Initially I was a bit wary but after speaking with @londyloo and learning all her tweets were all already in news articles, yes, I understand this approach.
Many people in our profession remain in denial that is was “us”, some of us, at least.
Who do we entrust with shaping/enforcing our system of laws? If you are a legislator, law enforcement officer, an elected official, you CHOSE a job about rule of law & CHOSE to assume a position of power/authority. There are responsibilities to respect rule of law and processes.
As physicians our #ethics are critical. We are mandated reporters. We are licensed professionals. We are expert witnesses. We are among the more trusted professions in society. So if criminal activity that results in having a photo released by the @FBI, rest of us must cooperate.
I have been outspoken on failure of “professionalism” for ~a decade. It is too often abused to silence & protect the “elite” nature of a “club” rather than identify when standards & ethics are violated. Too often, we focus on superficial, “optics”, and what others think.
Respect that today’s med students, especially as higher education is a $583 BILLION industry, are being both informed consumers of own education & questioning/challenging the silencing pressures from the “profession”, increasingly of Wall Street culture, not Maimonides ethics
Increasingly I have understood why the phrase exists, “those who can’t do, teach.” Have tremendous respect for educators, but for future licensed professionals who will make life & death calls, serve as expert witnesses for abuse, pragmatic & current experience matters.
Increasingly seeing people with prior careers or other prior roles in healthcare in medical school: EMTs, nurses, MBAs, consultants, teachers, etc, etc. These people are not “below” ivory tower faculty. Opposite. This is a tremendous opportunity to learn from students’ experience
For instance, a former EMT who had to make split second decisions in dangerous circumstances without clear evidence in the moment that had ethical implications
Vs
a professor reading theory
Who “knows” more on ethics, then, in a med school ethics class?
= Different knowledge
Yes, I was a bit taken aback by some of what I saw @londyloo post UNTIL she explained she was posting already published, vetted, validated information & amplifying awareness of what is active search for information by the FBI on matters of national security & public safety.
Those who pride selves in experience & expertise actually become close minded, even unable to learn - full of hubris. It is important to maintain a “beginner’s mind” to stay open minded & learn from all possible sources, see familiar things in new ways.
In fact some types of intelligence, especially those found on silos of academia, can be more biased
If deep in own area of expertise, blocking out rest of knowledge/other fields
It “took a village” to “raise”/create Andrew Wakefield - it is common for everyone to back away once accountability happens but Andrew Wakefield did not do this all by himself.
What about medical culture and who is not policed on professionalism that allowed him to get so far?
Keep in mind how imprecise the “no fly” list has been. Even babies ended up on the list. Being able to fly to attend a funeral or wedding is a lot bigger deal than being able to tweet, that too when you have official media people working for you. Endangering lives = consequences
If you are 18 months it is a bit easier to prove that you are in fact innocent of the allegation that you are a terrorist (altho I have heard people say that the only good Muslim is a dead one which includes babies)
But how many others have had rights curtailed as “precaution”?
“For example, Ghislaine Maxwell is often described as ‘sourcing’ girls who were ‘abused.’ This softening language does not accurately frame her crimes the way ‘sex trafficking’ and ‘raped’ does”
Shame is often cited as a way to fix things but shame is the other side of the coin of pride. Shame causes people to reject then join “proud boys” to counter and find “safety” in an echo chamber & “tribe.”
When I think of “shame” I think of the Puritans who led witch trials, killing women who were different and disrupted norms or I think of those who stone women to death. Shame is what happens when “honor” lost. When KKK rides to “protect” white women’s “honor” or “honor killings”
We need to eradicate shame, in fact. It has too much of a violent, ugly history of social control, engaging the limbic system & lizard brain, most often is used against those who are different
Let’s NOT use that when the point is that we live in a Constitutional federal republic
@JAMA_current’s failure to frame this as an inherently intersectional issue has multiple implications for #SciComm at a time we need to be using correct frames.
First gender is not binary.
An opening line of women vs men excludes spectrum of #LGBTQ & or experience of Black men.
I mean, before the pandemic, at a fancy schmancy MBA event in NYC, I literally put two cider donuts, wrapped in napkins, in my purse. After you have subsisted on a steady diet of hospital saltines, peanut butter, & graham crackers, one becomes shameless.
Also: child of immigrants