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.
Evidence we only pay lip service to collaboration, cross-disciplinary work, etc.

However you build a system & design the incentives = results you get.

We generally reward narrowness ...which can result in narrow-mindendness

We have silos = out of touch

Academia is byzantine & "vicious" Can it really serve the vulnerable? It is probably worse than government for making changes to itself. At least government has accountably via elections. We need academic reform to have knowledge generated that serves all

aaup.org/article/why-ac…
While many on #MedTwitter literally put "snark" or "snarky" in their profile descriptions, what that alludes to is a culture of cutting each other down, power plays, word play, not a culture of collegiality/trust. Is it any wonder we are not trusted then?

nejm.org/doi/full/10.10…
Many of us have survived this gossipy, vicious, highly political setting.

We now may take pride in “snarks” - but that is a maladaption to dysfunctional system & culture.

It interferes with #SciComm for #PublicHealth like now in a #pandemic

#AcademicChatter #MedTwitter
On the other end of the spectrum, when it comes to engaging with business leaders

scientists/#STEM also fail to communicate effectively

are disregarded
or
laughed at (to their faces or after they leave the room) which I describe here:

explorethespaceshow.com/podcasting/umb…
This isn’t merely skills building

but #mindset change

must change the very values of (or what is valued in) academia

incentives must change

We can’t assume that people like this retiring & passing out of the system is enuf

wsj.com/amp/articles/t…

blogs.jwatch.org/hiv-id-observa…
People do not merely pass out of a system. They put into place incentives that remain. They promoted people who are now the ones hiring, disciplining, assigning committees, and/or promoting. Moving these paintings is merely optics: beckershospitalreview.com/hospital-physi…
Further, it is not identity of race, gender, sexual orientation, religion that determine whether someone is ethical or collaborative. Yes, there are some trends (for collaboration) within certain demographics. But the issue is often about changing system and incentives.
Is it #empathy? Maybe but how do we get empathy? For whom?

If you read @paulbloomatyale empathy often fails. We really just center on ourselves.

Like, it takes having a daughter for a man to be more focused on gender equity, have empathy, be generous:

telegraph.co.uk/men/relationsh…
I guess I'm wondering for people who are self-centered and selfish, how do we get them to be less so and care more about others? This is a question philosophers have been wrestling with for ages. Will this pandemic cause people to understand we are interconnected? *sigh*
While it is easy to see the anti-maskers or the anti-vaxxers as "selfish", to what extent has #STEM not been sufficiently democratic, open, inclusive, and communicative in non-judging ways? How can we get the systems of academia to be reform and be trustworthy/trusted?

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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.
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
"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
27 Dec
I am amused by anyone on #MedTwitter who thinks I can be easily intimidated. Chile.. first I am Gen X. Then, I have lived through having gas masks distributed in case chemical war happened (when living in an oil compound). Then I have lived in places you hear gunshots routinely.
I experienced a ton of bullying, including (but not limited to) racial, as a child back when teachers told you the problem was you not being tough enough and they were not there to solve “your problems” for you. If a kid stole something, why’d you “let” him?
I have navigated the outspoken WOC in the workplace such that (despite folks who attempt to spread rumors otherwise) I have a perfectly “clean” record. No dark web searches will uncover “dirt” cuz there is none to be found.

Yes, some will resort to manufacturing instead.
Read 16 tweets

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