Qaali Hussein, MD Profile picture
Sep 22, 2020 11 tweets 3 min read Read on X
“We were going to ask you to take off your hijab.”

I was made aware of this idea at the end of my term at one of the institutions I trained in. Timeline ranges from 2004-2015.

This was the conclusion reached after a faculty meeting.

A FACULTY MEETING‼️
I wasn’t told the thought process behind this ask or who brought up the idea.

I was simply told that my hijab could be “a potential problem.”

For who? 🤷🏾‍♀️

But lucky for them, there was someone in the room who knew better and told them the potential consequences of this ask.
So, they ended up not asking me to take off my hijab NOT because they respected me and my decisions in how I chose to practice my religion.

Not because I belonged in medicine as my authentic self.

They didn’t ask me because they were afraid of the legal consequences.
On further discussion with the mentor who told me this, he said “We didn’t know you well back then. But having gotten to know you the past few years, you would’ve probably told us to [go to hell...]”
A few thoughts on this:

1. While we focus on implicit bias and ways people are marginalized in medicine, we overlook the overtly racist practices which are comfortable upheld publicly. This was a conversation among educators who felt comfortable violating a student’s right.
2. There continues to be no support for students and trainees who are subjected to these violations. Looking back, even if I was asked, I wouldn’t know who to turn to for help.
I would certainly have been at risk of retaliation had I pushed back.

Hell, it’s been yrs and I’m still not comfortable outing this institution.
3. I’m not sure I would’ve told them to “go to hell” that early in my training. The confidence I have now took years to build. I’ve tolerated many forms of disrespect and violations of my rights over the years.
Many will say “I would never put up with this!!”

But many URiM have to be strategic and navigate racism because there are no protections in place. If we didn’t, not many of us would make it through.
But we have to make it through. We have to make it to the end so we can be in positions to change this culture. I wholeheartedly believe that it will take those directly impacted by these practices to change the system.
Those currently in positions of power are reluctant to acknowledge the very existence of #SystemicRacism in medicine and how this bias extends to our patient care.

We cannot rely on them to fix this. Unfortunately it’ll be up to us to do this work.

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More from @QaaliHussein1

Nov 9, 2023
I have a feeling we’ll need to compile all the ways medicine justified a genocide

So I’m gonna start a thread & we can add onto it as people become more comfortable publishing their pro-genocide academic papers:

#1 - @JAMA_current in which the bombing of hospitals is justified
#2 @TheLancet declining to publish an open letter from HCW calling for a ceasefire
@TheLancet #3 @MontefioreNYC cancelling a ground rounds speaker for calling for a ceasefire against genocide
Read 11 tweets
Oct 15, 2022
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.
Read 15 tweets
Jan 9, 2022
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

@thenephrologist @rcg1812 @RamlaKasoziMD @IEMcElroy
Read 4 tweets
Jan 29, 2021
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.
Read 9 tweets
Jan 29, 2021
#MedRacism continuing to uphold the status quo.

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.
Read 4 tweets
Dec 10, 2020
#ToxicMedicine

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
Read 7 tweets

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