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🧵THREAD on Hardouin et al (2020) #MedBikini article #MedTwitter

1/

Editors' response:

Unconscious bias = implicit bias
Conscious bias = explicit, intentional

So in this is essentially misogyny and conflicts with human rights to free speech/private life. Image
2/

Methodological concerns: unspecified definition of 'controversial'. There needs to a validated definition.

🗣️ "Controversial political and religious comments were
...directed toward...faith.

Controversial social comments...on abortion and gun control."
3/

Moral concerns: clinicians performed searches on social media to conduct their research.

To be fair this is what patients could/would do. I'm not condoning this methodology.

I've had patients tell me that "I'm established" when I first met them from Googling me. 😳
4/

Statistical concerns:

Univariate analysis is not a very strong position.

Was the sample size too small or unamenable to use multivariate analysis?
5/

Analytic concerns:

🗣️ "Inappropriate attire included pictures in underwear, provocative Halloween costumes, and provocative posing in bikinis/swimwear."

Big question - provocative to whom? 😳 #heforshe
6/

Editorial board concerns: as @GeeMcLachlan noted a huge majority of men on the board. (I'm guessing from the names - don't know for sure): jvascsurg.org/content/edbd Image
7/

This problem of having a lack of women represented on editorial boards is not new: bmj.com/content/bmj/36…

Another issue is the peer review. I imagine women reviewing this would have rejected this paper. Image
8/

The article was online before this for 7 MONTHS!

The journal had a long time to think about this.

And it was presented at a conference in MARCH 2019 = 16 MONTHS ago!

Group-think/echo-chambers are never good. Image
9a/

The @JVascSurg invited editorial highlights 2 other similar papers: jvascsurg.org/article/S0741-…

You can't publish this stuff as it's far too subjective and no validated criteria if looking from a research standpoint.

See @heathsweensMD's thread:
9b/

"Sexually suggestive"?
"Polarising political and religious comments"?

@JSurgEduc (2014): sciencedirect.com/science/articl… Image
9c/

Objection to 'offensive attire' and "content of a political/religious nature" or "polarising social topic"

@BJUIjournal (2014): onlinelibrary.wiley.com/doi/abs/10.111… Image
10/

The irony being in the same issue of @JVascSurg is a survey about sexual harrassment: sciencedirect.com/science/articl…

"Flashed or exposed themselves to you" n=1.
WHO WOULD DO THIS?

There is a pretty sobering. Enough to make @OrthopodReg and I vomit until one of us passes out. 🤮 Image
11/

The flip side of all of this is huge pressure to publish...literally anything to get ahead. It's a toxic environment.

Goodhart's law "When measures become targets they cease to become good measures."

medium.com/@dipeshgopal/p…
12/

When you see this stuff - it's not ok. We have to call it out.


#heforshe

I'm not posting any pictures of myself here in a #MedBikini (don't have one, I wouldn't and I'm not paying for therapy) but support any of my colleagues who wish to do so.
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