Discover and read the best of Twitter Threads about #fqhc
Most recents (18)
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…
He spent his life as a first responder when others needed him. When he had a heart attack on the job, system overwhelm meant no resources available for him.
This is betrayal.
We’ve been asking, pleading, negotiating, screaming for this not to happen.
This is betrayal.
We’ve been asking, pleading, negotiating, screaming for this not to happen.
Maybe listen to the ones who care enough to speak up on REAL #safety issues rather then fire them.
The current #HCW correct dismissals over refusal of #VaccineMandate claim administrators are “bullies” because that HAS been true in past.
npr.org/2021/10/24/104…
The current #HCW correct dismissals over refusal of #VaccineMandate claim administrators are “bullies” because that HAS been true in past.
npr.org/2021/10/24/104…
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
This 🧵 resonated. Trained in Houston, #asthma central, I was in this scenario SO many times.
I had the best #pediatric training at @TexasChildrens & @bcmhouston - you see it all.
Amazing that mere tweets can transmit humane, quality #MedEd teaching across the globe.
I had the best #pediatric training at @TexasChildrens & @bcmhouston - you see it all.
Amazing that mere tweets can transmit humane, quality #MedEd teaching across the globe.
After moving to Boston I found myself surrounded by highly anxious doctors. We have an over abundance of resources and a healthier population. I saw people quick to overreact and manage (poorly) their own anxiety & need for control, with harmful aggressive overintervention.
I also do get being “Harvard” makes one a target. Juries are not going to understand “at the brink of death” and not intubating or the equivalent action in another scenario. “Jury of peers” is not present in a malpractice case. Good care can seem negligent, paradoxically.
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.
Is happening in the spaces I least expected (but that shows how naive I often am) #FQHC & #safetynet. Read up on Hahnemann Hospital closing & sale of assets: land, residency.... yup Medicare funded residencies among “assets” #MedTwitter
@Health_Affairs
healthaffairs.org/doi/10.1377/hl…
@Health_Affairs
healthaffairs.org/doi/10.1377/hl…
“The bankruptcy affected the lives of more than 2,500 employees in the city and displaced more than 550 physician trainees. The hospital’s underserved, ethnically diverse patient population was left to redistribute their own care around the city” #MedTwitter #healthcare #Medicaid
“became the institution’s first and only female professor of emergency medicine...assumed a leadership role as the associate dean of graduate medical #education. In that role, I and my team were asked to identify opportunities to improve the tenuous financial situation” #MedEd
Hello 👋 new followers. Feel free to introduce yourself.
Me: A top strength of mine is “input” Others in pics.
I tweet A LOT. I tweet long threads with links to articles, with highlighted screenshots, links to others’ tweets. I hold onto info & reference past yet “futuristic”
Me: A top strength of mine is “input” Others in pics.
I tweet A LOT. I tweet long threads with links to articles, with highlighted screenshots, links to others’ tweets. I hold onto info & reference past yet “futuristic”
You have to know the past to understand patterns and see possibilities as well as navigate past barriers for the future.
If you like control or boundaries, run now as I promise you I will be 🤯 for you.
If you like creativity, expression, innovation, equity, ethics, welcome.
If you like control or boundaries, run now as I promise you I will be 🤯 for you.
If you like creativity, expression, innovation, equity, ethics, welcome.
I am going to constantly run around the world finding interesting concepts & facts, be passionate & outspoken on justice/equity, re-use old tweets to explore new facet in new thread.
I’ll shape shift & if you try to pin me down or box me in, you will be frustrated.
All me:
I’ll shape shift & if you try to pin me down or box me in, you will be frustrated.
All me:
Those who:
do not touch patients & never have
who maintain no clinical licenses
who feel free of any commitment to #ethics
are put in charge, by administrators, to control, often via fear & shame, clinicians.
This harms on many levels.
It is anti-#safetyculture.
#MedTwitter
do not touch patients & never have
who maintain no clinical licenses
who feel free of any commitment to #ethics
are put in charge, by administrators, to control, often via fear & shame, clinicians.
This harms on many levels.
It is anti-#safetyculture.
#MedTwitter
We have lost >500,000 Americans to #COVID19 alone. Preventable deaths. These are mostly the marginalized, vulnerable.
Either document measurable work to save lives, or get out of the way and out of budgets that could be used to save lives.
Either document measurable work to save lives, or get out of the way and out of budgets that could be used to save lives.
I’ve seen SO much over the years, in the name of #compliance consulting to siphon off money to block &, ultimately, harm.
No this does not save money.
It harms families.
It monetizes coded racism.
There are a multitude of such vendors & consultants.
governing.com/topics/health-…
No this does not save money.
It harms families.
It monetizes coded racism.
There are a multitude of such vendors & consultants.
governing.com/topics/health-…
Yesterday again, a physician engaged me then seemly regretted the reply
deleted non-factual replies
unfortunate that there is such poor training on #Scicomm that folks do not understand that deleting is not protection
better internal judgment & self management = protection
deleted non-factual replies
unfortunate that there is such poor training on #Scicomm that folks do not understand that deleting is not protection
better internal judgment & self management = protection
Is it any wonder physicians are unable to navigate increasingly complex healthcare policy or industry pressures if some unable to manage own selves?
“Physician led” slogan requires those issuing that rallying cry to demonstrate trustworthiness - else *you* harm the profession
“Physician led” slogan requires those issuing that rallying cry to demonstrate trustworthiness - else *you* harm the profession
#globalhealth, #Ruralhealth in America and #FQHC care require #teambasedcare, as does care for children with disabilities - so I am never going to mandate only one type of clinician or be locked into separate cult-like group coercion or shaming.
cdn2.sph.harvard.edu/wp-content/upl…
cdn2.sph.harvard.edu/wp-content/upl…
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?
Huh?
Why isn’t female doctors saving lives of WOC part of “feminism”?
“male-centered” world is problem = latest knee jerk “feminist” defense
Men cause female doctors to not speak on scientific facts in public?
Huh?
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
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.
jamanetwork.com/journals/jaman…
jamanetwork.com/journals/jaman…
If you want to understand a woman, look at her mother - at least true of me
My mom? As a new immigrant to America, when she encountered an unfair Eurocentric rule from her English Lit grad program? She wrote a paper & got the rule changed
Smart
Owned her power
Effective
Ethical
My mom? As a new immigrant to America, when she encountered an unfair Eurocentric rule from her English Lit grad program? She wrote a paper & got the rule changed
Smart
Owned her power
Effective
Ethical
My mom and I are the same in core values but opposite externally. She uses maybe 1/100th of the words that I do and is intensely private. I am out climbing literal mountains while she prefers to stay in and read books and my dad’s #engineering journals.
My mom is an introvert who thinks 10x before speaking w/ surgical precision, educated by German nuns & British educational system
We are Urdu-speaking
She is fearless in face of patriarchy
It runs in the family. Have strong, activist #womeninleadership role models in #Pakistan
We are Urdu-speaking
She is fearless in face of patriarchy
It runs in the family. Have strong, activist #womeninleadership role models in #Pakistan
We knew this.
We need stable, responsible voices on #SoMe
I am ALL for 1st amendment. Am anti-policing. Am anti-censorship.
Those of us in #SciComm can hold our OWN selves to higher standards than I see on #MedTwitter now. Vet. Verify. Be factual. Don’t do “left” vs “right.”
We need stable, responsible voices on #SoMe
I am ALL for 1st amendment. Am anti-policing. Am anti-censorship.
Those of us in #SciComm can hold our OWN selves to higher standards than I see on #MedTwitter now. Vet. Verify. Be factual. Don’t do “left” vs “right.”
We cannot control what others post or do with our own posts to mislabel or misuse, unfortunately. We can reduce the “gotcha” aspects w/ passing things thru several gates. For me, having worked in the ED, been a public official, served as an expert witness, have automatic filters.
Deleting is NO protection. There is legal precedent “cleaning up” social media can lead to more questions.
It has been screenshotted. The “blocked!” or “deleted!” is used for innuendo.
Long thread on compliance & legal aspects of #SciComm for licensed professionals.
It has been screenshotted. The “blocked!” or “deleted!” is used for innuendo.
Long thread on compliance & legal aspects of #SciComm for licensed professionals.
Just because I am perpetually wading into controversy...as a BIPOC but not a Black woman... here I go again.
#BlackExcellence in #healthcare is VERY needed. Thanks for tweeting this @mdawriter
That includes #blackexcellence as physicians AND every other type of #HCW
#BlackExcellence in #healthcare is VERY needed. Thanks for tweeting this @mdawriter
That includes #blackexcellence as physicians AND every other type of #HCW
This is super complicated. Traditionally, #healthcare has been physician-led "therefore" the ills of healthcare also fell squarely on the heads/shoulders (malpractice insurance) of physicians. That said, now most physicians are employed. Then the "therefore" of #accountability?
Workforce and representation very much are important for the 1:1 care. We know this to be true, for instance:
hbr.org/2018/08/resear…
But it is a long pipeline to get a practicing, licensed physician and requires a lot of debt/resources
hbr.org/2018/08/resear…
But it is a long pipeline to get a practicing, licensed physician and requires a lot of debt/resources
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
Not safe spaces
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…
Is these ppl: mededportal.org/doi/full/10.15…
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
Much debate on #SciComm. Little formal guidance exists. Those on academic committees that oversee ethics & professionalism are unfamiliar with social media. And now we are in a crisis and #pandemic of many levels. #publichealth very different from industry (1st vs rest).
In #publichealth one, the 1st points are be first & be right
There is an inherent tension between these two
With disrupted public health coordination, like cutting off from WHO, changing guidance from CDC (masks only for clinicians, no everyone wear them) how to be accurate?
There is an inherent tension between these two
With disrupted public health coordination, like cutting off from WHO, changing guidance from CDC (masks only for clinicians, no everyone wear them) how to be accurate?
In comparison, industry guidance #SoMe guidance. Industry has a lot more experience with this and uses it for marketing, market share, customer outreach, customer brand recognition, brand management. The focus is prestige, optics, reputation - there are monetizable traits.
Umbereen S Nehal MD MPH: who is this person? Several people have been asking
A thread
Where am I from? Hooboy.
Let’s say, citizen of the world, human ping pong ball. Third culture kid. Genetic mutt
Born: 🇺🇸
🇵🇰 parents - when my parents born colonial rule, pre-Pakistan
A thread
Where am I from? Hooboy.
Let’s say, citizen of the world, human ping pong ball. Third culture kid. Genetic mutt
Born: 🇺🇸
🇵🇰 parents - when my parents born colonial rule, pre-Pakistan
To thoroughly annoy my Twitter bestie, @DrvanTilburg
Am an ENFP - a cross between Snoopy, Robin Willians, Ellen Degeneres, Dr. Seuss, Charles Dickens, Upton Sinclair
I border on ENTP - love new info and love to challenge in order to break through barriers or limitations
Am an ENFP - a cross between Snoopy, Robin Willians, Ellen Degeneres, Dr. Seuss, Charles Dickens, Upton Sinclair
I border on ENTP - love new info and love to challenge in order to break through barriers or limitations
My great-grandfather was given title "Khan Bahadur" (brave). As a judge, a brown man under Colonial rule, he threw the book at a British attorney. "Learn the law" if in his courtroom. Hence my stiff moral backbone
My mom & me:
(She loves this song)
My mom & me:
(She loves this song)
THREAD: As #COVID19 cases – and deaths – rise, health centers around the country are doing what they’ve always done: providing primary care and other essential health services. #FQHC #ValueCHCs 1/3
Now, however, they’re doing it with a limited supply of masks and gloves, and a significantly higher number of anxious patients. #FQHC #ValueCHCs #COVID19 2/3
Read this piece by @DirectRelief featuring multiple California #FQHCs--@CBWCHC, @nwhealth, @QueensCareHC. @APHCV--about how health centers are responding to #COVID19 directrelief.org/2020/03/as-cor… #ValueCHCs 3/3
