Not better as an attending. Support mechanisms for residents lost. Stress of liability & productivity metrics. “Ambassador” status remains. “You are one of the good ones” a lactation RN told me, “You follow the rules.” @choo_ek@RheaBoydMD@Priyanka_Dayal@DrJRMarcelin
That lactation RN then said “My ancestors did not fight in the Revolutionary War 4 ppl to come here with their hand out” & “Slavery happened a long time ago. People need to get over it”
Identified as “one of the good ones”, she’d felt comfortable saying this to me on minorities
That left struggling with the cognitive dissonance of her words: how did she simultaneously take credit for ancestors fighting in the Revolutionary War (at the end, slavery was codefied into law until another war was fought to end it) and AlSO tell others to “get over” the past?
Great Q! Esp for #WomeninMedicine already with uphill challenge to promote our own work. Podcast interview > "media coverage", this is substantial teaching (and time commitment). Fortunately for this @thecurbsiders is earns CME so I would put there on CV! 1/n
I think also until CV outlines, educator portfolios, and P&T systems "catch up", find other ways to at least save it not share evidence of reception, impact, "ripple effect"
Ex word document with links #medtwitter comments/discussions 2/n
not trying to be overly self-congratulatory here, but sharing the wisdom esp for #Womeninmedicine of "selling" ourselves...here's a recent example for me. I will save this link on my CV for now in connection w my recent #GrandRounds
2/ Title IX. This article is missing information about federally mandated reporting processes and protections that legally protect medical students (and all students in the U.S.).
3/Anecdotal beliefs perpetuate harms. A physician expert states “the trainee must amass allies before lodging this complaint…” This is legally incorrect, a single report is enough to trigger Title IX and this reinforces the notion that single reports will not be believed.
The end of my week involves reflecting on my week and what I've learned from my experiences & conversations with others. Topics in my awareness are gender inequality in medicine, physician burnout, abuse in healthcare & sharing/oversharing our stories 1/
There are those here who strive to inspire peers, provide a space for connection & rally for change through the various discussion threads. It's clear to me that there's a lot of passion & desire to do great things in the world by those who I follow/see in my feed. 2/
I can also feel the collective frustration/anger/angst/sadness/resignation/sympathy/name that heavy emotion when any of our efforts aimed at success & liberation from system constraints appear to be blocked by injustice, abuse, ineffective strategy or poor communication. 3/
This is my commentary on #twitter#movements. Before I go I want to preface this with a statement: I love humans. We're amazing creative & powerful beings. I'm fascinated by human behaviour and the hidden motivations underlying our basic need to belong. 1/
I've observed some movements taking off on Twitter. Some for #MedEd, raising awareness, knowledge sharing, inspiration and sharing failings, wounds & triumphs. Generally they support creative expression in 280 characters. Awesome! 2/
As these movements gain momentum, more people want to join in b/c #belonging. I'm seeing a disturbing trend of sharing experiences of patients/clients to promote how deep & human they are. Some are purely intended, some not. 3/
4. Connection to your purpose (your Why) & desire to serve wellbeing of others 5. Peer support & group reflective practice w/ agreements to preserve confidentiality, respect, non-judgement & openness 6. Mentoring by someone who has qualities you want/admire & skills you need
7. Therapy with someone who can see in you what you can’t ie. your strengths, growing edges & blind spots) 8. Have a life & interests outside of your profession 9. Trust your intuition by listening to it and following through. If something feels ‘off’ it is.
I have always enjoyed advocating for a largely underserved patient base and try to walk in their shoes to better understand and help care. Read this years ago and still reflecting. Investigative journalist attempts to work and live on minimum wage. amazon.com/gp/aw/d/031262…
“Millions work fulltime, year round, for poverty-level wages. Barbara Ehrenreich decided to join them, inspired by the rhetoric of welfare reform, which promised that a job -- any job -- can be the ticket to a better life. How does anyone survive, let alone prosper, on $6/hr?”