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
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?
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.
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.
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?
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).
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
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.
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.