Yesterday again, a physician engaged me then seemly regretted the reply

deleted non-factual replies

unfortunate that there is such poor training on #Scicomm that folks do not understand that deleting is not protection

better internal judgment & self management = protection
Is it any wonder physicians are unable to navigate increasingly complex healthcare policy or industry pressures if some unable to manage own selves?

“Physician led” slogan requires those issuing that rallying cry to demonstrate trustworthiness - else *you* harm the profession
#globalhealth, #Ruralhealth in America and #FQHC care require #teambasedcare, as does care for children with disabilities - so I am never going to mandate only one type of clinician or be locked into separate cult-like group coercion or shaming.

cdn2.sph.harvard.edu/wp-content/upl…
not sure how much work this physician knows about empty CMO positions in #FQHC

unfilled cuz the work is hard, poorly compensated, unglamorous

with knowing anything about me

issues a “fatwa”: I have created “victims” by #FQHC work (tweet was deleted about “socialist” medicine
precisely how certain physicians claim to be “pro-physician”
quick to attack or mislabel peers who put patients & marginalized populations first

It is not a good “look” nor represents ethics we are accountable to in paths we take

Then ppl go hire:

newsweek.com/sponsored/webi…
The best reputation management is having a clear mission, adhering to ethics, and not needing to delete what you put out.

I’ve been questioned on my #SciComm consulting, or “personal brand” consulting.

In brief:
Be reliable yourself
Then your “brand” is reliable by default.
There is a whole field of #healthcare #marketing that sells

“optics” not #ethics
“prestige” not #quality
“control” not #access

railing against “socialism” is using coded language to justify “block patient access”

That has been historic position of certain physician groups
Now if a physician this quickly attacks an #FQHC peer

how are..
..patients treated?
..social workers treated?
..nurses treated?

Interactions like this cause me to double down because I am “strong enough” to “take it”

But many are not
#bullying is not unique to one clinician
I am strong enough... until I am not. This is what “great opportunities” look like

I hustle and work 3x harder to get half as far, sacrificing health and wellbeing

For this, “peers” shame and accuse from the crowd seeking to advance physicians 🙄

• • •

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

4 Apr
When people who seek control
and who monetize fear

are faced with evidence their narrative of control is false

rather than embrace reality
(or develop courage)
they double down

At times of high stress you see bizarre overpolicing & bullying increase over petty non-issues.
There is a gender difference in bullying tactics.
Men: physical
Women: social (exclusion)

Later looks/sounds like
“Don’t talk to her”
“Club”
“No one likes you”

(Yes, really adults resort to grade school tactics)

Faculty/teachers need to stay aware:

apa.org/topics/bullyin…
Whereas adults are taught “just shake it off” or “ignore it”, students or children are especially vulnerable to faculty or teacher over-policing.

This over-policing starts not just in preschool but in the cradle.

“The police” in schools: teachers.

txicfw.socialwork.utexas.edu/4-things-you-n…
Read 47 tweets
4 Apr
So true, but “sticks & stones...”

Some people got bullied & used that as excuse to become cyberbullies, learning tactics of bullying to control

Others realized bullies go after what scares them or is powerful.. & took control of own merit & power to create new value

Be the 2nd
Am *grateful* for the campaign of cyberbullying directed against me this summer as retaliation for reporting fellow faculty for #ethics review
+
what I learned on #MedTwitter from WOC in #healthcare

When it was my own family needing #COVID19 care, I was tough enuf, resilient ImageImageImageImage
Not that, as a grieving daughter, I should have to be “tough”

but I had learned that my experience of #healthcare is as a WOC/POC

so I had better be listening to those whose own lived experiences and whose communities’ lived experiences were the wisdom I needed: black women
Read 6 tweets
4 Apr
The folks who are anti-diversity need to update their tired playbook.

Sharing space for win-wins is not the same as hating people in a space.

Violating professional ethics by trying to diagnose via Twitter only damages own professional reputation by displaying poor judgment.
The time to have diagnosed by Twitter was here - instead of holding leadership accountable, people scrambled to put guardrails and install people to be "adults" in the room to reassure the public.

Actually don't be reassured.
Do something.

theconversation.com/thousands-of-m…
This was time to raise alarm, not "reassure"

All of you who distribute pacifiers and those eager to be pacified killed Americans

Plus, there was utterly bad and WRONG advice from a #physician and #publichealth #leader that "no need" to think about DNRs.

Read 12 tweets
4 Apr
Cyberstalking by faculty and administration is simply never okay. #Medbikini was not a one off.

Almost everyone, regardless of age & gender, whose bio has “#professionalism” in it or “#cybersecurity” is worth looking into as to what #ethics they disregard or violate.
#Mentalhealth is needed. Until they clean up their #ethics minoritized populations will continue to be unsafe

Torture relies on “exploiting” psychological or physiologic vulnerabilities

Some, instead of creating #health, sell services to design torture

washingtonpost.com/outlook/psycho…
Conflicts of interest, especially unreported, are a massive source of ethical failure. First, clinicians should inherently know torture is unethical as well as “unprofessional”

but if they lack a moral compass or ethics, reporting COI can flag to others

journalofethics.ama-assn.org/article/profes…
Read 8 tweets
4 Apr
An alum from my med school also lost a parent recently.

These last moments we have are so precious and heartbreaking.

His profile picture.
My profile picture on the same site
My mom was already intubated, sedated, paralyzed

so while the picture feels like there was a connection

it is only a narrative I craft
to reduce the trauma of loss

of not seeing my mother 14 months, of not getting to see a conscious mother again

#COVID19 is cruel
Read 5 tweets
30 Mar
Please think about how she acted for so many years in African countries. Look at the job she took after. What is the best fit line?

Was she acting that differently before?

Or was she used to low/zero accountability and zero transparency

...when it was not American lives?
As someone who has worked in #globalhealth, I can tell you that there are attitudes/practices towards those in other countries that do not meet standards in the U.S.

Not all of it is just resources, trained personnel, or local politics.

gh.bmj.com/content/5/8/e0…
As for local politics, that is often a self fulfilling prophecy. If one comes with a “savior”/superior belief, believes other cultures lack ability or values to self govern
one often installs or rewards “strongman” dictators for expediency

Churchill is oft quoted.
His beliefs:
Read 21 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!