Thread by @usnehal

Both these cases and others from institutions where I have been educated or trained hit close to home.

I had become a fan of Cuomo when in NYC

There *is* racism & implicit bias

while there *does* need to be accountability & due process on sexual harassment regardless of race

https://twitter.com/uche_blackstock/status/1366188870673584128

When we always report, encourage reporting & consistently invoke due process within the system, we can create a safe system that counters bias. It should not be about who went to med school with whom, race, gender, age. It should not be about vigilante justice outside the system

A woman leader can experience gender bias yet also align with patriarchal structures that tend to silence female victims. Both can be true at the same time. A Black man can be harassed or overpoliced based on race in one domain and be correctly identified as a harasser in another

That is what makes it complicated. There are not people who are only victim or only abuser. There are not “good” or “bad” people rather actions that happen at specific times by specific individuals. Those who see selves as saviors or mascots can become entitled, full of hubris.

In politics, communication, leadership, etc this comes up over and over. Do we hold people accountable who are useful to an agenda, may share certain goals, may have done some good things?

nytimes.com/2017/11/16/us/…

I’ve had very mixed feelings about my own alma mater once this came out

It is the school that shaped me into the woman, the advocate, the social justice warrior I am, yet..

..I had felt safe there
But not all were safe
Some abused then made to disappear

timesunion.com/local/article/…

Gillibrand, an alum of my high school, who led the charge vs Franken to resign, has been criticized for not being as intense now. But she is clear here. This is where it gets murky. Who decides when “tone” is “enough” beyond supporting due process?

thehill.com/homenews/senat…

I’ve been criticized repeatedly in different contexts, for having too low a bar for reporting.

Told I should look away, let it go, stay silent.

But that is the thing, we need more, not less, reporting for #safety, less biased gatekeeping.

weeklysafety.com/blog/incident-…

Women & minorities who are the most successful, (frankly even cis, straight white men), either are part of this culture or align with it

Strip clips, groping, sexism, homophobia, racism, you name it - silence

Staying silent when an ethical head rolls

bizjournals.com/bizwomen/news/…

Nurses can be bullied by doctors and administrators, burnt out, and harassed or undervalued while also having own bullying culture.

And when held accountable, the label of “the oppressed” can be invoked rather than consistent standards across identities

ncbi.nlm.nih.gov/pmc/articles/P…

My reporting this data entry error on behalf of a black family was seen as overly punitive. Except when I was a patient, a near miss potentially fatal med error could have killed me. The resident caught the error but did not report. So then no QI data.

go.beckershospitalreview.com/scott-becker-i…

Incident reporting of any kind of safety is necessary to #quality #safety in #healthcare

pubmed.ncbi.nlm.nih.gov/23335058/

So don’t be judge & jury or gatekeeper yourself
If see something unsafe, invalid, inaccurate, biased, bullying, harassing..

..report it

Have low bar to report
Don’t tell others it is never worth it
Change culture of silence & silencing

Increase reporting
Let committee handle

@threadreaderapp please unroll