Umbereen S Nehal, MD, MPH Profile picture
Jun 28, 2020 11 tweets 5 min read Read on X
So, I started at @MITSloan & @MITSloanFellows with a huge amount of faith & probably placing institution a bit excessively on a pedestal. (Also, it is ridiculously expensive)

Had to adjust expectations
Some is disruption from pandemic & online
Some is just reality
Assessment:
What this year allows me is to explore, expand, acquire new skills within a specific structure & with a cohort that is committed to each other.

I chafed when assigned teams. I have always been a self directed learner. Need to go at my own pace.

https://t.co/V9IwDr0kDU
Have some kind of neurodiversity (I was curious & got neurocog tested but they told me my results made no sense to them after they held a conference to discuss - it fit no pattern) - is one reason I chose @MIT, not establishment staid places
To be around:

It has been tough, I’ll admit. It is super hard to stay focused in lectures via Zoom + Zoom fatigue. I don’t really care about calculating confidence intervals & want to go straight to building models. There is none of the in person connectivity or random hallway encounters.
Instead of direct & lacking EQ I expected (wanted), my group is super polite, “you first”, kind, risk averse, needs permission to say no or try saying something wrong. They think at a different pace. I was so frustrated had to mentally check out

They may as well be pediatricians
I have spent my whole career worried about harm & being perfect (one cannot accept lower standards when others’ lives on the line). Tiny blip in BP - is the kid about to crash? Balancing parent satisfaction scores with practicing #EBM (like #VaccinesWork medical advice).
I vented with mentor and some select friends in cohort. I assessed sunk cost fallacy and gave myself permission to ask if this program really was going to serve my long term goals at all.

What were the costs & opportunity costs for the outcomes I wanted? ImageImageImage
My mentor, who is awesome & I call my “major me” (I am his “mini me”) agreed that some things not as he would expect but helped me boil it down.
1- is online learning going to be a barrier, ill suited to my brain? If so, that is real & wrong year
2- do I want an MBA at all?
Decided

-All my usual self management hacks must be re-developed for this medium - am sorta figuring it out

-I am doing this at a particularly stressful time in history, must accept that will affect my cognitive function

-if am already assessing sunk cost, I *am* learning
Already, a @MITSloan & @MITSloanFellows alum who founded a healthcare start up in Latin America reached out, seeking a potential medical advisor. I can leverage my education & recent faculty in residence at @AKUGlobal.
Escape constant fighting of US healthcare for #globalhealth
There is SUCH a cool set of alums. I chose this setting specifically. There are other schools that create a lot of traditional executives who use an MBA to accelerate up the ladder & established institutional path. That's not who I want to be around

Instead, disrupt status quo

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More from @usnehal

May 29, 2023
This. When I had experiencing #bullying towards myself, I had just walked away or been silent, keep moving forward.

Once I had some degree of “rank”, felt others should not “just deal”

I did speak up on behalf of those less powerful… which only set me up for this mislabeling.
That is not to say that as faculty you should not speak up for or defend students are trainees

but you should be aware of this.

If the #bully is a woman, then she can always claim that she is being “attacked”… “as a woman”

That narrative aligns with a common reality.
False narratives spread quickly

if they align with something that people recognize as a truth (& may even have experienced themselves)

This is particularly why Machiavellian types are strategic/smart to utilize/promote a female bully while they stay more quiet/behind scenes
Read 13 tweets
Jun 24, 2022
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte All of this was already tested out vs American Muslims - the country was just fine with it. Regardless of what you think of the dad, killing/executing American citizen children by drone, along with father, should have been a big red flag on due process.

theatlantic.com/politics/archi…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte ~Half of Americans approve of/support torture. The idea is you can use profiling/bias to assume someone is a terrorist or sympathizes with terrorists, assume has information, torture them first, then retroactively justify violation of human rights.

pewresearch.org/fact-tank/2017…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte Loss of Civil Liberties happened after 9/11: even if go white water rafting, spied on

pandemic killed >1 million dead but CDC has removed mask mandate & FL just refused to order vaccines=no interest in saving lives/prevention 9/11 killed 3K➡️police state

gothamist.com/news/nypd-spie…
Read 5 tweets
Jun 23, 2022
I think I need to go to law school. It might be a bit late to be #RBG & make it to SCOTUS… but seriously, it is all about the courts, the law, legal precedents.

Or maybe I just need to make myself small/silent enough to be able to fit into a government job again?
As hard as it is for me to stay in government long term given all the regulations that box you in/tie you up

plus needing to be a public servant to serve every taxpayer, even the ones you don’t agree with/like

Despite that, you *can* have an impact…small things at scale matter
There are times like this I want to be a cat & have 9 lives because there SO too many things I want to do…

…even though other times I am like, okay, how long exactly am I supposed to serve in this life because I am exhausted. (Albeit I did just recover from anemia.)
Read 5 tweets
Jun 23, 2022
For the first time in my life I felt unsafe doing #GOTV & got personally targeted & my photo posted on a QAnon type site.

More appalling was how many on #healthcare & #academia, if you are connected on social media like FB, are pro-violence & anti-rule of law & support J6.
If you are a Black, immigrant, LGBTQ, chronic illness, Muslim, etc person, patient, #HCW, teacher, heck yeah, is scary

Thing is those who have been safely tucked in cocoon of suburbia, worried about junior making the cut for the bball team
now feels suddenly scary

Us: not new
We *need* the ppl who typically enjoy more safety to step up. It feels “ick” to report, like you are an informant in Nazi Germany or something, but it is opposite: being “nice” & “not controversial” & “let’s all get along”
➡️empowers bullies

Be a true ally
Not bully ally

Cuz:
Read 5 tweets
Jun 22, 2022
Anyone who did not see this coming does not understand #tech…(which includes people who design #AI).

“Important nuances were lost in translation when a rule commonly used to measure disparate impacts on protected groups in hiring was codified for easy-to-use tools…AI fairness”
Every time I see “our #AI will solve bias! Give us your #DEI budget!” win an #innovation award, accelerator, #hackathon I feel exhausted…

institutions would rather purchase ineffective & worsening-the-problem #tech than hard work of holding ppl accountable or change culture
And this is how #DEI - how currently approached - is ineffective & wastes money because a small amount of money is thrown at it with zero/minimal real hard work & unwillingness to be uncomfortable. Hence these bills: amp.cnn.com/cnn/2022/01/19…
Read 5 tweets
Jun 21, 2022
When will we admit that “clash of civilizations” of Islamophobia narrative is not only false but dangerous. “War on Terror”=waging war vs Muslims but #J6 & #BuffaloMassacre reveal terror is not one religion. When Muslims are “legit” targets…that supremacist hate spreads further. ImageImageImageImage
Who was it “okay” to torture? (assumed is a terrorist?) Whose civil liberties disappeared 20 years ago? Muslims.

“But you all ‘deserve’ it” we’ve heard &: Why didn’t you stop terrorism? Why haven’t you apologized about x & y?

Now: consequences of that

vox.com/2016/3/31/1133…
The “Great Replacement” is an extension of “Clash of Civilizations” that conflict/war is “inevitable” between “different” humans defined by race or religion. It dehumanizes some humans as “less than” or “threat.” Once you label as such, violence follows. vox.com/science-and-he…
Read 22 tweets

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