Many physicians are fierce activists when it comes to important causes such as equity and anti-racism. These issues are both personal and professional for many of us and this should be taken into consideration. /1
There is also a problem with organizations attempting to silence dissent and censure physician advocacy as ‘unprofessional’ whereas the marginalization of advocates is what is truly unprofessional. /2
A recent study notes that physician advocates perceive their work as ‘disruptive’ although patients equated physician advocacy with patient centeredness, perceiving that competent HAs are empathetic and attentive listeners. onlinelibrary.wiley.com/doi/10.1111/me… /3 @Kori_LaDonna
Therefore I would argue a paradigm shift in our discourse on health advocacy is sorely needed. Advocacy needs to be described as something necessary for quality and equitable care rather than something risky and dangerous. What are your thoughts #meded?
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If you’re interested in hot topics like moral distress, advocacy, anti-racism, etc.,
Check out the work that your colleagues in #MedEd research have done for years. We study this stuff! Join us, let us help you take these ideas on, and help amplify our work.
If anyone has an idea for a research study or is looking for help to organize a project on an issue they are passionate about, feel free to contact me via DM or by emailing me. I’m more than happy to help! #meded#MedTwitter
Here are a few examples: My mentor @LingardLorelei has studied healthcare teams for years. Her work inspires me and countless others to consider how diverse groups manage conflict, tension, and collaborate effectively in healthcare and beyond. /1
We conducted this study before the #covid19 pandemic at a time when there was a significant amount of apprehension about adapting compassion education for health professionals in a digital realm. /1
We learned that while participants revealed concerns about the constraints of technology on human interaction, they also described technology as both inevitable and necessary for the delivery of future compassionate care curricula. /2
I am learning unconfirmed reports today that front line #mentalhealth workers in Ontario are being redeployed to work in other areas due to pandemic related staff shortages. I believe this is unacceptable. We need all the resources we can due to unprecedented demand.
Other services should be redeployed to mental health. Not the other way around. It makes no sense to send a trained therapist to become a screener or a trauma therapy trained nurse to work outside of where they are needed. It causes harm.
I often wonder if it were the other way around, if all of us working in #mentalhealth were in a crisis and short of resources, would the systems and organizations we work in have our backs?
Conversations about equity and racism can be challenging and emotionally charged for multiple reasons. When we hear about the experience of others, our impulse is often to react with how their experience relates to us... (a thread)
Did I do something wrong?
Are they judging me?
Do they think I'm racist?
These are normal reactions. There is nothing inherently wrong with them. Our challenge is to recognize the normal tendency to centre ourselves in these conversations, and actively resist the impulse to react.
I have been trying to process my emotions upon hearing reports that Ontario has only utilized a tiny fraction of the vaccines that are currently available over the past few days...
I am angry. I am angry that governments that repeatedly fail to listen to public health experts and exploit images of health workers as political props are making decisions that cause direct harm. /1
I am sad. I am sad for the families that could not gather, for the people who experienced the heart-wrenching loneliness that this winter has brought. I am sad that the government took these days off when every day makes a difference. /2
The standard you accept is the standard you live by.
How much do we 'accept' in healthcare that is inhumane and harmful? How often do we shrug our shoulders and sit idly and silent while friends and family experience dehumanization and discrimination? a THREAD
Many organizations learn from negative experiences of others and invite critique to improve. Yet, too many silence critics, and smile in public while rolling their eyes in private. They look out for their own power and have a vested interest in maintaining the status quo. /1
The ways in which we treat people suffering with mental illness and addiction is a perfect example. I have researched stigma in acute healthcare organizations for years. Despite some positive counter examples, these patients are consistently treated in undignified ways. /2