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Umbereen S. Nehal, MD, MPH Profile picture
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11 Oct, 11 tweets, 9 min read
Please start to do this. If you find something not factual, take the time to highlight, cross out, write notes on the image. We are highly visual creatures and the red X will communicate much better than your facts or words.

Make the “wrong” or “not factual” a clear visual.
Further, think of unintended consequences. Will what you put out there take a life if its own?

I have seen too many of those paid to instruct #STEM professionals on #SciComm & #MedTwitter professionalism

fail to understand this aspect of #SciComm - how will others repurpose?
How often in re-sharing a conspiracy theory post are you merely driving traffic to that site or person? It is a numbers game. In your “OMG look at this!!!!” are you contributing to this?

Please stay away from those who share a new “look how bad” example

sciencemag.org/news/2018/03/f…
Fact is that many whose careers or academic publications are in “professionalism” or “communication” are flat out making things up given zero guidelines on this.

There is repeated evidence of failure of ethics as everyone judging based on own biases.

news.bloomberglaw.com/pharma-and-lif…
I would love to work with folks on this especially the intersection of #publichealth education, #professionalism, #advocacy, #community outreach, whistleblowing, and “the hidden curriculum.” @AmerAcadPeds @AmerMedicalAssn @PublicHealth @AAMCtoday
There is a culture war within medical and #MedEd institutions and the same advice given out by @AmerAcadPeds @AmerMedicalAssn @PublicHealth may cause students, trainees, staff to violate institutional standards or offend beliefs of their leadership

blogs.jwatch.org/hiv-id-observa…
I have seen busy #STEM and #MedTwitter professionals, suddenly active on #SoMe & trying to do #SciComm

misguided & add to this more than once - in our eagerness to counter misinformation we may add harm

things are moving fast and standards keep changing

news.mit.edu/2020/share-cov…
We can better safeguard against a Swiss cheese model of error in #SoMe if we stop, screenshot, X out and write notes. It forces you to communicate specifically and it makes you vet your own message for facts/validity

If your post is reshared, you better control what spreads
This is an example of what post on #LinkedIn this one with 9.4K views, to educate busy CEOs with no medical or research background on #EBM as the are in control of the resources and decisions on things like #PPE or reopening affecting thousands of staff.

linkedin.com/posts/usnehal_…
Super excited to be taking a class with this professor in a few weeks. Want to use data-driven approaches to craft best practices, maybe algorithms, for better information spread w/out misinformation and w/out blocking access of earned media for advocates

mitsloan.mit.edu/ideas-made-to-…
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More from @usnehal

Umbereen S. Nehal, MD, MPH Profile picture
11 Oct
This is the second time in 24 hours the focus has been in being polite from within #WIM #PROWD

Traits I value:
visionary, innovative
being accurate
humanism
pro-mental health

Polite is a subjective term, often means aligning w/ status quo. Polite people quietly avoid bullies.
Yes, @KamalaHarris is able to smile through her debates and adhere to expected gender norms and avoid any hint of the racist trope of “angry” as a Black woman. But is that really what makes her qualified? Or is it a career worth of experience as well as times she persisted?
What are our priorities? In a busy world, we will only have a chance to achieve 3-5 max. If we put polite and being on time in those top 3-5, where does addressing safety, quality, inequity, mental health fall? Are we judging someone on timeliness who may have chronic illness?
Read 30 tweets
Umbereen S. Nehal, MD, MPH Profile picture
10 Oct
Absolutely. Sound even so the “don’t talk to her, DM me instead.” Also, plenty of men gossip or encourage women to gossip and spread gossip to achieve an agenda or neutralize someone.
Typos in above.. oops. But you get the drift.

Isolating people, preventing communication with someone, moving communication to dark spaces, DM conversations about others ..are all red flags for bullying.

oncentral.org/news/2012/09/1…
Bullies often flip the narrative and play victim which makes it hard to assess

Step back. Look at actions

Who is using gossip and isolation? Who is shining sunlight and being direct?

Who escalates emotions each time they are shown to be inconsistent?

journey.support/2019/09/07/bul…
Read 5 tweets
Umbereen S. Nehal, MD, MPH Profile picture
26 Sep
Both/and. The issues of manipulation of our reality is true. That said, I have seen some of the most educated and supposedly intelligent so-called skeptics engage in high school types of clique behavior and had their biases exploited as @RogueRad references below.
The other thing I have noticed is that rivalries in healthcare

that have long existed between doctors

now expanded to all the different types of clinicians
+
healthcare industry professionals.

Savvy non-clinicians exploit the backstabbing, bullying culture of healthcare
This is so pronounced that @TJCommission has published this on it including using the term “sabotage.”

These are things typically done via gossip, in the dark, without due process as compared to use of transparency and appropriate mechanisms ImageImageImage
Read 13 tweets
Umbereen S. Nehal, MD, MPH Profile picture
23 Sep
On "called in" versus "called out": in fact, a true ally can tolerate being "called out" to model #learning #mindset/#growthmindset for others. Those who need everything to be done hidden/in private reveal they care more about image, optics, their own reputation.
People need to let go of this concept of "shame" or "did you just call me a racist"? Everyone has more to learn. Was just discussing with a woman who pointed out elite programs in the U.S. fulfill "diversity" quotas with "Black" from Africa rather than descendants of slaves.
The underlying issue of exploitation, specifically slavery, was #economic. The experience of personal + generational trauma + loss of generational wealth + loss of identity is a deliberate #systematic #systems approach to value extraction for economics.

wbur.org/hereandnow/201…
Read 21 tweets
Umbereen S. Nehal, MD, MPH Profile picture
22 Sep
So true. In my case, don’t pick on a POC, WOC, student, trainee, refugee, someone with disability, someone with mental health, etc then deny/justify you did so, flip the script, or manipulate optics.

Our generations had to work 3x harder for everything. It makes us relentless.
Finally watched Gaslight (movie that gives us the term) This is so classic (not just men who fit this mold). When someone who is all about “optics”, manipulates who talks to whom in what spaces, starts to be revealed, they play victim/appeal to emotions
Ingrid Bergman is so powerful in that scene. Love it. Uff..her turning the tables to play the same game back to him just for a few powerful moments. Previously he had made a point to humiliate her in public while making her and others think she was insane
Read 4 tweets
Umbereen S. Nehal, MD, MPH Profile picture
21 Sep
Someday soon this labor of love and product of dogged persistence will officially be published after something like 100 edits to slide format, removal of any photos not from Creative Commons, adding content, updating references, expanding on limitations.

Yes, I am relentless. Image
When it comes to protecting the marginalized and vulnerable from the bullies spreading xenophobia, cutting funding, closing clinics, I am non-stop

With every clinical service closure I am more and more pointed on understanding what administrative budgets are used for ImageImageImageImage
I was CMO of a 14-center FQHC that also was a dedicated refugee screening center and no, this type of care is NOT any CFOs favorite tho the mission driven ones figure out a way to serve mission at the cost of margin and get the revenue from elsewhere.

modernhealthcare.com/article/201810…
Read 11 tweets

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