WomeninMedicine were able to accomplish in a matter of months. 1/x
Last fall, I was looking into why @asalifeline did not have a statement supporting #parentalleave for anesthesiologists when nearly all other major specialties did. 2/x
Then @JosephHyder sent me this abstract from @ErikaRangelMD. It was exactly the survey we needed to do for our specialty. @Sdoddmd & I pitched a pilot survey for the #WIA2017 meeting to @rekhakuttikat, and she was totally on board. @womenmdinanesth 3/x
jamanetwork.com/journals/jamas…
Read 15 tweets
1/This is an excellent example of WHY @NIH needs to change their gender violence policies. Not only was this researcher found to be responsible by civil legal standards for sexually harassing a post-doc, the uni. found him resp. for creating a hostile environment. #metoostem
2/Literally the DAY the sexual harassment settlement was reached on September 17, 2018 the university publishes a letter lauding this researcher for obtaining a $20 million grant from @NIH: bit.ly/2P97QsW #MeTooSTEM
3/ What happened to this researcher? He has to take a training on sexual harassment and might have a letter put into his HR file. He is still the director of an institute. What happened to the post-doc? She has left the university and her research has not been published.
Read 6 tweets
@McLNeuro @statnews "In stark contrast, the NIH has done essentially nothing to address gender violence committed by NIH-funded scientists"–@statnews YET in 5 yrs it's paid out almost $2 million 2 settle #SexualHarassment cases brt by scientists in its own labs! buzzfeednews.com/article/petera… #TimesUpNIH
Read 19 tweets
This 👇🏽
Not better as an attending. Support mechanisms for residents lost. Stress of liability & productivity metrics. “Ambassador” status remains. “You are one of the good ones” a lactation RN told me, “You follow the rules.”
@choo_ek @RheaBoydMD @Priyanka_Dayal @DrJRMarcelin
That lactation RN then said “My ancestors did not fight in the Revolutionary War 4 ppl to come here with their hand out” & “Slavery happened a long time ago. People need to get over it”

Identified as “one of the good ones”, she’d felt comfortable saying this to me on minorities
That left struggling with the cognitive dissonance of her words: how did she simultaneously take credit for ancestors fighting in the Revolutionary War (at the end, slavery was codefied into law until another war was fought to end it) and AlSO tell others to “get over” the past?
Read 34 tweets
Great Q! Esp for #WomeninMedicine already with uphill challenge to promote our own work. Podcast interview > "media coverage", this is substantial teaching (and time commitment). Fortunately for this @thecurbsiders is earns CME so I would put there on CV! 1/n
I think also until CV outlines, educator portfolios, and P&T systems "catch up", find other ways to at least save it not share evidence of reception, impact, "ripple effect"
Ex word document with links #medtwitter comments/discussions 2/n
not trying to be overly self-congratulatory here, but sharing the wisdom esp for #Womeninmedicine of "selling" ourselves...here's a recent example for me. I will save this link on my CV for now in connection w my recent #GrandRounds
Read 3 tweets
Seven ways an “unbiased” compensation scheme can systematically hurt women. Feel free to add on. #WomenInMedicine
1. Discretionary bonuses calculated internally and nontransparently, open to bias
2. Paid leadership roles allocated in a biased manner
Read 8 tweets
Interesting question that gets at my central concern about declaring a major interest in advancing careers of #WomeninMedicine or #MinoritiesinMedicine, particularly as a research interest - cc @NarjustDuma
The last time I gave a talk on gender bias in medicine, a faculty member asked me if it had hurt my career to speak on this topic. I was taken aback, but then realized it was a smart question.
It’s a high risk topic for a number of reasons:
Read 13 tweets
1/This article highlights an urgent need for training faculty and administrators on issues related to gender violence and discrimination in #meded. We have five concerns with the article. #metoo #meded #womeninmedicine #sheforshe #heforshe @caroline_a_king @womeninmedchat
2/ Title IX. This article is missing information about federally mandated reporting processes and protections that legally protect medical students (and all students in the U.S.).
3/Anecdotal beliefs perpetuate harms. A physician expert states “the trainee must amass allies before lodging this complaint…” This is legally incorrect, a single report is enough to trigger Title IX and this reinforces the notion that single reports will not be believed.
Read 7 tweets
#FridayNightMusings
The end of my week involves reflecting on my week and what I've learned from my experiences & conversations with others. Topics in my awareness are gender inequality in medicine, physician burnout, abuse in healthcare & sharing/oversharing our stories 1/
There are those here who strive to inspire peers, provide a space for connection & rally for change through the various discussion threads. It's clear to me that there's a lot of passion & desire to do great things in the world by those who I follow/see in my feed. 2/
I can also feel the collective frustration/anger/angst/sadness/resignation/sympathy/name that heavy emotion when any of our efforts aimed at success & liberation from system constraints appear to be blocked by injustice, abuse, ineffective strategy or poor communication. 3/
Read 17 tweets

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