Thread by @DipeshGopal

1/ #RacismInMedicine is not isolated 'lived experiences' by leftie wokists

👳🏽👳🏽I have been 'mistaken' for the other brown guy on the team.

🙊 I've been called 'wog' by a patient

🇮🇳 Asked 'Where are you really from?' by patients so we can discuss 'India'. Why does it matter?

https://twitter.com/darzidave/status/1227891182036029440

2/ It's not really about:

'microaggressions': it's about empathy...if I said this how would the person feel?

What message am I communicating by asking them where they are from? I'm asking if they belong.

Would I ask the same question to someone else?

#RacismInMedicine

3/ It's not really about:

'unconscious bias': it's about understanding how your mind works. Do I treat other people differently based on skin colour? It's uncomfortable to think we all are prejudiced. We are. #RacismInMedicine

@NHSEngland video:
youtube.com/watch?v=BDSurH…

4/ This @bmj_latest issue casts the light that #RacismInMedicine is not an isolated issue. It's a big problem reflective of existing problems in society.

We need to DO better.
We need to BE better.

bmj.com/racism-in-medi…

5/ Black and minority ethnic pregnant women (BME is horrible term) have a far higher mortality compared to white pregnant women.

Read @mbrrace for more.

Cultural competency is commonly cited as a solution.
#RacismInMedicine

@bmj_latest: bmj.com/content/368/bm…

6/ @DrFizzah outlines how our misconceptions mean that we misdiagnose patients:

"All over body pain" in an Afro-Carribean lady is Guillain-Barre syndrome

"suspected TB" in an Afghani lady is a nervous system tumour

@bmj_latest: bmj.com/content/368/bm…

#RacismInMedicine

7/ Patients from minority backgrounds have the worst outcomes.

🗣️ "...we found a combination of data gaps, low demand for evidence, and a failure to act on available knowledge."

@bmj_latest: bmj.com/content/368/bm…
@SoniaKSaxena

#RacismInMedicine

8/ Doctors and medical students from ethnic minority backgrounds are up to 3x as likely as their white counterparts to fail an exam

Includes: undergrad, postgrad, machine marked, practical clinical, pass/fail/continuous assessments

bmj.com/content/368/bm…

#RacismInMedicine

9/ 🗣️“Overseas doctors are completely set up to fail,” he says. “The NHS saves £250 000 by not having to train an overseas doctor, but we don’t even...give them a proper induction. We just...give them a link to Good Medical Practice."

bmj.com/content/368/bm…

#RacismInMedicine

10/ 🗣️"Across the three years, 75% of white but only 53% of ethnic minority applicants to training posts were deemed appointable (23 589 of 31 430 versus 15 293 of 29 072)."

bmj.com/content/368/bm…

#RacismInMedicine

11/ @yvonnecoghill1 🗣️"if people feel valued, they are less likely to go off and work for agencies or go off sick. It saves the NHS money and makes it easier to recruit, and those staff give higher quality patient care."

bmj.com/content/368/bm…

#RacismInMedicine

12/ Listen to @TheKingsFund podcast episode with @yvonnecoghill1 @DionneDaniel5 @BenMorrin @helenamacarena about race equality in medicine:
kingsfund.org.uk/audio-video/po…

#RacismInMedicine

13/ We need people who aren't directly affected by racism to speak out when they see it. And please believe us.

Thanks to @HelenRSalisbury and @mancunianmedic for speaking out. #RacismInMedicine

bmj.com/content/368/bm…

14/ Thanks to @parthaskar (bhai 🤗)

🗣️"Define yourself by your outcomes: people can either accept you or not. And don’t apologise for being who you are—be proud of what you are and where you come from. The rest will follow."

bmj.com/content/368/bm…

#RacismInMedicine

15/ @Voa1234 @RaoMala "Why do we need a race equality observatory?"

🗣️"Research confirms that the extent to which an
organisation values its minority staff is a good barometer of
how well patients are likely to feel cared for"

bmj.com/content/368/bm…

#RacismInMedicine

16a/ Want to get more of handle on the subject? Immerse yourself in the literature.

Esteemed authors, can you recommend more? #RacismInMedicine

#RacismInMedicine

16b/ Want to get more of handle on the subject? Immerse yourself in the literature.

Esteemed authors, can you recommend more? #RacismInMedicine

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