@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD I would go further. A woman who has actually earned a degree is told her actual role in the world is defined by “wife.” A publication with mostly male editors, read mostly by men, in the finance sector publishes a poorly written piece ridiculing her & rewarded with “clicks”
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD She is told she is unqualified or cannot use her earned credentials by a man who lacks credentials. Then he takes a swipe at Black women. Almost all responses recognize the sexism but do not comment on anti-blackness. Western feminism has often been willing to leave some behind
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD This is the glass cliff. You can do the work, get the title or c-suite role, and your accomplishments will not only be invisible, but result in anger and derision. What we saw in WSJ represents constant gossip that happens and sabotages the woman leader. hbr.org/amp/2011/01/ho…
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD The intersection of gender & race is a particularly Western way that WOC get still seen through a colonial or slavery lens rather as having autonomy. Personally in two c-suite level situations, person in a hiring position referenced “arranged marriage” same as @DrBiden is “wife”
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden This means the woman either avoids the role, contributing to fewer women & WOC in the c-suite or she is set up to fail. Do you think a woman called “kiddo” or told “think of it I arranged your marriage” has actual power/position to address gender pay gap? nbcnews.com/news/nbcblk/ho…
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden As the pay gap is worse for Black woman and is expected to worsen in the pandemic but feminism’s focus almost always leaves out WOC, then add those who are decision makers, CEOs, boards, publish thing like vs @DrBiden then washingtonpost.com/dc-md-va/2020/…
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden Further, those savvy, who seek to delegitimize women respected and in leadership roles

by using women to do so

The uproar of #MedBikini over all male authors. If the processes were unethical then still unethical if done by a woman as “professionalism”
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden The path that women are allowed is compliance (policing others per past standards).

Who hires these women in professionalism? What priorities & targets are set & by whom?

Is policing/spying on med students

higher importance

than addressing bias that kills Black babies? @Usc
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC Within #healthcare there is a divide between those serving marginalized communities & those policing them from within medical schools & as faculty. Are faculty, doctors, nurses, etc “police”? And if so how to control #MedTwitter “police” guilty of same:

thehill.com/homenews/state…
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC Faculty who abuse positions put tuition paying students at risk. They ask students to advocate for them & write medium pieces. They keep salary & pension.

But if you are faculty, do the right thing in 1st place.

Should not be students’ job to protest this, rather to study.
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC Institutions like MIT I have deep loyalty to are also deeply flawed. “Intellectual” freedom argument falls flat when we look at women & POC policed & driven out over an email or “smiles” in a TikTok. Like @timnitGebru ethics researcher... being ethical. bloomberg.com/news/articles/…
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC @timnitGebru This follows a well established pattern laid out by @COCoQC that many, too busy with the “publish or perish” of academia do not stop to learn or see. When someone raises an alarm, on behalf of the same Black students & trainees we claim we need, that person seen as the problem
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC @timnitGebru @COCoQC We need leadership that offers moral, ethical, public safety leadership, not just accepting title, benefits, free/cheap healthcare, pension for selves.

When will ethics no longer be for sale?

Some of us would like to do our jobs, not be explaining this common sense repeatedly.
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC @timnitGebru @COCoQC I am well aware I likely do career damage to myself by speaking up on these things

Women who do reputation repair for powerful & wealthy do much better than those pointing out inequity

This work I publish is not where the 💰 is to be found. Not valued compared to 💰brought in
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC @timnitGebru @COCoQC I can relate to @DrBiden that way as well. Both “Dr. Nehal” & “Dr. Biden” do work in education & for children, especially with disabilities. These are traditionally thought of as “female” roles of nurturing & caring yet met with derision.

Backlash is bizarre yet familiar.
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC @timnitGebru @COCoQC What IS important is we do NOT let @WSJ control the conversation on #womeninleadership on public education, disabilities, #mentalhealth.

This was an attack on values.

They wanted clicks? They got it.

Some of us want impact, measurable results.

Am excited about these policies.
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC @timnitGebru @COCoQC @WSJ Do NOT let the bullies win. Do NOT get distracted. Do NOT let others control “the narrative” or get you to react to get demoralized or lose energy. We have a smart, accomplished, effective incoming First Lady @DrBiden who threatens elitists with her plans for community colleges.
@ayesha_mian1 @WEIconnect @UN_Women @ELAMProgram @AfafMeleis @_saadshafqat @WGHPakistan @DrvanTilburg @arghavan_salles @JulieSilverMD @DrBiden @USC @timnitGebru @COCoQC @WSJ Keep your eye on the prize

Petty, personal attack tactics vs @DrBiden common by those wish to keep an oligarchy & block democratization of access to “average Joe” (or Juan)
I recognize it well

#womeninleadership scare them
the proposed policies scare them

focus on work ahead

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More from @usnehal

20 Dec
If you are NOT a clinician with DIRECT patient contact or other frontline service worker (janitor, delivery person, receptionist checking in patients F2F) and offered a vaccine, do the RIGHT thing and step back in line. #HealthcareHeroes needs to be more than a hashtag.
This is NOT okay.

#HealthcareHeroes my foot.

Actions > words

Trainees doing intubation daily should not have to protest to be heard that their LIVES are at risk as compared to administrators or non F2F care doctors.
I posted on #LinkedIn because, frankly, no administrator really follows #MedTwitter apart from “gotcha” policing to discipline or fire a whistleblower clinician.

This is unacceptable.

Admin before F2F care trainee?

Momma grizzly mode activated.

linkedin.com/posts/usnehal_…
Read 14 tweets
17 Dec
Peeps. My painting is nothing close to what it was supposed to look like. This was the goal. Image
This is how I started out, promising Image
I even got brown paper to cover my desk from newly delivered groceries Image
Read 9 tweets
23 Nov
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…
Read 23 tweets
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

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