Accountability is when someone takes money for a job and fails to use standards or violates standards. Referencing standards when seeking accountability, in a transparent way, is fair game and necessary. Teaching at esteemed institutions = an obligation to deliver quality.
Some info on #MedEd - the roles and responsibilities

medschool.ucla.edu/workfiles/site…
For medical professionals, especially doctors, payment of the critical part on liability.

Good Samaritan protection relies on no payment, often.

Doctors can be served papers up to 25 years later if it was an infant.

That is level of accountability of clinicians
This stuff is really important in #medicine and in #STEM.

Anyone teaching in #STEM needs to have appropriate adherence to standards and ethics and use correct and accepted frameworks

else faculty may be harming students

...while paid.

nyas.org/media/13051/gs…
Lack of standards gives #medbikini

“Other behavior that was deemed unprofessional included comments related to social justice issues such as abortion or guns rights..

.. (AMA) code of ethics relates ..to how (physicians) conduct themselves in society.”

chicagotribune.com/opinion/commen…
The focus on “bikini” part of #MedBikini made it go viral, get media attention, & effective in retracting

that one paper

BUT did we extract the right lessons?

Why did an IRB approve fake accounts, spying, as a “professionalism” study? Violates ethics.

bioethics.net/2020/07/medbik…
I get that grabbing media attention and use of power of social media is effective for immediate action. But do we pull it out from the root? Who else grabbed media attention? Oh, Wakefield. Sensational coverage. He had violated ethics but was allowed to.

ncbi.nlm.nih.gov/pmc/articles/P…
Why did it ever get this far?

If we only used standards and ethics ALL the time with EVERYONE, not giving a pass to friends, big names, those bringing in 💰💰💰

all this could have been avoided.

Use standards
Be ethical
Especially if teaching

bmj.com/content/340/bm…
Let me tell you, no one on any IRB or any reviewer of my curricula has ever given me a pass. And I am not looking for any side doors. If I don’t deliver quality results, yes, reject my work and publish quality. Except are we seeing that? realclearscience.com/articles/2018/…
There are gender differences as to who confidently cites themselves or uses certain language

I “talk like” & “act like” a man many times. It works well in certain mostly male spaces. But it offends many, especially women, who have internalized misogyny

wsj.com/articles/in-pu…
Do women, in a female majority field, really lack knowledge, wisdom, insights, innovative thinking to deserve being shut out this way? Or do these metrics represent gender bias? Are good standards being applied fairly and consistently?

jamanetwork.com/journals/jaman…
Sadly, an ambitious, savvy young woman or man in #STEM would recognize (see prior tweets), a woman leader is a bad place to invest effort. Find a powerful patriarch instead and serve his agenda as he is less embattled and may bring you along with him. pewsocialtrends.org/2018/01/09/wom…
I have seen (and experienced) this SO many times in so many settings

it is how we amplify bias

like who joins whose lab or paper

If we simply used standards and fairness we could avoid this upstream and make female leaders a better bet for young STEM professionals.
What standards were used to create this imbalance? If any standard used it was a standard
that failed...
..to capture what was important for delivering results to all
..on having informed perspectives across diversity
Some standards need updating
I have been doggedly persistent on the @pasmeeting example just as it is so very stark. A picture is worth 1,000 words - contrast of who on the stage and who asking questions from clinical experience in the community was impossible to miss.

Per panel, hard to find speakers

Oh?
This diversity really was not hard to create for #hack4thefuture to humanize #AI in context of #COVID19 #pandemic

If the panel lead at @PASMeeting been committed to diversity, would have gotten names and contact info from Black women asking questions to invite to future panels
You can’t have quality without diversity. Incomplete can’t be quality. Lack of diversity = incomplete. Diversity requires an intersectional approach. Cannot look at one factor alone. We do have to hold ourselves and others accountable to delivering quality.
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More from @usnehal

15 Nov
As a physician, can say this about doctor culture in the U.S.: we are a socially stunted puerile bunch easily manipulated by sales & marketing ppl or by metrics of competition, obsessed with status, prestige, ego..

...not my doctor friends...but we hang out at the margins.
The high school level drama that plays out in hospitals, then the replica, amplified, on #MedTwitter is 😱 No wonder our profession kills so many patients when we are so busy policing on pettiness & ignoring standards of quality, safety, population health ncbi.nlm.nih.gov/pmc/articles/P…
There are many reasons why I am hanging up the stethoscope, one of which is that I cannot in good faith go into any clinical setting and feel confident about “first do no harm” - The system is too misaligned, not driving quality, safe results

Then, the human dynamics are
😨😣😖
Read 30 tweets
14 Nov
Are you 🤬 kidding me? My movers for the a.m. just canceled on me.

So found new movers within 3 calls. Rebooked. Now moving out on Sunday.

But dear God. Who cancels a move at 8:03 p.m. the night before?

This is why I detest moving.

I was still traumatized this from last move.
Last move: movers kept making disparaging remarks "I told you you had too much stuff. Everyone who moves from Boston to NYC does this." Okay. They mark up the ceiling. They get annoyed at my cat. Dishes they packed broken. And they kept one box "open" then charged for "packing"
Meaning they had charged "packing" time for an untaped box. Meanwhile the guy I had hired to re-assemble my IKEA wardrobe started hitting on me and I got him out ASAP but then I only had a half built wardrobe and CMO job started the next day. Every day, drained, exhausted.
Read 9 tweets
13 Nov
This. Black nurses like @mclemoremr who not only have authentic clinical and community experience, not only know the disparities data, but also are winning grants to do the studies themselves belong on the transition committee or COVID Task Force.
In contrast when I have taught medical students straight from @AmerAcadPeds policy statements on racism in a hospital with a disparities center, have been told by a division chief that nurses find me “too political” which exactly is this that @COCoQC lays out

Not safe spaces Image
Repeatedly I “break ranks” - I don’t spend my time on outrage over “scope creep” - who is serving in the communities where Black women die at a 12x higher rate from maternal mortality? Not the doctors or nurses battling on own job & pay.
Is these ppl: mededportal.org/doi/full/10.15…
Read 28 tweets
4 Nov
I literally have no election stress tonight. Met with a senior dean & a director to advocate for a peer. Wrote a 4 page executive report with 20+ references that was just emailed to 6 top brass leadership. No, it is not about loyalty. It is about correct application of standards
#MedTwitter is likely aware of my propensity to write detailed reports with a multitude of references emailed directly to deans. If there is a top, and if I am a tuition paying student or even just a concerned citizen, you’re gonna hear from me if someone is misusing rules.
My great grandfather, a Justice in the High Court, figuratively threw the book at a white barrister in Colonial times, telling him to learn the law. For standing up to a white British man as a brown Muslim man in colonial times he got the title Khan Bahadur. (Brave)
Read 8 tweets
3 Nov
I know that there is the anti-leader leader concept (not using titles, wearing hoodies and such) particularly in the tech & entrepreneurship world. At the same time, those are spaces that are not necessarily as woman or BIPOC friendly historically so the "casual" can be a trap
implicit, or frankly, explicit biases have not gone away. Except professionalism is also a trap - it is well documented in peer-reviewed publications and I've repeatedly notice with how multiple "professionalism" faculty fail to examine embedded biases & cultural chauvinism
In tightly controlled spaces there is a so-called right/wrong way to have one's hair, with "wrong" including natural hair if one is "ethnic", women must wear skirts and pantyhose automatically adding distracting details (do I have a run in my stocking? am I sitting okay?) &such
Read 18 tweets
20 Oct
I'm always amused by sales or marketing or communication professionals attempt to sell to me how I need their help, how I need their protection, etc or it could be "mutual benefit" to connect. Oh, then what is your rank for what you are paid to do and attempting to charge me for?
Why am I able to outpace, by far, sales, marketing, and communication professionals? What is it they are teaching you wrong in school and/or you are unable to apply for success in real life?

Likely, the answer is: authenticity
Lived experience
Open communication
Values
Yes, metrics matter
Yes, reputation needs to be protected
But as we see happening with Dr. Fauci, those who wish to suppress science-based information (that they find embarrassing or wish to hide) will malign the person speaking about verifiable facts. Blowback does happen.
Read 28 tweets

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