Discover and read the best of Twitter Threads about #blackintheivory

Most recents (24)

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.
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…
Read 76 tweets
#antivaxx efforts now even use #deepfake

to target #refugee, Black, religious minority communities

like measles outbreak in Minnesota in 2019: Wakefield was flown in TO spread #misinformation & #disinformation

Now: online fake accounts/fake identities vs #VaccinesWork
What has #healthcare been doing meanwhile?

#Medbikini: Teach (male Asian) med students to make fake accounts to cyberstalk trainees’ personal Facebook for: bikini
or “being political” or “religious” (#BLM)

➡️“model minority” pipeline for “shadow faculty” vs Blck @ayshakhoury
#Medbikini #research got flak for men vs women

BUT was ALSO fake acct #surveillance vs #BLM like drove out @ayshakhoury @uche_blackstock @nhannahjones

While academia has ignored #vaccineequity
➡️ongoing #pandemic & deaths in marginalized targeted by #antivaxx

@womanistpsych
Read 23 tweets
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
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…
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
Read 45 tweets
This is evidence why “optics matter” crowd are often full of implicit bias.

This photo does not match/appeal to people’s assumptions or biases, results in fewer clicks, less ad revenue

..so business/media types do not promote such stories. This is how business reinforces bias
To be clear the “optics matter” business/branding mindset is also in #healthcare & #MedEd as #professionslism. It contributes to #blackintheivory & -isms in medicine.

ssir.org/articles/entry…
#AcademicChatter loves to condescend & snark from a position of intellectual superiority …but those whose monetize “expertise” & sell “certainty” as experts, are actually more biased:

insidehighered.com/blogs/technolo…

As academia is non-diverse, especially higher ranks, “justify” this.
Read 6 tweets
Beyond thrilled to have been awarded a *renewal* for my @NIH_LRP award!!!!!! Story time (on #privilege and #perseverance)

#medtwitter #academictwitter #blackinSTEM 1/
As a first-generation #Kenyan American, raised in #Kenya and very much an #African child (if you know you know), a #doctor is very much what I was going to be from the time I was born. 😋 (thankfully, also a marrying of my love of science and taking care of people!) 2/
So it was to my parents’ incredible delight when I got accepted to #medicalschool, never having... basically... known someone who had done so, in the US anyway. #firstgen #firstgeneration (yes, this story has a comical peak, wait for it...) 3/
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
@FutureDocs
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

insidehighered.com/advice/2020/06…

@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
@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.
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?

boston.com/news/local-new…
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.)

nytimes.com/2017/08/07/nyr…
Read 29 tweets
This is why I do long threads on racism in child & education spaces (child education up to #MedEd) and on the role of women to “protect” only some kids, not others. There is focus on police without looking at the full picture of sources of harm to children of color.
It is very very easy to focus on the Boston police Union leader

but who is it that..

helps him get access to children?
stays silent?
silences abused children?
promotes him?
seeks to please him (be promoted by him)?
sees him as a “good leader”?
softens his image?
protects him?
The role of men & women who police/silence those who would speak up... who prevent identifying the abuser

=extremely important

it is all on one spectrum: if you experience being denied food by a teacher as a 3-year old, will you speak up on abuse...

vs Stockholm Syndrome?
Read 7 tweets
Have ~ quarter million followers on #LinkedIn & use that space to speak truth to power. Use the power of my voice including on sexual harassment vs women.

In one #healthcare setting, the board hired marketers to cyberstalk employees. Creepy. #MedTwitter

linkedin.com/posts/usnehal_…
My current institution & my alma mater have taken money from #Epstein. #Science & #academia is full of creepy types in positions of power.

It is shocking those who woo a human trafficker donor also cross the line, hire ppl to #cyberstalk own staff? #MedTwitter #AcademicTwitter
When will we start to listen to the students paying substantial tuition?

Why do students have a superior understanding of #ethics and #traumainformed #education as compared to administrators who earn millions between salary & consulting gigs?

thetech.com/2019/10/23/set…
Read 5 tweets
One thing you learn

when as a WOC/POC, a Muslim woman/man, LGBTQ, disabled person, neurodiverse person or any other non-standard person

is when you
-show authenticity
-express oneself
-lead
-seek standards & ethics

you can & will be labeled as “toxic” by toxic Amy Cooper types
What we can learn from the #insurrection #CapitolRiots of “this is our house” is that open, public spaces are what white supremacists consider theirs.

An Obama supporter like #AmyCooper in #NYC CAN still perpetuate a culture of #whitesupremacy

bloomberg.com/news/articles/…
Also, be aware of the phrase I learned of late: “not all skin folk are kin folk” - not everyone is “fam” even if they have appropriated the phrase.

The “model minority” is often seeking to advance self by validating status quo, aligned with power.

theguardian.com/commentisfree/…
Read 18 tweets
Attacks range from on practicing clinicians by lay people to attacks on trainees by faculty. #Medbikini was faculty teaching trainees & med students how to stalk their peers, especially young women in the profession. Attacks can come from inside, often as “professionalism”
“One of our really big concerns is that physicians and scientists who are women, people of color, LGBTQ individuals and underrepresented minorities are the ones who are more likely to be attacked on social media”

Keep in mind attacks can be external or by faculty vs “lower”
Attacks from within profession are under the label of “professionalism” to mask it being stalking of trainees.

Look at the #Medbikini “professionalism study” and compare to what we know of professionalism being inherently racist.

Even if cyberstalkers had been women, not ok. ImageImageImageImage
Read 10 tweets
Mad respect.

The same people who signal visibly certain values, do not act in that way in such situations.

Recall hearing advice on how to survive academic politics, "When you see dead bodies floating in the river, don't jump in." People look away.
I repost this tweet by @DrOmolara often as it is so true. There are occasional private messages. Mostly there is silence in such situations. Personally, I have found Black women, who often have the least support, step up. Others stay silent.

Leadership is not getting a title, reaching x number of publications. Is your ability to create a vision for something that does not exist & to have the courage to go for it despite risks. It is often WOC, specifically Black women, who with that courage.

info.kpmg.us/news-perspecti…
Read 6 tweets
during my #PhD, i conducted a side project investigating what the barriers are towards making changes to the #academicpublishing system to reduce publication #bias

journals.plos.org/plosone/articl…

this showed me a rather dark side to #academia... 1/8

#AcademicTwitter #phdlife
i got about 50:50 praise and hate for this. weirdly enough, the praise and hate were often about the same thing: the (early) stage of my career.

praise: "it's great you're so keen and have grasped key issues and taken action so early..." 2/8
hate: "you're too early in your career and naïve to understand these issues. you shouldn't be researching this"

more worryingly, whilst i did get a lot of this feedback in person/by email, some of it was BEHIND MY BACK to my colleagues 3/8
Read 10 tweets
🧵, riffing off of this comment

The system teaches people they don’t matter, symbolized by name “does not matter”

To change “doesn’t matter”, change the system & culture in academia & medicine

When people respect individual humanity, people will become comfortable as salves
I hear “shocked” a lot and so this is not to single anyone out as it is common. If shocked, then need to dramatically educate self on #BlackintheIvory that affects Black & brown & immigrant. Also, when common to be called wrong name entirely, many of us finally just adapt/accept.
Personally, at the end of the year meeting w/ my division chief, when I have prepared my packet for academic promotion, if I find myself given the one other South Asian woman’s evaluation in a group of 7 that is my time wasted because you did not vet or verify individual identity
Read 20 tweets
This does not surprise BIPOC. We live it daily. The rest of you often deny our lived reality or assume it is exaggerated. Then you are shocked and ask “what happened to my country”

what happened: is you insisting on keeping your head in the sand & shutting down truth tellers
Most liberal/progressive types who get super excited by data... data that are incomplete, flawed, or based on people lying in polls due to social acceptability bias. But many liberal intellectuals are
Very little has changed since this was written by MLK. Very little has changed since my grandfather was training in England in Colonial times (there he was considered “black” and black/brown more similar as BAME) as a highly skilled surgeon (ophthalmologist) but sub-human.
Read 22 tweets
As a physician, can say this about doctor culture in the U.S.: we are a socially stunted puerile bunch easily manipulated by sales & marketing ppl or by metrics of competition, obsessed with status, prestige, ego..

...not my doctor friends...but we hang out at the margins.
The high school level drama that plays out in hospitals, then the replica, amplified, on #MedTwitter is 😱 No wonder our profession kills so many patients when we are so busy policing on pettiness & ignoring standards of quality, safety, population health ncbi.nlm.nih.gov/pmc/articles/P…
There are many reasons why I am hanging up the stethoscope, one of which is that I cannot in good faith go into any clinical setting and feel confident about “first do no harm” - The system is too misaligned, not driving quality, safe results

Then, the human dynamics are
😨😣😖
Read 30 tweets
This. Black nurses like @mclemoremr who not only have authentic clinical and community experience, not only know the disparities data, but also are winning grants to do the studies themselves belong on the transition committee or COVID Task Force.
In contrast when I have taught medical students straight from @AmerAcadPeds policy statements on racism in a hospital with a disparities center, have been told by a division chief that nurses find me “too political” which exactly is this that @COCoQC lays out

Not safe spaces Image
Repeatedly I “break ranks” - I don’t spend my time on outrage over “scope creep” - who is serving in the communities where Black women die at a 12x higher rate from maternal mortality? Not the doctors or nurses battling on own job & pay.
Is these ppl: mededportal.org/doi/full/10.15…
Read 28 tweets
Was contacted by some1 from med school wanting to hear about my experience with a faculty member who started bullying me with bureaucracy after I reported his resident for mistreatment as he witnessed the train wreck and aftermath. 1/6
Claim was dismissed until another resident (person who contacted me) put in writing in their eval that I was mistreated. Then this attending used multiple meetings to tell me I was the bottom of my class and he didn’t think fit to be a dr. 2/6
When I brought up his behavior and showed emails and recorded conversations, ppl reminded me he was voted faculty of the year for many years so it must be me. So I did his remedial projects for my “professionalism” issues of not being a team player. 3/6
Read 6 tweets
Okay.this is stress induced. I just committed to moving..mid-semester, am sleeping 3-4 hours a night, leading a major event, in an accelerated grad school program, and amid a tense election. I do have intermittent pain, but my migraines have not been this bad for a while.
The last time I felt this way was 2018 when daily the @AmerAcadPeds was sending advocacy emails with images that I found personally triggering from my own past experiences, then this was in the news wbur.org/news/2020/01/0… about Boston Public Schools reporting students to ICE.
Meanwhile at work was dealing with weird comments made about minority patients, errors in the medical record w/ staff gaslighting minority patients, & my being seen as the same as the non-white clinician in our small group of less than 10. Now, this week: linkedin.com/posts/usnehal_…
Read 27 tweets
@sinanaral on false news

#tweetiatrician peeps, @AmerAcadPeds, @AmerMedicalAssn and @PublicHealth @DrTomFrieden @DrPaulOffit @SaadOmer3 @ASlavitt this is a must watch and Prof Aral’s work is so critical.

People>bots are source of misinformation spread

Must watch @TEDTalks by @sinanaral of @MIT & @MITSloan

Fake news spreads as it invokes surprise & disgust. It is also tied to novelty.

Being negative & relying on creating anger & disgust “wins” over positivity. *sigh*

@AmerAcadPeds #tweetiatrician

I’ve long had a concern over the doctors & #Scicomm who “review” “fake news” out there. Yes content may generate anger & disgust among pro-science followers but how often do you boost the stats of the original fake content?

Have also seen sharing of false info about #STEM peers
Read 24 tweets
Hmm..so have to say, the most misogyny I have encountered is on #MedTwitter mostly from anon account doctors or anti-vaxx.

& tho I repost "The Female Lead" I have rare to no trolls or harassers. I have found @LinkedIn pretty female-friendly, in fact. Rarely get a weird message
My first run in was an all male group of doctors discussing IVF and ridiculing acupuncture as not evidence based but they had fragility to any aspect of IVF itself at all questioned or perceiving even tolerance of acupuncture as "quackery"
My point then was more a people in glass houses should not throw stones. There is a difference between clinical trials existing and #EBM as I know from having been on the payer side where business-minded clinicians' narrative advances ahead of science: ncbi.nlm.nih.gov/pmc/articles/P…
Read 33 tweets
My mammoth threads & voluminous tweets are for a few reasons:

1-am an experiential learner
I need try to fit pieces together in new ways

I have had A LOT of experiences in my career and am learning so many things about the system flaws

How does it fit

bu.edu/ctl/guides/exp…
2-I have been deconstructing myself to figure out how to reconstruct myself.

I have had a lot of progress at times and a lot of friction at other times.

Success can be defined in various ways.
Measurable outcomes are more when the human-system/setting-values fit is better.
3-Am learning by reading what other others tweet to assess how that fits into my situation & "self" constructs. What can I learn & how can I apply from it? Whereas some dehumanize & publicly examine others. I publicly examine self. LOL. Maybe is from childhood in/out of hospitals
Read 14 tweets
Woah..that was freaky but familiar. Was lying down & decided to get up to take pain meds for #endometriosis and #fibroids and it felt as painful to get up as the day after surgery. In kitchen, sweating, lightheaded. Quickly squatted to avoid passing out holding onto fridge door
..which swung open..but I did not fall. Then once head feeling better, stood up long enough to take meds...then walked, wobbly and lightheaded to chair. I can't quite feel my palms but that will come back. This probably gets to be called 10/10 pain..but maybe really an 8/10
Great..and a migraine too..scotoma.. taking a migraine med and lying down. Man, when it rains it pours.

Mother Nature is such a misogynist.

SO glad I did not decide to rent a car and try to go Finger Lakes this weekend to see peak foliage.
Read 88 tweets

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