Discover and read the best of Twitter Threads about #professionalism

Most recents (24)

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
Agree and...

Many of us also saw an ugly side of ivory tower

multiple out of touch clinicians & non-clinical faculty overpolicing minority, LGBTQ, women clinicians, trainees, students

Revealing what drives distrust of institutions/faculty

Must fix this for effective #SciComm
#SciComm currently lacks Black or marginalized group (including BIPOC, disabled, etc) leadership within it which explains why so called leaders within it cannot recognize effective public health messaging that works in communities of color, marginalized groups.

Need more:
This video shared by @KateWalshCEO of @The_BMC represents a divide in #SciComm & #MedTwitter & #professionalism
Some find clinicians dancing offensive
The thing with diversity is not everyone at an institution is on the same page, evidenced by #Medbikini

nytimes.com/2020/08/02/us/…
Read 18 tweets
The entire field of #professionalism is rotten to the core, racist, sexist, ableist

=glorified cyberstalking taught by creepy older men
carried out by younger folk
as we saw from #MedBikini

Academia rewards this w/ peer reviewed publications

bioethics.net/2020/07/medbik…
I first started to see it when I worked in #Medicaid on #compliance side, some women in particular took excessive pleasure & identity being “the policewoman.” At the time was starting to learning the preschool to prison pipeline (but NOT from @AmerAcadPeds)
= scary underpinning
Who polices “the police”?

There are SO many jobs that need to go away

that merely exist cuz someone whips up fear, hatred, disgust
then monetizes it

“Let me police ‘those people’ for you”

while delivering not zero value but NEGATIVE value

= Waste

time.com/3117361/welfar…
Read 12 tweets
It “took a village” to “raise”/create Andrew Wakefield - it is common for everyone to back away once accountability happens but Andrew Wakefield did not do this all by himself.

What about medical culture and who is not policed on professionalism that allowed him to get so far?
When I look at Wakefield, I see the same kind of lack of ethics evident in #Medbikini study

but Wakefield was far further down the spectrum

because he was doing invasive GI procedures on children for his study, funded by a lawyer

First: consent matters
Informed consent matters
What incentives exist in healthcare & academia that shaped his mindset & behaviors?

What was Wakefield rewarded for throughout his career?
Where did he NOT get questioned?

Look as this patent he had filed to compete vs MMR
Gibberish
+
His 🤑incentive

patents.google.com/patent/US65342…
Read 16 tweets
Spot on.

No one agrees on definition of #professionalism.

Differs by field & setting within medicine.

Let’s be more precise.

There are several cultural and system changes/shifts happening in healthcare that change interactions, expectations, parameters.

#MedTwitter
More from @Dr_Bowser - yes, #professionalism is diffuse, varied

It quickly devolves into
shaming labels
in/out group
(=You do not belong in the profession/club)

Fear of being ostracized

to enforce “rules” that are
nebulous
not verifiably mapped to quality
often indefensible
Methods to exclude, ostracize, label as “out group”

are hallmarks of bullying

which we know is too prevalent in medicine and education

Not everyone who uses term “professionalism” intends to/is a bully but many of us are complicit
Read 17 tweets
This is very important. I had been preferably using Black gifs for representation.

The nature of #communication is that how you intend it and how others may receive it will pass through many other filters as well as sources of trauma.

When in doubt err on side of caution.
While I have not received any feedback that my gif use is inappropriate one should not wait to be told. Going to be sure to apply an additional lens and filter.

Caution: Some who call themselves #communication “experts” may be about promotion rather than reliable #DEI or results
In particular, when you look at who to trust or emulate on #SciComm or #MedTwitter, take note of who is effective at communicating their point, does not need to delete, can post on important topics with least misinterpretation, while maintaining the broadest audience.
Read 10 tweets
🔥 🔥 🔥

#medtwitter - please realize that deleting tweets & blocking

offers NO safety

In fact a very high profile case at a Harvard hospital was lost merely on “something was deleted”

it only raises suspicion about you. Leave it up. Do NOT delete/erase.
anyone teaching you documentation, communication, or social media who deletes, teaches you to delete

is sending you off a cliff of self destruction

I used to work for the state, oversee credentialing & discipline, and served as an expert witness for the AG’s office. I know.
What I was taught, back when we had paper charts, was to put a single line though, initial, and date. Then correct. When compliance types come through they will have MORE confidence in you, in fact. You had the good sense to self assess BEFORE they got there and adjust/improve.
Read 17 tweets
Agree. There is a lot more to unpack and there are not simple policy or regulatory fixes. If you think the feds coming down hard on what the population uses to connect and communicate, you’re not a student of history, sociology, psychology, etc.

@sinanaral in @HarvardBiz
I hear all the old, harmful ideas repeated by many who should be at cutting edge of technology. Whereas what @DrvanTilburg describes, if merely digitized to “control” social media, will not work, will harm #SoMe #AI #SciComm #professionalism
From the #healthcare lens there are these potential issues of #AI and #bias including as relates to #COVID19. Yet 30% of business are now using #ArtificialIntelligence in some form. Horse out the barn.

So what is the answer? Ban? Control?

No.

@JordanBazinsky @HealthITNews
Read 14 tweets
Please start to do this. If you find something not factual, take the time to highlight, cross out, write notes on the image. We are highly visual creatures and the red X will communicate much better than your facts or words.

Make the “wrong” or “not factual” a clear visual.
Further, think of unintended consequences. Will what you put out there take a life if its own?

I have seen too many of those paid to instruct #STEM professionals on #SciComm & #MedTwitter professionalism

fail to understand this aspect of #SciComm - how will others repurpose?
How often in re-sharing a conspiracy theory post are you merely driving traffic to that site or person? It is a numbers game. In your “OMG look at this!!!!” are you contributing to this?

Please stay away from those who share a new “look how bad” example

sciencemag.org/news/2018/03/f…
Read 11 tweets
This is your friendly reminder that PUBLIC COMMENT for ANA's revision of its scope & standards of nursing practice document is OPEN THROUGH MIDNIGHT SEPT 16

PLEASE WEIGH IN.
SERIOUSLY.
THIS IS NOT A DRILL.

nursingworld.org/get-involved/s…
2/ In which Dr. Kimberlé Williams Crenshaw's name is *misspelled* & her concept of #intersectionality explained as: "nurses can better understand how certain aspects of a person will increase their access to good things or their openness to bad things in life", page 24 line 750.
3/ In which Jamaican nurse #MarySeacole is described as a "less well known but also a notable historic nurse, served with Florence Nightingale in Crimea." [not historically accurate, racism prevented Seacole from serving *with* FN, she had to go on her own], page 26 line 814.
Read 11 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!