🔥 🔥 🔥

#medtwitter - please realize that deleting tweets & blocking

offers NO safety

In fact a very high profile case at a Harvard hospital was lost merely on “something was deleted”

it only raises suspicion about you. Leave it up. Do NOT delete/erase.
anyone teaching you documentation, communication, or social media who deletes, teaches you to delete

is sending you off a cliff of self destruction

I used to work for the state, oversee credentialing & discipline, and served as an expert witness for the AG’s office. I know.
What I was taught, back when we had paper charts, was to put a single line though, initial, and date. Then correct. When compliance types come through they will have MORE confidence in you, in fact. You had the good sense to self assess BEFORE they got there and adjust/improve.
Electronic makes it easy to “delete” but in fact, nothing is ever deleted. The data remain accessible even when not visible to the public.

When you delete, you identify yourself as NOT trustworthy, lacking judgment.

You cause people to investigate further and further.
Personally, given I am published on a few @AAMC @acgme and @AmerAcadPeds curricula and educational workshops on communication plus my having signed letters to remove clinicians’ credentials, when I see faculty, especially without matched credentials, teaching wrong things
There are so many ways our professional societies and institutions

are pushing us to do their marketing and outreach for them

or to counter misinformation

but the there is no one there when this happens.

Yes, is frightening. @NicoleB_MD

cincinnati.com/story/news/202…
Then we have attacks from within our professors/industry with bizarre “professionalism” policing of trainees, women, BIPOC by out of touch attendings who get *approved* by an IRB to bypass basic ethics to cyberstalk without informed consent blog.petrieflom.law.harvard.edu/2020/07/31/med…
Before someone is allowed to teach should they not themselves be educated?

Being “grandfathered” into roles

Or hiring a non-credentialed non-licensed, non-clinician or non-STEM to do your work is NOT okay.

Tuition is expensive. Where are the standards? Where is the ROI?
While much of #MedBikini response focused on women, among “unprofessional” was activism like #guncontrol despite #thisismylane

Why should doctors be silencing peers and trainees who get covered in blood of gunshot patients they treat?

npr.org/2018/11/11/666…
Anyone employed by an academic institution canNOT be contributing to gagging docs

Deleting, silencing, gagging, shaming, blocking, cyberstalking, not using standards, no informed consent...

not okay

Why is this defined/taught as “#professionalism”?

aappublications.org/news/2017/02/1…
I do feel strongly about all this as I see some people dealt with very harshly while others get an awful lot of leeway. It pops up repeatedly with various faculty at different institutions who often cite each other as “the standard” & journals publishing #Medbikini type studies.
But I am frankly just too busy to be able to pursue it with the level of stakeholder engagement needed

or work against the power structures

that validate wrong teaching that is opposite to standards and when people get out into the real world, could self-sabotage.
I got all of this done in the last 6 months plus moving cities plus cyberattacks that could be threatening to personal safety.

I also nearly passed out twice in one night.

Being Gen X & WOC, learned long ago there is no one who is there for you... but you.

Just power through.
Start up? In progress
Degree of half done
2-3x normal course load? Complete
Chapter? Submitted
Hackathon? Done
Manuscript? Published
Community service/public health talks? Done

Could do SO much more if fewer barriers, though, if others followed their OWN rules.
If you are deleting, #MedTwitter, you likely realize you posted without vetting, verifying, or adhering to credible standards.

From what I am seeing in #professionalism teaching you are being misled & miseducated in ways that will result in self sabotage.

Hard to watch.
People taking/buying bad advice? None of my beeswax.

When there is cyberbullying of women, BIPOC, LGBTQ, trainees, those doing community outreach? That crosses a line.

So have been trying to work in it from a few angles while doing what I need to do for my own wellbeing/goals.
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More from @usnehal

30 Dec
Believe women

The gf was taken to a #mentalhealth facility

The man she was afraid of, the future TN suicide bomber, was assumed to not be a threat enough to get a warrant

Hers *could* have been a normal response to living with someone violent

apnews.com/article/ap-top…
There is no way of knowing w/out additional details

But as long as

-we do not believe women

-we do not see fear of a “regular guy” as valid enough to investigate (like if he had been Black, brown, or Muslim)

-we are soft on domestic violence

then: we will fail on prevention
It is a

“d*mned if you do and d*mned if you don’t”

The woman who calls the police may be discounted and then, after they leave, be at greater risk from her abuser

If she does not call the police she is not believed to have ever been in danger

Believe women ImageImageImageImage
Read 27 tweets
30 Dec
Yes, the #vaccine rollout is slow, uneven, not matched to need. "Botched"? That is a bit too strong. Much blame to go around.

American #healthcare is built for silos, turf, acute care, reactive..not #populationhealth #publichealth #prevention. It shows. Why is anyone surprised?
And #MedTwitter, despite your hashtags & publications, when it comes to real life actions inside departments, hospitals, or even on Twitter, all you all do is turf, ego, cliques, us vs them, etc. I am unimpressed. Build *systems* Yes #impostersyndrome makes you crave validation.
I am a #pediatrician and if you need validation, I've got a whole box of stickers for you. I will even let you choose your own sticker. How is that? Because, yes, you are special. You matter. You are wonderful. Happy?

Then after that, could we get 💩 done?
Read 12 tweets
30 Dec
1- If we knew terrorists looked like the "average Joe" we might see things right before our own eyes

2- If we believed women we could prevent terrorism

"She related that the guns belonged to a 'Tony Warner'..she did not want them in the house any longer," -MNPD spokesman"
There is a clear link between prior examples of violence towards women (wife, gf, mother), domestic violence, violence towards animals or elderly or "other" and later public violence like mass shootings or terrorism. bloomberg.com/graphics/2020-…
No, the TN suicide bomber did not kill anyone and took measures to reduce deaths similar to what is reported the IRA would do in Ireland. (I grew up watching a lot of BBC News at home and all they ever talked about was this IRA bombing or that).

wkrn.com/news/local-new…
Read 6 tweets
30 Dec
These #vaccine battles get fought in hospitals and #healthcare. This is not going to be easy. #communication #strategy and skill will be critical. Anti-vaxx fearmonger to already traumatized groups or those who distrust authority. @JAMA_current

linkedin.com/posts/usnehal_…
Anti-vaxx target grieving mothers then spread #misinformation through women's online groups and social networks. #vaccineswork @AmerAcadPeds #tweetiatrician @DrToddWo @NicoleB_MD

That billboard is fear mongering. (I debated whether to post this at all)

nbcnews.com/tech/social-me…
Read 7 tweets
29 Dec
It is not like the information was not there.

I recall having Twitter exchanges in early 2020, telling someone who was reacting to seeing hazmat suits, to trust the public health officials. Nothing to worry about.

We must now restore integrity of & trust in #publichealth
Apparently, there were doctor mom groups on Facebook that were tracking this in December and January and trying to raise the alarm while everybody was telling them to “calm down.” Back then I was trusting we would be alerted through government mechanisms.
In fact, I recall a friend of mine, whom I have known for years, who is very active in Facebook doctor women’s groups, when I kept suggesting she should avoid posting certain unverified messages, told me I was “mansplaining” her. I was like, but I am a woman.

Now I get it.
Read 13 tweets
28 Dec
We need more doctors who speak up.

Yes, I know we have worked hard to get where we are and are regulated/monitored in so many ways it is scary to deviate and take a risk of censure or discipline. It feels like we are vulnerable, not strong.

Speak up anyhow.
We can’t let our reputations or achievements become reasons why we stay silent.

Opposite, what is it all for anyhow?
What does your title mean?

They say you can’t take it with you in regards to money. But you aren’t going to take your CV with you either.
We can’t be telling the most vulnerable to speak up, like those early in career.

While I have yet to understand the details of what went on here, what is reported is deeply concerning.

Even with a good lawyer, this can derail an entire career right at its start.
Read 25 tweets

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