Discover and read the best of Twitter Threads about #professionalism

Most recents (24)

Peer review and accepting constructive feedback is critical in research; however, criticizing someone's work to everyone BUT them is not peer review. If you don't suspect something strongly enough to tell the author, you shouldn't be saying it. It's unprofessional and toxic.
Whatever our work is, it's not about us, but contributing to something bigger than ourselves. We should want our contribution to be as valuable as possible. Feedback gets you there. Toxic behaviors don't. People can't fix something they can't see. Tell them.
If you have a concern, voice it. Explain your rationale; support it. Don't be vague. "Well, I don't really get it," or "your study has problems," are both useless except for hurting people who have done nothing but try to contribute. That's a vulnerable position. Be better.
Read 5 tweets
This 👇👇👇 (h/t @joemd)

Also, at midcareer female success is threatening to men our age AND to younger men who rely on patriarchal patronage systems. Women, overpoliced by the system, then, yes, are tougher bosses AND we *do* tend to adhere more closely to ethics.

I do do all:
On #MedTwitter there is a pattern of “callouts”, yes vs all genders & ages, but also pattern of misogyny and misogynoir. It happens towards nurses & doctors alike. One of the reasons I connected with @ShrimpBrokkoli is because I saw a yt male resident ridiculing her online.
I saw that behavior being taught by NON-clinical faculty & that REALLY crossed a line.
If you are a woman + nurse + frontline + Black/WOC, you already live with so much violence towards you. Added online made up drama from a trainee vs nurse?
No, no, & no.
webmd.com/a-to-z-guides/…
Read 16 tweets
Directness & saying what you mean is important. The receiver also needs to be ready to tolerate this. Society & business places tend to prefer the passive aggressive so being direct does invoke blowback.
There is particular social cost to being direct & going against social norms

if your optics/demographics invoke mental models …say of expected discretion, “civility”, or “be kind” or “softness”

OR

if mental model invoked is “angry Black woman/man”

fastcompany.com/90413951/women…
“Be kind” is red flag: it identifies the passive aggressive shushing/shaming people who are threatened by @candor & perceive directness as aggression. It’s a fixed mindset trait or a negative consequence when empathy/emotions overindexed in ways to block growth & learning.
Read 9 tweets
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
This makes me so 🤢

The idea that women are automatically “safe” is exactly what creates this “opportunity” for some women to exploit children & monetize their “optics” of “trustworthy” on behalf of predators.

Gender does not predict ethics, integrity, safety.
Why does #GhislaineMaxwellTrial matter to #womeninSTEM?
⬇️federal funding
➡️private donors (Epstein)

“Socialites” open doors to elite spaces, including #academia #science #STEM
Women=“optics” & “reputation management” for these wealthy predator men

theverge.com/2019/9/19/2087…
These same connected women, often daughters of powerful businessmen

are on boards of #WomeninSTEM “empowerment” organizations or on #MeToo (TimesUp scandal)

the very women who are predators of young women are given access to women’s “safe spaces”? (!!!)

bustle.com/entertainment/…
Read 33 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
1/ Welcome to another edition of West’s Well-Being Wednesday! As a reminder, I’ll briefly highlight papers, topics, questions, etc. related to healthcare professional #wellbeing, with a new 🧵 each week. #wellbeingwednesday #burnout #medtwitter #meded
2/ To start Year 2, I’ll link to the threads from July 2020.
First, from July 15, a thread on #burnout history back to Freudenberger.
Read 9 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
#MedTwitter influencers show hypocrisy (advice vs actions on masks). Agree:

“unpleasant comments are ‘the nature of social media’ and holding public figures accountable is critical when they are setting an example for their ‘millions of followers.’”

insider.com/coronavirus-sh…
#tweetiatrician have even gotten death threats for pro-#vaccine #SciComm - most #MedTwitter influencers did nothing to protect vs these personal safety threats to #clinician & #doctor colleagues

@ZDoggMD & @DrToddWo did step up to help @NicoleB_MD

medpagetoday.com/special-report…
Compare above to Dr. Mike:
when medical influencers are “caught”

adds to public perception:
“doctors cannot be trusted”

“Another fan posted on Reddit: ‘I know it's your life and you can do what you want, but you have chosen to be a public figure.’”

mirror.co.uk/news/uk-news/w…
Read 11 tweets
I would say that society is at fault. The government was not behind Jenny McCarthy, Oprah, Dr. Oz, etc.
#vaccine #VaccinesSaveLives #VaccinesWork #MedTwitter #ScienceTwitter
What the government DID do wrong: “#security” & espionage via vaccines Frankenstein monster unleashed on Muslims

If the US government does do things like this it’s not a “#conspiracy

...all while what led to #CapitolRiots was brewing 🤦🏻‍♀️

@PeterHotez

npr.org/sections/thetw…
If Prius-driving Whole Foods-consuming suburbanites would STOP #misinformation #disinformation to #trauma ridden #refugee populations

(trauma->fear)

the jobs of minority & Muslim doctors would not be so hard

This is lack of *societal* control
of the most privileged
who HARM
Read 21 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
Had a fun time talking about #leadership in #STEM (at any stage of career), #BlackExcellence #WomenInSTEM #DEI #DiversityandInclusion to a range of students and faculty at @tennesseetech. Thanks for the invitation @JosephCSlater. Look forward to building further on this.
Talked about ways to take on community level leadership roles to develop skills in acquiring funding, managing a budget, team building, managing people, executing.

Know what you are good at and balance the rest with your team. Don’t try to be it all.
Particularly on #Twitter, being overt about terms like #bias or #BLM or #racism can result in blowback. That does not mean what you said was wrong rather others may have insecurity or have work to do. Manage your energy as an advocate. Avoid burnout.

Read 15 tweets
Addressing #stigma: If you are my friend or colleague, regardless of gender, you get to know my ovaries whether you want to or not. I’m a woman with #endometriosis & #fibroid #menstrualhealth pain. Instead of seeming “flaky” I will tell you my #womenshealth reason I must cancel.
This is also a generational thing. Boomers and some GenX were “I am as tough as a guy... ovaries.. what ovaries?”

Me: “I have ovaries. They are complicated suckers. We’ll have to work around them.”

#endometriosis #fibroid #womenshealth #menstrualhealth

swhr.org/identifying-ba…
One of the things that made me 🥰is when a MAN reached out to me, because I tweet on this, for his female significant other to ask if I had resources to help her

If you hear of me being “anti-woman” I am anti-#professionalism (women) who suppress open uncomfortable communication
Read 9 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
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👍
#WomeninSTEM
#SciComm
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

#womeninleadership
#womeninSTEM
#WomenInMedicine

vice.com/en/article/8xy…
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”

#womeninSTEM

psychologytoday.com/us/blog/family…
Read 25 tweets
When you want to know why
-women & minorities leave medicine
-why research lacks data to serve needs of anyone not white & male
and/or
-why different mortality rates in patients by gender, race, SES

this is why

This is #MedBikini#professionalism” again

#MedTwitter
#MedEd
Is insidious
but highly effective
maintains
-segregation
-different access
-barriers

As women, LGBTQ, minorities, disabled enter or advance in medicine, this professor’s public stance will be cited to mislabel having #ethics as “lacking #professionalism

bioethics.net/2020/07/medbik…
#medbikini is not one article
=attitude of many physicians
=drives this

We saw this happen with @ayshakhoury and @uche_blackstock and so many others. It especially happens at midcareer to WOC, especially black. Also if Muslim, LGBTQ, disabled, #mentalhealth

#MedEd
#MedTwitter
Read 52 tweets
#MedTwitter showed me the dark side of this, of all times, during a #pandemic. Turns out some who are employed in supposed #SciComm actually stalk patients on behalf of doctors & administrators. Sadly, #bullying patients has gone from "just" in hospitals to dark web.
There is a type of doctor, not all, who believes self a "victim" of patients.. "I am a victim" is used to do mental gymnastics to "justify" #bullying patients who seek answers, report error or harm, initiate lawsuits.

Yes, there is too much litigation. But this is America.
#Tweetiatrician training is for #advocacy on #vaccines #VaccinesWork #VaccinesSaveLives

This has been our lane for well over a decade. As long as I've been a pediatrician we've been using every form of #communication and #SciComm, the sillier the better

pediatrics.aappublications.org/content/141/1_…
Read 9 tweets
This is where a "culture of civility" enables abusers & predators. If you do not say something to inappropriate behavior in a professional context, maybe you feel it will draw negative attention to yourself oor associate you with the harm

you are complicit
you teach "this is ok"
What I find with "civility" culture

is it will punish action - like even smiling too much, identity (natural hair) or things of a non-European culture

while rewarding suppression, silencing, & inaction as "not making people uncomfortable" called #professionalism.
A prime example is how "comfortable" Dr. Birx made us on ongoing harm. Per her recent interviews, she knew was going to happen, she carefully documented (like the bureaucrat expecting later accountability and protects self) but did not speak

businessinsider.com/dr-deborah-bir…
Read 5 tweets
When people who seek control
and who monetize fear

are faced with evidence their narrative of control is false

rather than embrace reality
(or develop courage)
they double down

At times of high stress you see bizarre overpolicing & bullying increase over petty non-issues.
There is a gender difference in bullying tactics.
Men: physical
Women: social (exclusion)

Later looks/sounds like
“Don’t talk to her”
“Club”
“No one likes you”

(Yes, really adults resort to grade school tactics)

Faculty/teachers need to stay aware:

apa.org/topics/bullyin…
Whereas adults are taught “just shake it off” or “ignore it”, students or children are especially vulnerable to faculty or teacher over-policing.

This over-policing starts not just in preschool but in the cradle.

“The police” in schools: teachers.

txicfw.socialwork.utexas.edu/4-things-you-n…
Read 47 tweets
Cyberstalking by faculty and administration is simply never okay. #Medbikini was not a one off.

Almost everyone, regardless of age & gender, whose bio has “#professionalism” in it or “#cybersecurity” is worth looking into as to what #ethics they disregard or violate.
#Mentalhealth is needed. Until they clean up their #ethics minoritized populations will continue to be unsafe

Torture relies on “exploiting” psychological or physiologic vulnerabilities

Some, instead of creating #health, sell services to design torture

washingtonpost.com/outlook/psycho…
Conflicts of interest, especially unreported, are a massive source of ethical failure. First, clinicians should inherently know torture is unethical as well as “unprofessional”

but if they lack a moral compass or ethics, reporting COI can flag to others

journalofethics.ama-assn.org/article/profes…
Read 8 tweets
1/ All teachers will have learners who aren’t meeting expectations.

Providing feedback in these situations can be tough, but is VITALLY important.

Hang with us, the #MedEdTwagTeam, and we will walk you through it on today’s #TweetorialTuesday!
2/ Today, we will discuss the “struggling learner”, a terrible phrase that shouldn’t be used.

From now on, we will be discussing the learner who isn’t meeting expectations (LWIME). This doesn’t label, and describes their current behaviors, not their potential.
3/ Can we define LWIME? Per @JenniferSpicer4 & @gradydoctor, you need a measuring stick to say whether a learner is, or is not, meeting expectations.

Great tools are the #ACGME Core Competencies or #CanMEDS Framework. You can further break this down by specialty #milestones.
Read 15 tweets

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