This is super complicated. Traditionally, #healthcare has been physician-led "therefore" the ills of healthcare also fell squarely on the heads/shoulders (malpractice insurance) of physicians. That said, now most physicians are employed. Then the "therefore" of #accountability?
Workforce and representation very much are important for the 1:1 care. We know this to be true, for instance:
But it is a long pipeline to get a practicing, licensed physician and requires a lot of debt/resources
But can clinicians who make up single digit percentages of the workforce really address system level issues? What resources are available to docs once in practice? Who defines "performance" and "value-based care" metrics? Follow the 💰💰💰#medtwitter
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.
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.
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.
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"
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.
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.
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.