Thread by @usnehal

Thank you @ColleenKraft for being consistently vocal 💪🏼💪🏿💪🏽

Let’s work on #tweetiatrician #advocacy training by @AmerAcadPeds to have more robust & effective strategies vs increasing backlash & #bullying
as experienced by @NicoleB_MD @DrToddWo, worse for #minoritiesinmedicine

https://twitter.com/ColleenKraft/status/1264074325193187329

From @bfrist on #LinkedIn: concerning loss of scientific #integrity by political agendas

#scicomm teaching has been to “avoid politics” = sitting in sidelines

why engaged #tweetiatrician were a separate species apart from other #STEM professionals

linkedin.com/posts/activity…

We need to be multidisciplinary like work with school nurse leader @RobinCogan

When I have taught official @AmerAcadPeds guidelines to trainees in hospital settings & staff member has walked by, they assumed “political” & “unprofessional” when per AAP

https://twitter.com/robincogan/status/1201297278692143104?s=21

https://t.co/1ktvts1Fuu

I appreciate this from @DrJCoftheDC of @OHSUNews - some metrics may change ahead of attitudes or culture. Are we providing sufficient safety and support to #minoritiesinmedicine when they are invited to lead the change for institutions or society?

https://twitter.com/drjcofthedc/status/1263594798717349890?s=21

https://t.co/GyTgBUBA5k

For #minoritiesinmedicine our very existence is “political” & by law, was banned in past or is becoming banned in current times (travel bans)
+
there is a recycling of past Jim Crow attitudes for new policy towards other minorities
@javeedsukhera

https://twitter.com/javeedsukhera/status/1208831016049291269?s=21

https://t.co/jAXxaciX2W

This from @choo_ek is also from @OHSUNews where @DrJCoftheDC is - so attitudes have not changed

it affects clinicians and care teams in many ways

Satisfaction is also a #quality metric - so what happens if patient is unhappy with race of provider?

oregonlive.com/portland/2017/…

We have attendings still working who were kids when this happened, when a 6 year old black girl needed to be escorted by armed guards to attend school

How much culture change has really happened?

Are we supporting & protecting #minoritiesinmedicine?

pbs.org/wnet/african-a…

We went from “separate but equal” to “preschool to prison pipeline” - change was only on regulation or metric level

people, here, children, in danger of disciplinary actions

Now add #equity work or advocacy, labeled as “political” within #healthcare

https://twitter.com/usnehal/status/1258759702768504833?s=21

https://t.co/QTXRnmPm8V

For #MedEd in this accepted for publication #refugee health presented at @PASMeeting

I made sure to put in teaching notes: be aware teaching this topic in hospitals can result in professional backlash & even types of #bullying
#MedTwitter

https://twitter.com/usnehal/status/1255198400720625665?s=21

https://t.co/XnWODu3tRp

Learning from #BlackTwitter & others started to more deeply understand policy & history of & current #structuralracism

#tweetiatrician & #SciComm advocacy VERY needed

but who is not allowed equal American rights, even if born here? @asmauddinesq

https://twitter.com/usnehal/status/1255221398798323712?s=21

https://t.co/E0hOR0KCEt

All this while some (former) deans within #MedEd think as described here @EricTopol

is valuing human life really “corrupting” medical education?

this is not about being “woke” but about #ethics found in Maimonides oath/prayer - these are basic values

https://twitter.com/erictopol/status/1173372776020754432?s=21

https://t.co/v8MnbLkB9z

Add to that mix that hospitals are hiring marketers trained in corporate branding to police or even teach #SciComm - what grounding in #humanism, #ethics, #evidencebased standards do corporate marketers have?

https://twitter.com/usnehal/status/1259561263253856256?s=21

https://t.co/VfGCrbK17k

What we DO know about corporate marketing’s impact in health, #mentalhealth and wellbeing, especially women and minorities is

These outcomes of corporate marketing is opposite to everything a #tweetiatrician strives for

m.youtube.com/watch?v=jWKXit…

Hospitals have never prioritized #pediatrics and we have never been valued, given we are not the main revenue producers. So hospital administration or marketers, are also unlikely to value equity work beyond the optics. This sets up for failure.

https://twitter.com/kidsdoc1rick/status/986407892738805760?s=21

https://t.co/9pyjwzYgfk

The @AmerAcadPeds chose to form a separate group ~100 years ago given the exclusion, even disdain for #SDOH - except even today we have a rising maternal mortality rate, more so for black mothers

How do we improve this?

https://twitter.com/usnehal/status/1234148465183219713?s=21

https://t.co/t7kL4w0Ay5

Pipeline of those like @DrJCoftheDC are part of the solution but we cannot expect any one individual to shoulder burden for all - that is a recipe for burnout instead of protecting assets @HarvardBiz #healthcare #quality #Diversity #equity #valuebasedcare

hbr.org/amp/2018/08/re…

Because 5-15 years later, #minoritiesinmedicine leave given this experience

@AmerAcadPeds teaches to be #tweetiatrician

but not taught to navigate #CyberBullying like vs @NicoleB_MD @DrToddWo

or internal backlash & politics

#meded #medtwitter

https://twitter.com/dronibee/status/1217768235757719552?s=21

Let’s talk 💰 💰💰

What is #advocacy for?
protect funding. @AmerAcadPed teaches #tweetiatrician like fellow @bcmhouston grad Dr. Sogol Pahlavan describes:

“These kids are still here; their chronic disease isn’t going away just..losing health coverage”

nytimes.com/2019/10/22/ups…

Whether #Medicaid or other types of funding

issues related to POC less funded
+
POC #entrepreneurs get less funding

So is #innovation in #healthcare widening #disparities?

What about #valuebasedcare?

What implications for #Pediatrics?
@AmerAcadPeds

https://twitter.com/marioatx_md/status/1230925356519116803?s=21

https://t.co/pIO4y9MM93

@threadreaderapp please unroll