Discover and read the best of Twitter Threads about #implicitbias

Most recents (24)

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…
Read 20 tweets
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 . . . 👩‍⚕️👨‍⚕️👩🏿‍⚕️👨🏿‍⚕️👩🏻‍⚕️👨🏼‍⚕️😷
Read 12 tweets
So excited for the #NtlMtg20 to kick-off!!!

Ready to hear from @NASPADavid, Aimee, Courtney & so many other amazing people in our field!
Really awesome that @hecaod has Closed Captioning & an ASL interpreter on screen! #NtlMtg20 Image
And it's a GREAT time to say Happy 5th Year Anniversary to @hecaod!!! #NtlMtg20
Read 75 tweets
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
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
We often have conversations about #equity that are blaming (“us” vs. “them”)

Blame has an inverse relationship with accountability
Read 21 tweets
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
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?
Read 11 tweets
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/…
“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)
Read 19 tweets
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
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
Read 20 tweets
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.
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)

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

Read 20 tweets
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
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…
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
Read 13 tweets
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
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
"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"
Read 22 tweets
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
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:
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…
Read 30 tweets
Did you post about the black man hunted down?

Are you yourself black or a minority where you have felt unsafe around authorities because of how you look, race, religion?

What outcome do you expect from the share?

nytimes.com/2016/09/11/fas…

A thread on “performative allyship”
“But where are these white allies when the problems are less explicit than Nazis parading through the streets?”

Where are you when things that represent black culture are censured/shamed as inappropriate or unprofessional? A dancing TikTok or hairstyle

columbiaspectator.com/opinion/2017/1…
Is this you? (In private, offer “empathy”?)

Would you use your position to protect? Would you go to bat? Would you accept risk or harm to yourself? Make others uncomfortable? When someone criticizes a POC do you assess for #implicitbias?

https://t.co/f3NT23CQTj
Read 14 tweets
My thread on bullying. Pediatricians are experts on identifying bullying. All healthcare professionals should be. Adult bullying is, arguably as prevalent and destructive. In modern age we now have cyberbullying with the opportunity for 24/7 attacks.
aap.org/en-us/advocacy…
First off, the bully will often play victim. So if you are a high empathy person, you need to move yourself to "rational compassion" in order to maintain equipoise and stay open minded. Your emotions can & will be manipulated so maintain healthy skepticm

theartofcharm.com/podcast-episod…
When we are talking about a child, of course, that's a different story. Pediatricians & child abuse experts can parse this out. That is often picked up by tummy aches, milestone regression, or somatic symptoms. My intention here is to focus on teen, young adult, & adult bullying
Read 38 tweets
(Thread) Another week and another @MedTwitThisWeek #medthread. As a reminder, this is not all inclusive. It's a jumping off point. A continuation of the discussions from the week that I found interesting including conferences, #Tweetiorials and tributes. #medttw #FOAMed
2/ Conference Bonanza! Since last week, several amazing conferences took place (or just started). Each conference has their own hashtags and flavors of #SoMe. Here are some highlights...
3/ @jenreadlynn was at #midwesthospmed and did a great job of distilling @MelBreggs' talk on inpatient management of alcohol withdrawal.
Read 31 tweets
#Academy2019 @AAN_Nursing Keynote on #belonging: Dr. @LisaColemanPhD explains #Diversity (in the room), #Inclusion (being asked to dance), & #Equity (intentional reflection on history & power), & #Belonging: you can disagree about something & you’re still in the group
Dr. @LisaColemanPhD: You can’t have excellence in #innovation *without* #diversity, #inclusion, #equity *AND* #Belonging

#Academy2019
Dr. Lin Zhan to Dr. @LisaColemanPhD: How do #nurseleaders acknowledge #implicitbias? Dr. Coleman explains we all have implicit bias. On #microaggressions: Even well-intended words can do harm. #Leaders must assess their own biases AND how they’re operationalized in their orgs.
Read 17 tweets
Thread on how #inclusion, or lack thereof, affects #Wellbeing:

⚠️: upcoming #vulnerability moment

Do you ever feel Iike you don’t belong in the spaces you occupy?
I do.
The feeling is isolating & discouraging.

The reasons why are complex, complicated. /1
#medtwitter #burnout
I will confess here that being in #dermatology and in #academia magnifies these feelings.

Being courageous, stepping outside comfort zones, making your voice heard... it’s good, necessary, but the way you’re perceived and received matters. It has impact.

It’s complicated.
/2
The cycle of self-confidence can be a positive or negative one, and often starts early in youth, affected by things such as parental upbringing, privilege, etc.

That cycle can build on itself, and have huge implications for one’s professional and personal wellbeing.

/3
Read 14 tweets
This is one of the most controversial videos we've ever posted but if you have an open mind you'll know she speaks 100% truth.

It starts with indoctrination and education...
#JaneElliott
(1/2)
"The first modern human beings that evolved on this earth were Black women...& every human being on the face of the earth today has the memory of those Black women's genetic structure in their genes. We don't want to admit that, but that's the way it is..." - #JaneElliott

(2/2)
.@nhannahjones check tweets above in our thread...
Read 25 tweets
1/

A TALE OF TWO STENTS

a #twitternist #clinicalreasoning and #implicitbias reflection

Wanted to share 2vignettes with you #medtwitter, w permission (identities, some details changed)

Both involve rapid thinking, stretched foci of attention, unanticipated clinical events->
2/ first vignette :

Seeing last pt in morning session, 45 mins back

Finishing up, see another pt’s e mail & message on desk phone

Need 2finish up w pt in front of me, but odd message left in both places

Call back - 72 yo man, remote preDM but got that BMI to 23 long ago, ->
3/ mild lipids on lo dose statin, chronic bronciectasis, reflux. Know him 15 yrs as pt.

Pt: Dr. C, I feel better now, but ..(uh oh) when I woke had a discomfort in my L neck, felt sweaty. That’s all gone for a few hours now, I think I’m fine. But I don’t have my appetite ->
Read 16 tweets
How many of you have wished you could take an #ImplicitBias class w/ @DrQuinnCapers4? Then come along with me as I take his class! 🤓👨🏽‍🏫
#ImplicitBias is NOT racism! Remember: racism is an EXPLICIT experience, implicit biases are subtle ways in which all of us are subconsciously primed to behave in different circumstances.
TAKE HOME MESSAGE #1 “Be aware of priming and your blind spots. Laser-sharp focus is not always a good thing.”
Read 7 tweets
1/ "The ordinary response to atrocities is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word 'unspeakable'."

~Dr Judith Herman, "Trauma & Recovery", opening sentences.
2/ "Remembering and telling the truth about terrible events are prerequisites both for the restoration of the social order and for the healing of individual victims."

~Dr. Judith Herman, "Trauma & Recovery"

#prerequisites
3/ "The conflict between the will to deny horrible events & the will to proclaim them aloud is the central dialectic of psychological trauma ... Witnesses as well as victims are subject to the dialectic of trauma."

~Dr. Judith Herman, "Trauma and Recovery"
Read 332 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

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