One of the things we’re really good at in medicine, especially in surgery, is being self-critical. When our patients aren’t doing well or there’s an unexpected outcome, we’re quick to do a RCA (root-cause analysis), starting with ourselves.
We interrogate the entire process, try to figure out what we missed, where we went wrong. And we ask:
What could we have done better?
What am I going to do differently next time so that we don’t have a similar outcome for our next patient?
This is how we improve patient care.
But when it comes to the harm we cause to our BIPOC patients (health disparities) and colleagues (#MedRacism), we instantly lose that skill. We’re no longer willing to reflect on our actions and the harm they cause.
We insist on being in denial.
And we insist on retaliation.
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About three years ago, attending a women’s empowerment conference made me swear off of going to anymore women’s empowerment conferences…a 🧵
It began as a great conference focused on empowering women to advance in medicine. All the gaps were addressed. Gender pay gap, research funding gap, awards gap, leadership gap. Great! We’re moving beyond pay disparity!
Or so I thought.
After hearing the keynote and most of the prime time lectures, I was perplexed. I know all these topics are important. But as this was a conference filled with women from all backgrounds, I felt there was something missing.
Friends of #MedTwitter
We talk a lot about the dearth of Black docs & the leaky pipeline but not how academia pushes out the ones who actually make it to med school & beyond. Many URiM students/trainees suffer in silence due to a lack of support & the real threat of retaliation.
We’re working with a resident who is the only Black trainee &one of two IMGs who is experiencing an extremely hostile work environment. We’re looking for program directors, assoc program directors & anyone else who can help us in assisting this trainee.
We would appreciate any and all assistance. Please reach out to anyone of us through DM
For my chief year grand rounds presentation, a mentor suggested that I use it as an opportunity to share my experience going through surgery training and having children. He suggested I share both the good the bad.
I loved this idea. It felt like we would be doing an M&M conference on our lived experiences as humans going through professional and personal challenges. I liked the idea that what was seen as a “problem” (pregnant surgery resident)...
became an opportunity for us to change our culture to be more inclusive. I wanted to include the fact that we were able to increase awareness of surgery boards accommods for pregnancy during training among our residents, and as a result more women were considering fam planning.
When we say minoritized and racialized people in medicine, regardless of position, are afraid to speak up because of #retaliation,
👇🏾👇🏾👇🏾👇🏾👇🏾 is what we mean.
Academia will destroy someone’s career and livelihood before they even think about becoming introspective or take any responsibility for their bias and racism.
Dr. @ayshakhoury does not deserve this. Her students don’t deserve to lose their teacher. And her community doesn’t deserve losing a good physician.
I got a call from one of our NPs that a neurosurgeon was berating him and the icu nurses about why his postop patient was in the icu. He brought one to tears and was yelling at the charge as well. So I called.
Nsg: Who the hell transferred my postop pt to the ICU?
Me: I did.
Nsg: Who gave you permission to transfer my patient?
Me: I’m the admitting physician. You’re a consultant. Are you aware of their other injuries?
Nsg: Listen, hun, I don’t know who you think you are but...
Me: First, don’t call me hun. Second, it’s Dr. Hussein