This does not surprise BIPOC. We live it daily. The rest of you often deny our lived reality or assume it is exaggerated. Then you are shocked and ask “what happened to my country”

what happened: is you insisting on keeping your head in the sand & shutting down truth tellers
Most liberal/progressive types who get super excited by data... data that are incomplete, flawed, or based on people lying in polls due to social acceptability bias. But many liberal intellectuals are
Very little has changed since this was written by MLK. Very little has changed since my grandfather was training in England in Colonial times (there he was considered “black” and black/brown more similar as BAME) as a highly skilled surgeon (ophthalmologist) but sub-human.
I know some disagree with BAME but it really *does* come down to “white” and “not white” (human vs sub-human).

At an esteemed top tier institution’s executive coaching program I was confused with a woman from Mozambique x 2 by the coach

I’m not Black.

bbc.co.uk/news/uk-531943…
Just goes to show

this “coach” whose salary is paid by tuition dollars

don’t “see” us
is relying on some categorization in her head

Such that:
Pakistani-American with American accent = Mozambique woman with Mozambique accent

We are not individuals even in “executive coaching”
It matches things I’ve heard as a not white woman in “elite” or executive spaces. 2x a CEO in a conversation on hiring me to be a CMO with accountability on my medical license and professional reputation it took 2 decades of training & work to build referenced “arranged marriage”
matches time a well placed exec friend was doing #HeforShe: asked me to join him & his boss after hours

First the boss weirdly wanted to drive my car (a simple A3) & later the boss emailed me that he’d never seen an *ss my color naked before

This exec coach tho sees me the same
An exec coach who only sees “not white woman” yet is the one teaching the class on implicit bias is not going to empower BIPOC

She’s incentivized to deny & minimize to retain her unqualified position paid by tuition💰

she will add injury upon injury to BIPOC

#blackintheivory
I increasingly see why people say “those who can’t do, teach” - I & my peers take educational standards extremely seriously but we also bring a wealth of real world experience. Others find a cushy academic job away from real world or corporate accountability & may even harm
We cannot make progress this way - “progressive” label is false then

Esteemed institutions of learning need to do better - else MLK’s words will remain right that the (Northern) intellectual is a greater danger than the KKK

Your ignorance & cultural chauvinism harms BIPOC
When Twitter & other forms of media are awash with yet another esteemed institution perpetuating #BlackintheIvory

When institutional responses are to hire marketers to buff image rather than dismantle structures or tackle problems within

We waste precious resources & harm
We can publish this but is #liberalarts & #STEM institutions creating intellectuals that perpetuate systemic racism & teach cultural chauvinism

Own your part in the problem
Own when you are the problem
Then fix it
Improve yourself
Do the hard work

scientificamerican.com/article/too-ma…
Similar thing in UK

In the U.S., Black “race” has an unique position of having been enslaved and labeled subhuman by skin color as a proxy for race

In UK, history of global Colonization did not differentiate between Black & brown in the same stark way

bbc.com/news/uk-522190…
This is partly why we stopped flying British Airways, in fact. We experienced what Black people in America experience on airlines. My mom always framed it as the ignorance of certain people (cultures). Some people are too brainwashed to see your humanity or worth. Their problem.
Except, as a pediatrician, this *is* my problem when my profession, my peers, my training delivers these results to Black babies and Black families.

Am I doing this too?

And frankly it is a loss to all of society when lives are destroyed in this way.

sciencenews.org/article/black-…
I must have been part of the problem because it took to mid-career for me to start to notice, see, then as I questioned generated friction, then experienced passive aggressive forms of retaliation.

Early career I was too “lean in”, trying to “make it”

go.beckershospitalreview.com/scott-becker-i…
In a pandemic & budget cuts is a great time to clean house

The “those who can’t do, teach” incompetent types..

hiding in the ivory tower from the real world (where BIPOC are dying)?

Get them out ASAP

Employ only those who deliver quality including dismantling #BlackintheIvory
It sounds harsh and mean, but why isn’t Black babies dying considered harsh and mean? Zero excuses is the only way to make progress, not calling yourself a “progressive.” Healthcare has been doing pay for performance for years. I’ve been the insurance executive taking money back.
Sadly, academia is so political is not qualifications, merit, quality, or ethics that secures one’s salary. So tho would love to “don’t let a crisis go to waste” to work, in fact instead of cleaning house there’s a “pass the trash” culture in #education

npr.org/sections/ed/20…
I don’t like to dehumanize anyone by using “trash” for humans, no matter how flawed or how much harm they cause (is the phrase used) We need accountability, quality, and safety in both public and private institutions shaping the minds of future leaders insidehighered.com/quicktakes/201…
If the ivory tower had knowledge of reality then maybe people would not be so shocked by...reality rearing it’s ugly head. If the supposed learned elites would not deny, hide, shut down uncomfortable truths, there would not be surprises.

Live in reality.
Listen to Black women.
@threadreaderapp please unroll

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Umbereen S. Nehal, MD, MPH

Umbereen S. Nehal, MD, MPH Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @usnehal

18 Nov
This is one of many reasons I broke off from the mainstream doctor group mindset about full range of clinician types. Becoming a doctor requires a certain amount of privilege or lack of barriers. Barriers reinforce the anti-equity and “exclusive” or “status” mindset in medicine.
In low resource places, like FQHCs, I don’t see doctors rushing to work, apart from many who need loan forgiveness and/or visas.

That said, despite the “access” narrative for policy battles, I also see it used to shortcut/rush to bill independently for lucrative derm procedures.
Keeping in mind broader context. Regardless of your personal values, America is all about business and healthcare in America is merely another revenue/profit-generating industry. Healthcare as a social good is a Canadian, European, or Australian thing, not an American value.
Read 8 tweets
17 Nov
Arrived! Bathroom set up. At least the temporary set up. Why do I have bathroom as big as my bedroom? This should have been space in my WIC.
So, I have my work cut out for me to reconstruct my home (boxes everywhere). 2 years ago had made a big move after 13 years in Boston, moving just 1 day before the start of a job as a CMO of 14 centers & $100 budget but that is when the apartment with a view & WIC was available.
One of my “top strengths” is “input”

“You are naturally inquisitive.
You are a collector.
You love to learn new words, memorize facts, collecting quotes, and read new books.
You are excited by the complexity and infinite nature of the world.”

=clutter

letstalkpersonality.com/thinking/input…
Read 15 tweets
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
15 Nov
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
Read 18 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

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!