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So much to unpack here

Thankfully I experienced the opposite in my own residency
BUT then I was unprepared for this after residency

When described this way by faculty, then can a woman really choose to describe herself similar to men without invoking backlash and social cost?
The word choices here are signaling values

difference in what valued by gender and it predicts this later

expected of women:
special favors
emotional labor
friendship behaviors
constant availability
leniency

can women hold others accountable?

insidehighered.com/news/2018/01/1…
This extends to direct reports too. What if one stops bringing snacks, being maternal (the giving tree)?

Is it fair to make it a women’s job, already overburdened and underpaid, to support other women?

Or can there be accountability & standards?

qz.com/work/1722398/w…
Not much data on this but it is an interesting trend

slate.com/human-interest…

“children are more likely to be blond than adults, meaning the trait signals youthfulness... judged to be less independent-minded and less willing take a stand”

Care for others vs independent mind
When can a woman be a person?

Without it being relational?

(Including to other women?)

It’s the system’s job to support women, men, Black, LatinX, disabled, neurodiverse, etc.

If think of Black faculty
all the “diversity” mentoring/recruitment put on them
Yes, sponsorship is necessary & needed

But if that sponsorship is predicated on “daughter” role

then that contributes to broken rung, glass ceiling, & glass cliff

because transaction/exchange:
I open this door for you
You flatter my ego & I look good

forbes.com/sites/kellyhoe…
If men are defined by quantifiable metrics like publications & procedures

women valued for relationships

=set up for this gender disparity in negotiation - only one gender can be direct about power & merit while other must manipulate perception

psychologytoday.com/us/blog/family…
I post this a lot: a woman, likely a mother, who looks depleted, has destroyed herself for a (male) child. This political cartoonist often depicts inequity, injustice. This executive instead sees “beautiful.”

His perception of female merit matches descriptions in 1st tweet.
Let’s make this real

He has that image in his mind

He’s interviewing a woman
She negotiates salary
She asks for an admin assistant
How will he react?

She is hired & holds someone accountable
How will he react?

She identifies a gender pay gap & writes budget to equalize....
Focus on race in Amy Cooper incident. But in fact it is both race & gender

A seemingly powerful female executive

invoked a damsel in distress position of vulnerability & fear rather than a direct 1:1 response.

It fits the same pattern of of what society rewards women for
Look at past history & current stats for Black (BIPOC) women & girls - from experimentation on black women during slavery without pain control or girls treated today

So separate from whether women *should* be described in relational terms

Who excluded?

So, whose distress matters?
Whose not even seen?

If nature of female merit or advancement is relational (mother, daughter, nurturing)

If nature of protection is perception of distress or vulnerability via relational power

Then among women, race matters
aarp.org/politics-socie…
I don’t see this considered as to why there is a “broken rung.” As women gain confidence, skills, expertise, & are less youthful...

...does the “feel good” nature of #HeforShe sponsorship change?

Is there a willingness to support young women

Then an ego & career threat later?
Now we hear men are afraid to sponsor or mentor women

What drives this fear?

Are they afraid of their actual behavior & being held accountable?
Is their fear of false accusation?

Well, what if we had a more fair system instead of relationship-based?

marketwatch.com/amp/story/men-…
I think of this often - how does this fit in today?

You don’t take a daughter or mom to a strip club
= becoming “one of the guys” & a *direct* power broker

You probably can trust she won’t sue on gender discrimination cuz her “brand” is “I am tough”

bizjournals.com/bizwomen/news/…
Where does that leave women today?

If female CEOs “leaned in” & “toughed out” culture of objectifying women in order to be taken seriously & “be in the room”
Vs
daughter/relational role of token position without power

What if one wants merit recognized
AND
Accountability?
Where in that dynamic is there a solution for the growing gender pay gap in medicine, more pronounced for Black women?

Indirect, subjective relational power is more damaged by confrontation or negotiation as opposed to power through metrics of merit.

time.com/5566602/doctor…
#Pandemic is bringing into focus longstanding issue of unpaid physical & emotional labor of women, often relational - child care, elder care, home care, organizing social life, holiday prep

If residencies describe female graduates by “care” = unpaid

nytimes.com/2020/05/20/us/…
Even amongst the things that are more easily quantified like publications

the need for women’s (unpaid) care at home is squeezing out productivity

by home I also include elder care and community care

then how does a woman prove her merit?
nature.com/articles/d4158…
Among aspects of “care” is being person w/ so-called “EQ” or “soft skills” to soften & smooth out after controversy

Yet we hear from #innovation world that “#disruption” is what is valued

When are women allowed to be #disruptive forces themselves?

time.com/5827448/birx-t…
A thread on the word #disruptive, connotations, and whether it is a signal of something harmful

or whether it should be expanded to be claimed by women & activists as well

my vote: latter

let me at the taken LEGO pieces
to break old
then rebuild new

Did you reacted to the word “break”

sounds violent & destructive
unladylike

But sometimes it is a zero sum game for resources

where it is not always possible to grow new resources
you have to reallocate from existing resources
as is already happening

amp.cnn.com/cnn/2020/04/21…
Go back to the first tweet. Which gender was associated with the word “novel”

Can we stop blaming women for having “#impostersyndrome” when this is actively taught to them at every stage of their career?

#womeninSTEM #womenintech #womeninleadership

cbc.ca/news/technolog…
If not #innovation, #disruptive, #novel

where are women “dominating”?

#compliance

=painstakingly detailed work

to police others’ behaviors
according to the rules
that already exist

fixed, not growth, #mindset
=
Don’t
Stop
Shame, shame

Not creative

law.com/corpcounsel/20…
What is another word for compliance?

risk management

what holds back #womeninleadership?

Risk tolerance

“instead of playing to win, they’re often playing not to lose”

Safest place is middle of pack/herd
Safety vs leadership

#womeninSTEM #womenintech

info.kpmg.us/news-perspecti…
I also have compliance background

Note I painstakingly laid out point by point w/ evidence (probably lost many who initially interested)

if still with me, h/t @DrHarryThomas

men are confidently less precise when seeking to win competitive funding

nature.com/articles/d4158…
not women holding selves back

when applying to @MITSloanFellows a mentor said
I had “too much potential”
to “hit walls”
declined to support my application

1-If there is a wall, let me at it
(like my refugee health work)
2-I don’t mind failing

I got in
Wall was in *his* mind
Why I wonder if is the so-called sponsors & mentors
who are barriers/limiting boundaries
broken rung
at midcareer

Had I been compliant, docile, accepted
his definition
of my accomplishments to date

I would have gone quiet
not applied

I pivoted
found other support
succeeded
I’m really curious thinking on first tweet

how many women & men
those descriptions passed thru
to get printed

How many people did not choose to speak up
did not disrupt
quietly stood back

Who allowed women’s worth to be defined
documented
by things we do not pay for

=pay gap
@threadreaderapp please unroll. Thanks
In full disclosure this update I just saw. Nonetheless, rest still stands. I’d be curious to see if women get described with “novel” - residency grad descriptions would be a great to apply AI and NLP to to quantify the subjective. #womeninSTEM

Additional context from @jackie_parchem

The original post now has over 300 retweets.

We do tend to rely on proxies instead of vetting & verifying. Good opportunity: remember to pause.

So original post may be less illustrative. Rest of thread stands.

Missing some Tweet in this thread? You can try to force a refresh.

Keep Current with Umbereen S. Nehal, MD, MPH

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