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Medical ethics decision-making discussions are beyond complex & devastating during the COVID19 crisis.

This article omits an important factor in the conversation:

the impact of decision-making on medical professional wellbeing, trauma & moral injury.

independent.co.uk/voices/coronav…
I'm curious about the application of medical ethics guidance during a pandemic, which isn't something we've experienced in our lifetimes...and whether discussions about moral injury, trauma & free will of medical professionals need consideration.

Latest: ama-assn.org/delivering-car…
This sentence and its implications really stood out as potentially problematic in cases with PPE shortage.

What are the consequences, emotionally, ethically and professionally, if you're a physician and you feel that the risks are too high for you to be at the frontline?
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More from @NatsforDocs see all

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Nathalie Martinek PhD
@NatsforDocs
Reduced empathy is an unintended biproduct of the educational process. What happens in first year? The first exposure to a patient is a dead body. No info about their lives, families, stories of triumph. Only cause of death. No way of creating empathic connection w/ the dead. 1/
This & other bodies become tools to create emotional distance between the future Dr and patients. Students can’t get feedback from this lifeless body about the level of pain, discomfort, care or love that can be felt from the interaction.
Students are instructed to identify systems, tissues, organs, structures through dissection, reducing the body to a tool for exploring anatomy but not human experience before ever encountering a live patient. Sometimes there’s a sign of the life the body once had.
Read 10 tweets
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Nathalie Martinek PhD
@NatsforDocs
I mentor & coach physicians on their wellbeing & how to use their energy wisely.

Just as there are people called to work in healthcare, it's my calling to serve those who help people in their most vulnerable times & phases of life to continually have the capacity to do it.
Somewhere along the journey to becoming a physician, students started believing that they should be able to handle everything they're exposed to & developed messy coping habits that impact on their ability to connect with others & self in healthy ways.
Healers need healers otherwise they will fail to recognise how their own suffering can become a source of wisdom to apply in their work with patients & in supporting their peers/colleagues. Instead, personal suffering or denial of it, can take one's mind into dark places.
Read 10 tweets
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Nathalie Martinek PhD
@NatsforDocs
THREAD:

Being an entrepreneur comes with a sense of freedom & none of the institutional limits on creativity. Yet unless I'm consulting within an organisation or connected to community, it can feel lonely & isolating. Online communities are great for support but it's not enough.
I've seen the negative effects of people investing all their time/energy in networking online & draining group dynamics. I realised that one of my values is to participate in collaborations that involve physical meet ups or at least in the potential of physical meetups. 2/
What can I say? I derive inspiration from in person experiences. So it's not surprising that I notice changes in my thinking patterns & emotional landscape when my interactions are more virtual than physical. It's de-motivating & raises mental health alarm bells 3/
Read 20 tweets

Related threads

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opportunitydesk.org
@OpportunityDesk
5 New Opportunities for Tackling COVID-19 - APPLY!

Do you have a ground-breaking idea to help fight the #COVIDー19 outbreak? Apply to one or more of these five global competitions.

#thread #opportunities #opportunitydesk #Covid19Out
1. Paris Peace Forum 2020 Call for Projects

Do you have a project offering a concrete solution to tackle a global challenge? Apply to Come to the 3rd Paris Peace Forum, from 11 to 13 November 2020, to present it.

Details: bit.ly/2WEy0XU
Deadline: May 12
2. IDEO COVID-19 Communication Inspiration Challenge

How might we rapidly inform and empower communities around the world to stay safe and healthy during the COVID-19 outbreak?

Share your experiences to inspire global leaders.

Details: bit.ly/3boP4Fo
Deadline: Mar 31
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Mikey Kay
@MikeyKayNYC
#COVIDー19 22 March 2020|

IMPORTANT THREAD.

Part 1

There’s important data coming out of Italy on confirmed cases & deaths due to COVID. This should be treated as an Indicator & Warning by all of us. Please watch & share. (Birds chirping in the background for moral support!)
2. #COVID19 Part 2

Reliable data source:

Coronavirus.jhu.edu
3. #COVIDー19 Part 3

Government policy & guidance needs to rapidly turn into a proactive stance to reassure us, the public, that there is a plan. What happens when, and it will happen, we get zero confirmed no new cases?
Read 6 tweets
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Chicago Community Bond Fund
@ChiBondFund
This is a thread about why it is absolutely essential that we get people out of jails, prisons, & immigration detention during the #COVIDー19 pandemic. It will include information & demands for how to #StopCOVID19inJails .

The health of people inside & all of us depends on it.
This piece by @premaldharia explains how #COVIDー19 could spark a humanitarian crisis inside prisons and jails. slate.com/news-and-polit… #StopCOVID19inJails
Jails and prisons are the perfect incubators for #COVIDー19. Health care in these facilities is often abysmal. This article from @nhbaptiste explains what jails and prisons should be doing to improve access to healthcare. motherjones.com/politics/2020/… #StopCOVID19inJails
Read 34 tweets
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Ali
@aliostad
Day 8 of aggregating information on what goes on with #COVIDー19 in Iran.

Picking up from yesterday:

As stated before:

Finally authorities are putting Mazandaran province on quarantine: only fuel and food trucks are allowed. This late, its effectiveness will be limited.

The same authorities have had argued for quarantine to be "non-scientific" and "from middle ages".

Read 38 tweets
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Toni Menzel | Growing Developer Culture
@tonit
The secret source for delivering value in form of software at (enterprise) scale? Option 1: the Thanos Method (get rid of most people) - Not recommended but effective for sure.
Option 2: create and maintain an immune system made of strong engineering culture (includes #ethics!!) AND platform thinking (for synergy effects & North Star). This is the option I do consulting at: Strategic Software Delivery. #devrel #dev #experience #SoftwareEngineering
The immune system is a passive force to allow customer centric thinking, allow experiments on all levels. It frees up busy minds and let’s you focus on delivering value to customers. Because it is a passive system, it is easy to overlook, but it makes all the difference.
Read 7 tweets
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Sandeep Kapoor, MD, MS-HPPL
@KapoorMedEd
Tomm we start a journey at @ZuckerSoM w/ 3rd yr #MedicalStudents to enhance #Awareness #Education #Skills #Comfort #Hope re: #OpioidCrisis

13.5 hours - "#OpioidEpidemic" themed week (3rd iteration)

Follow/RT as Students, Colleagues, & I tweet - #OURcrisis

#MEDeD #RecoveryMonth
1️⃣0️⃣0️⃣ MS3 #Students

6️⃣0️⃣ Faculty/Facilitators

3️⃣0️⃣ Clinical/Non-Clinical Depts

#OURcrisis @ZuckerSoM

@GIMaPreceptor @DrYili @MartinsWelchMD @JoeCMD @medicmin911 @ektrenchard @ethanfried @ginofarina @LindaWDeMasi @AFornari1 @joemd @DrAhuja @santhoshpaulus6 @TomMcGinn4
#Strategic Full Circle
1. from Health System (need)
2. to School of #Medicine (access)
3. to Health System (access/mission)

Our #OpioidEpidemic themed week is part of a 30+hour 4-yr longitudinal 'Addressing #SubstanceUse' curriculum
#OURcrisis #MEDeD
🔗: sgim.org/File%20Library…
Read 28 tweets

Trending hashtags

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