Agree. The system has failed frontliners. Healthcare relies on shaming to control, diminish, shut down. Let’s NOT pass that on to others.

Back in spring when not enuf PPE for clinicians, and CDC & Fauci saying not to mask, I saw clinicians shaming public who WERE wearing masks.
We lose credibility this way. Scientists already are not believed or respected. In fact, are ridiculed by many. Spoke with @ETSshow on how the “snark” culture is a self harming one for communicating in public. #MedTwitter antics reduce credibility.

explorethespaceshow.com/podcasting/umb…
Much of how scientists act would get you laughed out of a room in business, ignored, lose your seat at the table, not invited back

Blocking, deleting, snarking, shaming

is not how it works among ppl who make high powered deals

Nor does it engage public blogs.scientificamerican.com/observations/d…
It is the culture of #STEM with the infamous “Reviewer 2”

"Reviewer 2 is dismissive of other people's work, lazy, belligerent, and smug."

Exposed to that constantly to get own work published we are influenced by Reviewer 2 and take on that style

arstechnica.com/science/2020/0…
Sadly, the very people universities employ to teach #STEM #communication #SciComm double down on the very problems with STEM communication. Universities seem to be investing in how to be increasingly irrelevant & further harm public trust in expertise.

nationalinterest.org/blog/reboot/wh…
If you want to engage, be engaging
What works: Fun, smiles, positivity, dancing, music.

Be non-judgmental
Don’t focus on your sacrifice and what you are owed. The system & leadership failed you

Be inviting
Be human

Example: @NicoleB_MD
#SciComm #Communication #MedTwitter
My favorite: @DrJCoftheDC based on his effectiveness - covered by FoxNews, Good Morning America, international media, the NFL

You can’t have impact without reach

Too many in #STEM shut out/block or get shut out based on elitism & shaming

No, engage

goodmorningamerica.com/wellness/story…
Let’s have more smiles, joy, inclusiveness, fun, pro-mental health, pro diversity...

..& EFFECTIVENESS

Less shaming, control, ridicule, snarks, “you owe me”, judging that self sabotages as #SciComm

Follow effective leaders, respected outside of #STEM

Good advice from @jabarocas

Those of us whose clinical work is with teens or parents often have the non-judgement skills. Yes, you can tell a teen 10x about safety. They will still test limits or think they are invincible. “Scolding schoolmarm” will not make you more effective
What we rarely admit to ourselves in #STEM is how abusive & inhumane many of these systems are to all. Tyranny of attending, Reviewer 2, PI. Plus other abuse. We accept it towards ourselves & allow it to “motivate us.

The rest of the public, no, will not accept it from us.
What I see on #MedTwitter, in addition to the baseline toxic, shaming culture of #Medicine and #STEM

is #burnout talking

With leadership failure and system failure it feels like Thanksgiving gatherings are the last straw of betrayal

It is leadership who failed, though
I wish I had answers. If I had better answers I would have accepted the CMO role. But I just couldn’t lie to people about safety & craft a narrative to match PPE supply

No, deep breathing won’t get more ICU beds of staffing. Yet, deep breathing will manage your stress response
The system and leadership has shown no compassion. Front liners are dying. No end in sight. It is awful. There is nothing about it not awful.

Somehow, though, amid this, if communicate to a public turned around by misinformation, must do so with compassion.
One reason I so admire @DrJCoftheDC: as a Black man he daily experiences betrayal by society. Many of us in #medicine & #STEM are newly frustrated, shocked, feel betrayed by how we are being treated or how we see Fauci treated (=loss of control/status)
What can we learn from trainees like @DrJCoftheDC & from #blackmensmiling on how to navigate these tough times with wisdom & patience & self care? How do you live with hope & goals to have a big impact despite how people, society, the system treats you daily with no end in sight?
How do we rise

day after day

after feeling beaten down, sidelined, dehumanized, discarded?

Where do we find this #resilience?

Maya Angelou got her #resilience from faith thru years of repeated trauma/brutality to be a source of inspiration for others. She did not derive self worth from title, status, followers, publications. Even if not thru faith, how do we find that strength?

As much as I rail against #MedTwitter there are many rainbows here. I’ll be woefully inadequate in mentioning all. A few of my 🌈 @Docbasia @DrDaniJackson @mclemoremr @DrJCoftheDC @Ned_Arick @UMassWalker @FutureDocs @ayesha_mian1 @BGlickstein @QaaliHussein1 @DrvanTilburg
There are definitely glaring omissions in this list. But that is the thing of if we choose to focus on rainbows. They are fleeting, even an optical illusion. But they are moments of beauty and joy amid the storm. Did someone once show you a kindness? Capture & cherish that moment
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More from @usnehal

22 Nov
Normalize reporting that is non-punitive. There may be some reporting that leads to a dismissal but good systems do a fish one or RCA to identify system factors and processes or staffing levels before blaming anyone individual.
Now that the majority of physicians are employed, there is an imbalance of power between administrators eyeing hospital margins and their main revenue producers, docs. With expanded scope of practice then it is “providers” who bill. All are employed/controlled/kept in line.
In the past (there was a LOT wrong in the past albeit) there was a balance of power. Hospitals needed doctors to admit to them, refer to them, do procedures there, see their patients there. Docs needed hospital facilities for inpatient or surgeries. Now, that mostly is erased
Read 27 tweets
21 Nov
🧵, riffing off of this comment

The system teaches people they don’t matter, symbolized by name “does not matter”

To change “doesn’t matter”, change the system & culture in academia & medicine

When people respect individual humanity, people will become comfortable as salves
I hear “shocked” a lot and so this is not to single anyone out as it is common. If shocked, then need to dramatically educate self on #BlackintheIvory that affects Black & brown & immigrant. Also, when common to be called wrong name entirely, many of us finally just adapt/accept.
Personally, at the end of the year meeting w/ my division chief, when I have prepared my packet for academic promotion, if I find myself given the one other South Asian woman’s evaluation in a group of 7 that is my time wasted because you did not vet or verify individual identity
Read 20 tweets
21 Nov
If you are still saying "slavery happened a long time ago" whether you are a bedside provider communicating which are the "good" families to the rounding doc vs not
or a new immigrant...
please, just don't
Read the 13th amendment.
Educate yourself on preschool to prison pipeline.
Please don't tell me you have "read" or "know" U.S. history unless you are going to break down the exception clause in the 13th amendment for me. What is written in laws matter. You can be anti-government in views but does not change role of government in: muse.jhu.edu/book/39502
On the preschool to prison pipeline. Racism affects children in the spaces that should develop their minds and curiosity - instead criminalized and taught self concept of “bad”

tedxmilehigh.com/preschool-to-p…
Read 5 tweets
21 Nov
Why is my desk chair so complicated to assemble? I am exhausted just taking the parts out of the box.
This is not looking good.... Image
At least my vacuum was easy to assemble. Already used. Image
Read 4 tweets
20 Nov
Never, ever, ever, ever in my life have I had such a horrid view. In the past looked onto a park, or just even the inner courtyard..I somehow ended up with a window right in front of me and another not far away..with WFH..in each other's faces plus exhaust pipes of roof. Yuck
So...I am doing a thing...that is likely a waste of money and time...but since I have a ridiculously (waste of space) huge bathroom..am buying stuff from Overstock to make it into a Moroccan themed "spa" bathroom so I can look into my bathroom instead of out the window. LOL
Also..am thinking to get "art glass" film that lets in light and obscures outside view or WFH neighbors whose desks are at their windows. Thinking to do a strip to avoid losing too much light from my single piddly windows in each room. My old apt in same building had more windows
Read 5 tweets
20 Nov
Indeed. And I silence myself for no one. Too many women - ones who seek personal success by aligning with the past or perpetuating current system - are the ones shushing other women, especially shushing activist WOC with authentic lived experience of system gaps or harms.
I’ve been in compliance myself. I still believe in the need for oversight of safety & quality. But petty policing that is common in those naturally drawn to compliance is itself waste & harm. “Professionalism”, used to silence “problem” WOC’s communication is harm. @COCoQC Image
Compliance cuts out waste & harm - overpolicing & gaining “market share” thru fear, not facts or outcomes, is an example

If your source of profit, revenue, or even job represents waste & harm, then yes, we might be coming for your job

Waste & harm:

psmag.com/news/research-…
Read 14 tweets

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