This is why I rarely block people, except if flat out and repeatedly abusive or manipulative and not acting in good faith.

Super important to avoid overly curated feeds or echo chambers.

Keep feeding your mind new content. Challenge your assumptions.

vm.tiktok.com/ZMJsckb3x/
I am quicker to block anonymous accounts who engage in ad hominem - latter signals weak argument. Plus, if you dish it out, be ready to take it. If you lack the gonads (of any gender) to put yourself out there, I don't really respect you and have limited interest in your content
I do appreciate people who introduce me to new sources of data or new ways to look at data. Show me articles, evidence, analysis, and we have a conversation.

I don't (try not to) get elitist/snarky like some do to assert dominance/superiority.

I like to learn how others think.
One of the things I see on #MedTwitter is a lot of silos, cliques, and being quick to block. Some even send out lists of who to block.

I think that's a lost opportunity to understand what influences people who don't agree with you. What are the sources others trust?
Given the lack of diversity in #STEM and #medTwitter, it is easy to be completely out of the loop on what is going on with #blacktwitter yet #MedTwitter is full of article after article like

wral.com/study-shows-ap…

edhub.ama-assn.org/jn-learning/vi…

abc7chicago.com/covid-19-vacci…
Frankly, if not for my having "met" @ShrimpLingSoup on Twitter I would not know half as much as I learned this year about the nuances, phrases, and other aspects of the Black experience, or what #healthcarehotties was about: thesource.com/2020/04/09/meg…
This is what I am here to learn. I only got engaged in this conversation when leading voices of #medTwitter or of #PROWD were anti-#healtharehottie, railing against it, w/out understanding the context. I too needed to be educated on this funding campaign.

oops got the #healthcarehottie hashtag misspelled above. Or, I had NO idea there was a #blackmensmiling hastag until saw angry at docs/nurses smiling in a pandemic (very anti-#mentalhealth)

The "purest" thing on the internet? #MedTwitter hated it.

metro.co.uk/2018/02/04/bla…
This happens over and over and over. It is exactly this published by @Stanford - we have massive silos with strict boundaries and harsh judgment of "others" as well as people whose actually jobs it is to enforce harmful rules like below

*sigh*

It harms

ssir.org/articles/entry…
I see so many leaving #academia in real life. Also see it playing out on #SoMe in patterns of #communication described as "#SciComm" yet that violates many basic standards or best practices of both SciComm and #DEI

aamc.org/news-insights/…

#AcademicTwitter #academicchatter
What I love about #TikTok is that my feed actually does keep changing despite the algorithm-based content. I guess I keep interacting with a range of content. I loved being in NYC and the job that had me going between Bronx, Harlem, Queens/LIC, Brooklyn, the City, etc.
But in a world of algorithms teach the algorithm that you value diversity, want fresh, new content. The more you curate, block, interact only with your clique, the less exposure you have & the more you will be prone to being really, really wrong out of flat out ignorance
Even @ShrimpLingSoup
we only "met" because I engaged in a new space. More I engaged, I recognized she was dealing with #bullying common towards Black nurses, trainees, clinicians

This what I've tried to address as an executive
We NEED #BIPOC clinicians

hbr.org/2018/08/resear…
Love this. It’s true, we have so much to learn about certain cultures.

Once I started to learn more about Black hair culture, for instance, I had much better conversations with Black peers, families of patients, etc.

m.tiktok.com/v/690177138809…
This is a perfect explanation of how identity is multi-faceted and determined by the individual.

m.tiktok.com/v/690774964672…
This is another intersection of cultures: LGBTQ and SWANA through the lens of imperialism

m.tiktok.com/v/690035398434…
Which is exactly the intersection of identities that Salman Toor explores (and more)

whitney.org/exhibitions/sa…

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More from @usnehal

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. Image
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
28 Dec
It is not about being "woke" per se as some people claim. It is about caring about measurable results & caring about human life. If you don't care about such things and are in #healthcare, if #equity is merely a hashtag or for "reputation management", you are part of the problem
I understand some people feel those at the margins can be written off or just are not part of their consciousness, irrelevant. That position of privilege goes away in a pandemic. Those people you may disregard most of the time become highly relevant to everyone's wellbeing.
It is very attractive to break problems into little, manageable parts and to isolate yourself to a silo. Too much of science operates this way. Too many of those rewarded within #STEM go narrow and deep. Then the messiness of the real world is not addressed in solutions.
Read 14 tweets
28 Dec
"Died at the scene"?

This was a suicide bombing & terrorism where someone filled an RV with explosives, parked it in front of key infrastructure, while he was inside. They were not initially sure if the "tissue" found was human or not to ID him.

Why not call it what it is?
I am feeling SO exhausted this morning.

Add the media coverage of Dr. Moore describes her as "complaining" as opposed to "reporting" or "identifying." Then the hospital's response is to describe her as "intimidating" to nurses as "knowledgeable"

The words we use matter. How much caution do we use, with whom, when? What tropes or associations are invoked? How does that populate the "data" in our brains that fill certain "buckets"? Who "complains" or "intimidates" vs "we don't know all the facts"

brookings.edu/blog/the-avenu…
Read 10 tweets
27 Dec
Nothing captures structural racism better than this as has been put out by many including @QaaliHussein1

Knowledge + Black (+ woman) = scary?! (“intimidating”)

This is the type of implicit bias to racism spectrum communication I had identified this summer as well. #MedTwitter
These dynamics is partly why I have been wary of any subsequent executive roles I have been offered.

I made it past the glass ceiling. In many institutions this is exactly what you will find.

Why many BIPOC go off a #glasscliff

Your job: Be token.

hbr.org/2011/01/how-wo…
To be clear, I have the privilege of choosing to be so called “model minority” or to be anti-racist.

Black women and men never get that choice.

Executive incentives and rewards often are to generate revenue for an institution per the existing system, NOT to be a change agent.
Read 4 tweets
27 Dec
This is very important. I had been preferably using Black gifs for representation.

The nature of #communication is that how you intend it and how others may receive it will pass through many other filters as well as sources of trauma.

When in doubt err on side of caution.
While I have not received any feedback that my gif use is inappropriate one should not wait to be told. Going to be sure to apply an additional lens and filter.

Caution: Some who call themselves #communication “experts” may be about promotion rather than reliable #DEI or results
In particular, when you look at who to trust or emulate on #SciComm or #MedTwitter, take note of who is effective at communicating their point, does not need to delete, can post on important topics with least misinterpretation, while maintaining the broadest audience.
Read 10 tweets
27 Dec
The world (specifically healthcare) is not giving me good feels right now.

And:

I miss my cat

I miss NYC

I want bubble tea
Well, bubble tea has been ordered.

Puritan territory New England does not have the flavors I want at 10:27 p.m. but I realize that at least I do have bubble tea access in the first place.

As much as I now call Boston a village... it isn’t really.
It’s here!!! Image
Read 8 tweets

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