Given all that is going on in the world these days, many of you may have ideas for writing. Great! We need to hear more from healthcare workers. But, especially if you haven't done it before, you may have some questions about where to send your work.
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In advance of my session with @drjessigold on writing (for @WIMSummit), I thought I'd address one of the most common questions I get asked. Usually it goes something like this: I've written about abc. Where can I publish it?
And the answer is: it depends. What is your intended audience? Is it a narrative? Is it academic? Is it making a persuasive argument?
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Is your audience academic? Most journals have some sort of perspective or commentary submission category. The fancy journals (eg JAMA, NEJM, Lancet) typically respond quickly, so unless your writing is extremely timely, you don’t lose much submitting to them first.
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Alternatively, specialty journals where you have connections may be more likely to accept your work.
Whichever journal you aim for, you can likely find space for either a narrative or a persuasive argument.
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Many also have blogs which may be easier to get published in than the corresponding journal. Look at what they’ve published before and see if your idea and style fit in.
If it’s not academic, the world is your oyster!
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There is no shortage of outlets, but finding the right one may be tricky.
I think placing narratives is the most tricky. You essentially have to find an editor/outlet who’s into that. They can be hard to find.
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One strategy is to find pieces that are like yours, look at where they’re published, and try to find contacts at those outlets.
Finding contacts is not as easy as it might seem. Some editors and writers have their email address in their Twitter bio. Very helpful!
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If you’re making an argument, it might be an op-ed. Traditional op-eds are short, usually less than 1000 words. They are more than just opinion—they are opinions supported by evidence. They typically end with a specific recommendation.
Most major newspapers have an online submission process for op-eds. These can be quite frustrating. Proper decorum is to only submit to one newspaper at a time, and response times can be quite slow. Some newspapers don’t ever respond.
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For these reasons, you may choose to not go that route. You may choose instead to go with magazines or websites that highlight opinions. Newsweek, Scientific American, Vox, and NBCThink might be some options. These may give you more freedom but also somewhat less prestige.
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The oft-forgotten options are trade journals and websites such as STAT News, Medscape, MDEdge, etc. These outlets are quite supportive and are always looking for important, timely content. They tend to be more flexible than some other outlets.
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Clearly this does not cover everything. I haven’t at all addressed writing fees, for example. But to the extent that it’s helpful, this is sort of the framework I have in my head when I’m thinking about where I want to send something.
It’s become clear to me that Trump/Pence don’t believe in/understand social science. How can we move toward a more just nation with leaders who deny the existence of the very issues that are tearing us apart?
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In the #VPDebate, Pence said it was insulting to suggest that law enforcement has implicit bias. That’s like saying it’s insulting to say that law enforcement officers have two eyes and a nose. These are facts. Along with our facial features, we all have implicit bias.
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That’s why it’s so insidious and problematic. Indeed, the Executive Order on stereotyping also reveals a complete lack of understanding of these issues.
People are bustling around in the room, going from the computer to the counter to pick up supplies, to the patient or the IV pump to deliver meds. The ventilator is making the sounds of inhalation/exhalation, persistently pushing oxygen into the lungs & evacuating the CO2.
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There is a heart monitor that keeps alarming—a persistent ding, ding, ding--until one of the bustlers temporarily silences it. There is a continuous dialysis machine running, & blood fills up the tubing. The IV pole is overwhelmed due to the number of meds that are needed.
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The nurse brings in a second IV pole for additional meds. In the middle of all this activity is the patient. Everything we do in that room is to try to keep the patient alive. As the oxygen level goes low, the monitor alarms again.
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I’ve been in Arizona a week now. Maybe it’s because I already knew what to expect. Or maybe it’s because I’m not caring for the sickest of the ICU patients. Either way, when I first got here, I thought, “This is not as bad as I had expected.”
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Then I started to wonder if pandemic fatigue affected even this aspect of my perception. Was I so jaded about this virus that seeing sick people dying alone no longer affected me?
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Then I experienced something that could warm even the coldest of hearts. It happens every day in every hospital—a patient needing a breathing tube. What played out, though, could have been a scene in a movie, with a haunting melody from a cello in the background.
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On my third day I got the reminder. My first two days here, things seemed normal-ish. Yes, there were way more ICU patients than usual, and most of them had #COVID19. We still have to wear lots of PPE, and patients stay sick in the hospital a long time.
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But we met in a workroom, not in a temporary ICU. We had some new patients who did not have COVID (at least not that we knew of). And there was a system in place for managing the additional strain on the hospital system.
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When I came in yesterday morning (day 3), 1 patient who had been stably critically ill had taken a sudden turn for the worse. And despite everything we could do, his life was ending. This is the COVID I remember from New York.
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Here’s my main insight from a half-day orienting in the hospital: 110 degrees is very hot. And temps above 100 until 10 pm means no running outside for me. (I know that’s not covid-specific, but still noteworthy!)
Non-weather related observations to follow.
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They’ve had to nearly double the number of ICU beds, and they have doubled the number of teams providing ICU care. The mortality rate seems to be lower than in NY but is still exacting quite a toll on the mental health of the healthcare workers.
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The amount of PPE seems to be no better than in NY 4 months ago. I have two N95s for ~3 weeks. If one gets soiled, I can ask for another.
Please read this piece by @DionRabouin debunking the top 10 MYTHS about the racial wealth gap (eg, suggestions that Black people should get more education, save more, etc).