Umbereen S Nehal, MD, MPH, MBA Profile picture
Founder, MIT Sloan, coach, fmr Chief Med Officer & Medicaid med dir, Top Voice 4x, data nerd, digital health, MedEd, humanist, Tweets personal, RT🚫endorsement

Apr 22, 2021, 18 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

Feelings/comfort > facts
Is problem

Black women/ black men/BIPOC not allowed feelings
lest “intimidate”, “bully”, “threaten”

Q:Threat to whom is most believed?
A:Amy Cooper/“fainting feminism”

@AmerMedicalAssn @JAMA_current
@KemiDoll @RheaBoydMD @DrAlethaMaybank @FutureDocs

Facts: most important per @KemiDoll

What “facts” do we have
if use of word “racism”
suppressed, vilified
BOTH by male journal editors
AND female #HR
for “feelings”/fragility

#MedEd #MedTwitter #AcademicTwitter #AcademicChatter
@AmerMedicalAssn @DrAlethaMaybank @FutureDocs

#MedEd fails black babies

“feelings” of least vulnerable > #BLM
->Kills, literally

#WomenInMedicine #womeninSTEM must step up to address issues within #education

@FutureDocs @DrAlethaMaybank @acgme @AmerAcadPeds @AmerMedicalAssn #BlackLivesMatter #Pediatrics #tweetiatrician

“Emotional mammy” = avoid “racism”
feelings > #BLM
vs

#antiracism #systemsthinking

call things by correct names: #SystemicRacism

Dean=incentive creator
in #MedEd #system

Deconstruct “narrative”
Decolonize #compliance #education
@JAMA_current @Health_Affairs
@mdawriter @usc

#DrSusanMoore case in late Dec
made this *click*
#SciComm” = racism
if
assigns aggression labels
to #antiracist WOC w/
#Socialmedia
voice

“narrative”:
Words “perspective” “experience”
=center white or white-adjacent POC

=Distract from facts
Blame victim
“Intimidated”
#BLM

@DrWhatABurton draws #parallel vilify POC examples

#hospital/#healthcare institution’s communication
=#SciComm
on #drsusanmoore

Preschool-to-prison pipeline - pre-K Black boys

Latter, I only heard at at White House #policy briefing

=#pediatrics #MedEd failure @AmerAcadPeds

#pediatrics #MedEd state of affairs: NOT #antiracist

So why would I be believed despite a published, credentialed, midcareer #pediatrician

if this is what our #pediatric conferences teach

is the place of #frontline
WOC #tweetiatrician?

@RheaBoydMD @AmerAcadPeds @PASMeeting

Above: #vaccine #MedEd #Pediatrics
No Black👩🏾‍⚕️ or WOC
I was told “no one qualified”

=block #VaccineEquity
=optics” of who is a valid leader

Then, words for WOC physicians from #drsusanmoore to @ayshakhoury:
#socialmedia/voice = threat

#MinorityHealthMonth
#MedTwitter

Threat:

April: #MinorityHealthMonth

We know: Black, POC & women doctors = higher #quality of care

⬆️Minority #COVID19 patient deaths
#BLM deaths daily

Yet #MedEd #education:
shutting out #quality
shushing “racism” word
mislabeling voices of minoritized docs

labblog.uofmhealth.org/rounds/minorit…

This #MinorityHealthMonth, remember Dr. Chaniece Wallace

Failure = unable to even save our own #MedEd #pediatrics

Dr. Wallace was more than one doctor, mother, wife #pediatrician

Black doctors
=#BLM in #healthcare
=measurable results for babies
Yet WOC called “intimidating”

#MedEd silo
+ denial/hiding from reality
centering on hurt feelings, not #facts

->ignorance of urgent current #SciComm needs
for #vaccine & #VaccineEquity
in #COVID19 #pandemic
that too in #MinorityHealthMonth

=failure of #AcademicTwitter #antiracism

lansingcitypulse.com/stories/state-…

#SystemicRacism 🧵
@JAMA_current #EBM focus

MUST be matched w/OUR focus:
1-#HR #MedEd silencing of @ayshakhoury
2-#SciComm-manipulated mislabeling of #drsusanmoore

to stop CURRENT
ongoing HARM
INSIDE hospitals
in #COVID19 #pandemic #BLM
@DrAlethaMaybank
@COCoQC
#MedTwitter

#antiracism #BLM #MedTwitter #MedEd🧵I write are

for not-Black “POC” who can

choose “model minority”
= #SystemicRacism apologist

Or

choose to embrace radical candor & #accountability culture
When black & brown babies no longer dying this #tweetiatrician will 🤐

🧵below

Radical candor in 6 min

Care personally
Be direct
(be factual/verify)

Barriers:
Wrong teaching on #professionalism
Wrong teaching on “be polite”
-> gossip, avoiding #accountability, manipulation (words & data)

Be #antiracist
#MedEd
#MedTwitter
#SciComm

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