I went down a rabbit hole of women and academic productivity this morning...

Spurred by a recent Washington Post article (which buried the lede) showing that due to COVID19 academic women are losing 7.5 to 10 hrs/week of research if they have kids <7 yo

washingtonpost.com/road-to-recove… Change in how academics spent their time during the pandemic
1/
This is a CRISIS for academic promotion.

Pre-pandemic, studies showed disparities in publication rates between women/men.

There are 100s of articles describing this, but these 2 are pertinent to #AcademicMedicine

jamanetwork.com/journals/jama/…

ncbi.nlm.nih.gov/pmc/articles/P… Table 2 from Raj 2016 article. Men vs Women publications of
2/
Unfortunately, since the pandemic started, the gender gap in publication seems to be worsening.

jamanetwork.com/journals/jaman…
3/
I entered the pandemic with a chunk of time meant for research but ended up creating an online curriculum and spending all day every day in the company of my 2 and 4-year-old. Which brought me so much joy.

But what is the trade-off? Just getting back to paper writing now.
4/
In some ways, seeing the data is helpful to validate my experience.

But, it is also extremely frustrating... the disparities in authorship go back decades. Yet it remains one of the main factors in promotion and leadership positions.

It feels like victim-blaming.
5/
Which makes me think.

We can perhaps talk all day about why women publish less and how to get us to publish more, but maybe we need to talk about valuing what women are doing.

They do a LOT of service for institutions.

link.springer.com/article/10.100…
6/
They also shoulder a significant amount of disrespect and harassment.

Ask any #WomenInMedicine, she has a text thread or person she debriefs with when it happens.

When it happens, again and again, time addressing it adds up.

(See this week's #JHMChat with @arghavan_salles)
7/
So, here's a few ideas to ponder:

If pay is tied to promotion, and promotion is tied to products where inherent disparities exist... what about de-coupling pay from promotion? (like Mayo Clinic)

Or, should the process value women's service/experience?

What do you think?
8/
Bottom line,

Women in #AcademicMedicine are losing hundreds of hours of work this year (as are men with young families to some degree). It is going to have a profound impact on productivity that will ripple out for years.

Has your institution addressed this?
Final note: There probably isn't a one size fits all solution... but these thoughts for #HospitalistMedicine from @FutureDocs @aoglasser @WrayCharles @ETSshow @ShikhaJainMD are fantastic.

Has anyone adopted at their institution yet?
journalofhospitalmedicine.com/jhospmed/artic…

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More from @SonjaRaaum

22 Jul 20
I put together info on feedback for our interns and meant to share, but things *ahem, COVID* got in the way...

I learned ADAPT @acgme course in faculty assessment, and honed during @intermtnsim facilitator course.

A month into new AY, might be a good time to revisit! #Feedback
First of all.

Very important to understand what feedback is -

It's not about your opinions, it's about observed behaviors compared to standard.

For those in the back - observed compared to standard!

⚠️ if not observed
⚠️ if not using a standard

#AdaptFeedback
Set yourself up for success to deliver feedback - let team know expectations, 🚸 signpost feedback! And make sure you are in the right setting.

#1 rule, always assume everyone is trying their best.

Finally reflect on feedback that worked for you, and pay it forward to others!
Read 11 tweets
1 Jul 20
Hey #MedStudentTwitter

It's that time of year again - preparing applications for residency.

Let's talk about how you can use the personal statement to your advantage!

(preview to the pep talk I'm giving @UofUInternalMed students tonight!) Image
1/
Every PD will tell you that your personal statement has to be, well, personal.

Take it a step further and make it authentic - it's your opportunity to tell a story, and make it your own!

How do you do that?
Recognize as @gradydoctor stresses - ”Becoming is better than being” Image
2/
So let's get to the nitty gritty.

Go back to your med school personal statement, and use it to gain perspective.

Use reflection to help define your growth which will help you tell your story.

Write all of this down uncensored and get it on the page. Image
Read 13 tweets
7 Apr 20
This last month has been difficult to process

I’ve struggled with the insane amount of data and the enormity of the situation, but even more so I’ve struggled fitting it all into my worldview

Then, I remembered @factfulness

Here are 10 instincts we can all hone
#MedTwitter
1️⃣ Gap Instinct

Stories can paint dramatic portraits of gaps between two groups - but in reality there is almost always an overlap and majority live in between

❗️beware comparisons of averages
❗️beware comparisons of extremes
❗️remember looking down from above distorts view
2️⃣ Negativity Instinct

❗️Bad events get the press, so expect it - good news and gradual improvements are rarely reported (but you can seek it out!)

🔑 Point: distinguish between a level and direction of change - data can be both bad and better
Read 12 tweets
14 Oct 19
#medtwitter

I love to provide structure for my learners. A couple years ago I adopted a set of rules for rounds and ward teams. These continue to evolve.

I share them on day 1, and refer back to them frequently while on service.
👇

#TeamRules #MedEd
What are your #teamrules?
Rule 1: We treat patients, not diseases or numbers.

Always always put the disease and number into context for that specific patient. And get to know the patient.

It’s good medicine, and makes the job so much more interesting.

#SDOH #IllnessInContext #EBM
Rule 2: Rounds are done by noon.

Come prepared and we will get the work done together

Stick with the 4 Ds - decompensated, discharges, diagnostic dilemmas, the C Diff patients last. Stop wherever we are at 11:30 and finish running the list.

HT @thecurbsiders ep157

#efficient
Read 7 tweets
27 Aug 19
Calling on #MedTwitter #MedEd and awesome #MedEducators

Last year, I put together an infographic with links to resources for MS4 students on medicine rotation

I want to update, so send me your best links for students to use on inpatient rotations to make an improved v2.0! Image
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H&P

MedFools is dead!
Where do you get the best scut sheets?

@UtahIMCMRs @MedEdPGH Image
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Illness Scripts

I love teaching this concept to students - what resources do you use to engage students in learning to build on illness scripts?

@CPSolvers @DxRxEdu Image
Read 12 tweets
8 Jul 19
#MedStudentTwitter #IMResidency

It’s Personal Statement Season!

I help review med student statements and have a few thoughts to share to hopefully help students/faculty along the way.

Its a thread.

👉awesome PDs can chime in @carolinemilneMD @abbyCCim @CincyIM @AmyOxentenkoMD
1⃣Big Picture
The personal statement is an opportunity to weave together
* highlights from CV
* experiences
* personal attributes
Into a cohesive story that explains
- Why you are going into IM
- What you can bring to a program
#IM_PSTips
2⃣ To start, find your PS from your Med School Application

- Think about how you have grown since then...
- What experiences in med school helped you grow into the prepared student you are now ready for residency?

☑️ Write all of this down
#Reflect #growthmindset #IM_PSTips
Read 12 tweets

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