Agree and...

Many of us also saw an ugly side of ivory tower

multiple out of touch clinicians & non-clinical faculty overpolicing minority, LGBTQ, women clinicians, trainees, students

Revealing what drives distrust of institutions/faculty

Must fix this for effective #SciComm
#SciComm currently lacks Black or marginalized group (including BIPOC, disabled, etc) leadership within it which explains why so called leaders within it cannot recognize effective public health messaging that works in communities of color, marginalized groups.

Need more:
This video shared by @KateWalshCEO of @The_BMC represents a divide in #SciComm & #MedTwitter & #professionalism
Some find clinicians dancing offensive
The thing with diversity is not everyone at an institution is on the same page, evidenced by #Medbikini

nytimes.com/2020/08/02/us/…
When there is that diversity of thoughts within an institution

including some who believe speaking on gun violence is outside the allowed scope of doctors (despite treating effects of gun violence)
=a disconnect

CEO like @KateWalshCEO may signal #DEI

while others enforce this
Am not suggesting there is any easy answer to managing culture change in #medicine. I AM asking visionary c-suite to recognize their communication advances ahead of all their staff

if their managers/faculty are not fully on board

is the lowest ranking who get penalized
or this:
Appreciate @KateWalshCEO posting a #TikTok w/ BIPOC dancing on hospital property as within the scope of #professionalism

Am highlighting this is a culture change & controversy that needs to be acknowledged

trainees, students, staff protected when they emulate
Some TikTok is 👍🏾
Speaking of #medicine & #MedTwitter broadly, we ssend wrong or mixed messages. We know black women like @staceyabrams @KamalaHarris do the hard work to flip elections fair & square. Yet who do we hold up as role models?

#pediatrics & @PASMeeting has a problem w/ WOC leadership:
@JulieSilverMD has published in the problem in #pediatrics, a field that prides self on & teaches activism. These stats worsen if an intersectional lens taken of looking at women +/- race, orientation, disability, etc, etc. #MedTwitter @AmerAcadPeds

So much worse in other fields
I don’t see taught in #SciComm: how to be trustworthy

By default then #SciComm teaching fails to teach how to be effective

So then that teaching becomes waste, even harm

So I agree with @PeterHotez: rise of anti-science rhetoric

but we have to examine the WHY
assess drivers
I wrote this ages ago on violations of #ethics in #mentalhealth

censured by Institute on Medicine as a Profession (IMAP) @Columbia #NYC

#psychtwitter is full of various types of ethical murkiness for profit that harms profession & trust

that must stop

mic.com/articles/73001…
Personally I have my physical safety threatened by highly armed alt right as well as wrongly labeled by faculty who themselves violate or evade ethics.

As a Muslim American I have never felt fully safe.

I accept: just is how it is.

I may as well speak freely as is my right.
I do pride myself on creating safe spaces for diversity, neurodiversity including autism or ADHD, LGBTQ, WOC, all ages, disability, etc. Having team-determined norms and respecting internal processes is important when breaking boundaries & disrupting, like in a #hackathon
Things are not okay or safe, including in Boston area hospitals as I describe in this #podcast w/ @becker_sbecker

Bias, racism, wrong application of rules harms staff and patients. It negatively affects #quality & #safety. That also impacts bottom line

go.beckershospitalreview.com/scott-becker-i…
#TikTok is a new frontier of #SciComm that has a lot of merit, tho, like anything, has risks too. It gets us out of walls of ivory tower and into a sphere of influence to access new audiences and to pitch our concepts to engage and invite. It gets past silos and boundaries.
We also have to find novel and effective collaborations to extend our reach

We MUST get past the “expert” & individual merit model academia promotes to learn from people like @DrJCoftheDC whose message on #publichealth #mentalhealth #equity #blackmensmiling was spread by @nflpa
A clear divide between those shushing & shaming to stay within bounds

vs those expressing, innovating, breaking silos, disrupting status quo, “respecting” no bound(arie)s

The divide is often by race, disability, LGBTQ

or just an authentic commitment to equity
#AmandaGorman
Regardless of gender, we need people to push boundaries, question authority & status quo

Advocate for access, quality, safety, value. There are ways to do so within existing processes or by disruption

Be sure to make people uncomfortable at least part of the time for progress
@threadreaderapp please unroll

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Umbereen S. Nehal, MD, MPH

Umbereen S. Nehal, MD, MPH Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @usnehal

31 Jan
Keep in mind the phrase “shattering” the glass ceiling is a violent phrase associated with riots or “anti-social” activities. #womeninleadership conferences or books don’t prepare you for reality of how perceived/treated when “smashing” the patriarchy, especially as a WOC.
There are two ways past the barrier: 1-align with/serve patriarchy and have the door opened.
= mere optics of change while perpetuating status quo & structural inequity
Or
2-shatter it the glass ceiling. The latter will cause you to be a threat to the system & leadership
On rare occasions, the person opening the door past the barrier is truly seeking progress at scale rather than tokenizing you.

More often than not, your role when on the other side is to be token and sign off on perpetuation of inequity while providing the right look/optics.
Read 21 tweets
31 Jan
It pains me to say this, it seems like this can never be a true statement...

...but...

I think I have too much dessert.

This was delivered to my building lobby today. Image
I still have half of this tiramisu. Image
Anyone who guesses what the occasion is within 3 tries gets a slice delivered to them, socially distanced

(Am that confident you can’t guess LOL - it’s a bit if a gag gift but I mean a lot of ppl did say “congrats” on this happening)
Read 5 tweets
31 Jan
The thing with people who are unethical, lack standards, rely on intimidation or manipulation, manufacture facts, etc...

...when they are in a position of power, yes, have to navigate carefully

..but once they are out of that job?

Let facts speak for selves.
Fauci is wise.
If an ethics violation, there is no need to trade screenshots in Twitter court for vigilante justice

Report the ethics violation. Like is happening after the #insurrection

Raising awareness to allow others to come forward, *is* useful tho

kaine.senate.gov/press-releases…
If a legislator elected by a party or affiliated with a party, can take more risks in some ways. Your constituents often want to see action.

An appointed official like Fauci wants to keep his position across administrations: better to choose discretion and/or wordsmithing.
Read 11 tweets
30 Jan
This 👇🏾👇🏻👇🏿

Abuse is towards many groups:
Children, elderly, disabled, neurodiverse, pregnant, women, LGBTQ, those on visas, employees, students/trainees, etc

It has been my job for ~15 years to spot it & be mandated reporter. We all must stay alert
Listen. Observe. Question.
Most people are too
goal oriented
distracted
self absorbed

to see what is in plain sight
Also, many who do see are afraid to speak up. Be the “Cassandra”

“A lot of clinicians have been treated like Cassandra where we get disregarded or sidelined..” -me

marketwatch.com/story/hospital…
Rest of quote:

“..treated like Cassandra where we get disregarded or sidelined, but our concerns about safety have turned out to be true,” Nehal, the Boston-based pediatrician, added. “There’s no joy in being right. I’d rather see good results that put patient safety first.”
Read 4 tweets
30 Jan
People recommend a variety of strategies for (cyber)stalkers

Personally my fave: overload them with SO MUCH data their systems break down & THEY have a break down 😈

Maybe stop stalking me so your brain won’t have to try to follow mine

cuz, I promise you: you can’t keep up 🏃🏾‍♀️
Last semester, way I did group work: slow down by 70-80%
(apart from rare times w/ ppl w/ matched pace & skill)

Based on 360 eval feedback to:
slow down so others can keep up
&
lower my standards

Took 3x course load
did 2-3 Zoom at once
& still got all As (except one B+) ImageImage
Thought experiment:

If I were a cis straight white man with my abilities, would I still be told to lower my standards?

If I were not advocating for system change & equity but if as a WOC I aligned with incentives of patriarchy, would my hard work translate to more rewards?
Read 10 tweets
30 Jan
Sooooo....

...how much does @BreneBrown center on Black women, BIPOC, disabled, LGBTQ?

not opposed to all boundaries per se

BUT am a bit skeptical 🤨 🧐 🤔

in context of #DEI & structural inequity & racism

This can serve as a convenient “opt out” as a part time “ally”
This is a reality for many of us WOC entering spaces defined by white feminists

Am not Black. No one tries to touch my hair. I “pass” in ways that reduces how much I navigate vs get to “be”

When will boundaries of WOC be respected?

(Keep hands to self)

podcasts.apple.com/us/podcast/bla…
Is it your boundaries that cause you to quietly, when no one can see or hear, act like this?

..to ✅ “I am a good person” for your own ego

while leaving black woman or BIPOC dealing with all the consequences

plus maybe 😒🤢😡😖😞triggered by flimsy, token support yet again
Read 12 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!