LOVE being faculty at @MIT this semester for a class on #dataanalytics & #datascience. I tend to PM my mentees, especially women and #blackexcellence to start to prepare questions to ask. Too often people stay silent. Speak up. Never be embarrassed to show #curiosity.
Listening right now to mid-semester progress reports from teams and am feeling like such a proud #datascience #BigData #bigdataanalytics momma. Bear cubs doing good (well AND good in world)

LOVE that this is a space within @MIT that focuses on #SDoH and #equity.
Literally right now, hearing about a study on #socialmedia chatter as a driver of vaccines hesitancy driven by #Twitter - start postulate "cause/effect" by an incident that happens within days after a vaccine - like ppl automatically assume a death is "caused" by vaccine
Meanwhile #Twitter, at same time, ppl saying: perimenopausal menses changes "caused" by a single dose of the #vaccine. You can't make this stuff up. When you are a person who seeks out information in multiple spaces, you have these experiences that are almost comical... #COVID19 would be comical if spreading #vaccine #disinformation manufacturing fear via illogical "this must be a side effect"

is a matter of life/death both by actual spread of #COVID19 #pandemic + secondary impacts thru long COVID, economic impacts, #mentalhealth impacts etc etc
Grateful to my mother for encouraging me to go back to school to do @mit. I was feeling SO stuck. Repeatedly was able to rise into what should be positions of power then realizing those with power, privilege, resources seek to maintain that NOT change things to promote #equity
Also realized: was adapted to a culture of shame in #medicine/#healthcare as well as society in general

Shame is a form of social control to avoid speaking clearly on problems, wrong priorities, misallocation of resources, poor outcomes

Shame -> silence…
As we see more women, BIPOC, LGBTQ, those with disabilities in #healthcare #medicine, we will have additional lenses, lived experiences, questions.

#Quality requires curiosity, #transparency, reporting. Thing is too often error is perceived as "shaming"…
Yet, without naming things, how can we be accurate or how can we improve? It's easy to focus only on "patriarchy" but the issue is imbalance. You need men AND women and every gender in between. You need neurotypical and neurodivergent, you need abled and disabled.
We NEED varied perspectives & interdisciplinary work. We also need a common language=#data

"roadblock to progress with data & #analytics is poor #dataliteracy, rooted in ineffective #communication across a wide range of increasingly diverse stakeholders"…
Do I get "momma grizzly" on #quality? Totes. Spot on if you identify me as protecting #dataintegrity. I've seen #disinformation harm. It is those most marginalized & least empowered who get harmed.

Garbage in, garbage out is not advancing knowledge. Make the effort for quality.
Unapologetically committed to quality #safety #accuracy #dataintegrity

In fact, if you map the trajectory of my career that is why I pursued certain paths or left certain roles

Why I admire @timnitGebru
Why I am carefully considering right next step…
My tour through #compliance is what allowed me to advance into a manager role, matches what we know about roles to which women are hired.
I sought to advance #Quality
BUT, reality role: control others per rules written by patriarchy, be a female face.…
#publichealth =answering to women like Dr. Birx, whom I've tweeted on at length
They model #leadership #womeninleadership with #Compliance
= only what men will allow them to say or do
= just a female face on patriarchy but maybe worse as it "reassures"

Notice which #womeninleadership #womeninmedicine do NOT comply, resign when they get pushed too far from delivering #quality #safety for #populationhealth. These tend to be WOC who have lived experience of the very barriers they are hired to address.…
I invite you to reflect on who has the biggest issues with me tweeting "too much"
=keyboard warriors who do not appear to have either lived experience and/or professional commitment to advancing #equity, #QualityTime
=No #accountability on real outcomes (including life/death)
True, I could totally save myself the creeps, stalkers, harassers, mis-labeling snarkers

I could be "discrete", be known for sophisticated coiffure & Hermes scarves. It's what women do who serve, not disrupt, patriarchy

Patriarchy, btw, harms MEN as much as women

I disrupt
Women who "know no bounds" are often labeled in a variety of terms that imply they are anti-social, deranged, dangerous, etc, etc. This goes back to the theme in this thread of shaming to control to serve patriarchy and pit the "good" woman vs the "bad"

I share this a lot cuz we NEED this #womeninleadership

rather than #compliance with the rules of the past that control via shame or craft perfect image..yet poor outcomes

It speaks to me in many ways (& reminds me why I am spending @MIT tuition. LOL)

Yes, I love Amanda Gorman, Maya Angelou, Toni Morrison. They serve as inspiration. In order to address the issues of #quality, like @SaniaNishtar describes here, you need to work through issues like #data and #budget. If #LMIC can do it, why not U.S.?

This is VERY important to listen to for #womaninleadership
Say "no" to ppl above you (or leave)
You have to not accept second rate
If the choice is #safety risk to others or risk to your perfect career (she had won 16 gold medals), pick latter
When anyone
particularly women
do not comply

the usual policers of social order show up with:
"Shame on you"
"Be embarrassed"

because for them, optics matter more than outcomes - they reveal OWN motivations: ego
Notice ppl's priorities & actions
in a #pandemic
What liberated me from culture of shame of #healthcare was my return (a childhood in/out of hospitals then a reasonably healthy period) to the patient side. #Physicians are notorious for shaming #disease, #ableism - so it affects professional identity…
My #health issues, #womenshealth, invite layer upon layer of internalized shame & external shaming. I support others + take notice of who works within #healthcare (or comments on it) whose "go to" tactic is shaming. It identifies who is toxic #MedTwitter

#womeninleadership need to model, not #compliance, but being messy, "out of control" even, as long as we deliver results. For me that is because with a 23-page CV, I feel reasonably secure that I can say "call me crazy or call me crazy good at delivering results others can't"
Modeling #womeninleadership is one domain of advancing #Equity
#data= #language & #currency of the future

Are you a data creator, collector, monetizer, user

or written about?

Who defines data, categories, labels, #quality? #womenintech #womeninSTEM…
That's why am loving being faculty/mentor for this @MIT class on #DataScience #bigdata #bigdataanalytics and I love that faculty include current students because you want ppl who are curious as well as current on the latest methods. I have a lot to learn…

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More from @usnehal

11 Apr
Also, btw, any woman who has been in c-suite in NYC has literally worked with/around people with mob connections.

I take a lot of stands & speak on things that people want to keep hidden.

If there were “dirt” on me to find, it would have been found & used against me already.
I’m super annoying that way (in many ways) to folks who align against me.

When you are Muslim, activist, female, not seeking anyone’s patronage or protection, you are always exposed, surveilled, at risk - it is unavoidable.

Protection is in transparency, ethics, standards
These are life’s trade offs, I avoid certain shackles or cages and in doing so, carefully check off certain boxes to stay protected. I have worked in #compliance vs #fraud & #abuse, and I have seen every tiny detail that gets people caught up in the system. Stay out of harm’s way
Read 8 tweets
11 Apr
One of those times a #tweetiatrician
entered anti-vaxx space to speak truth to conspiracy

Claiming victim status & “witch hunt!”, Wakefield rallied support via anti-system/science distrust

-> loyal mob of supporters, now cyberbullies (yet who claim to be bullied) #medtwitter
Experience of past medical harm is not itself evidence every doctor is bullying you. As a woman & WOC, in/out of hospitals as a child, there is tons of trauma & medical sexism & racism I have experienced

yet all that is erased/denied by those using one lens vs intersectionality
#tweetiatrician online for decades fighting fear & fake news #MedTwitter

doctors beaten down, made caricature of evil, gotten death threats @NicoleB_MD @DrToddWo

@AmerAcadPeds needs to step up on supporting clinicians vs #cyberbullying

Of online doc-celebs only @ZDoggMD helped ImageImageImageImage
Read 4 tweets
10 Apr
I have a range of writing & #communication styles

Outside the ED of hospitalist medicine, when I “talk like a man” - direct, unvarnished truths and or “taking up too much space”, there is pushback, affront. Others have noted men with same style as me are👍
In reality women can’t just email or communicate “like a man” for same results. Society *expects* different communication from women.

I’ve never been an exclamation point person but I use smiley faces

These studies + anecdotal experience:

“women don't negotiate for a very simple reason: they sense—correctly—that it will hurt them if they do... when women *do* negotiate... they end up worse off than if they’d kept their mouths shut”

Read 25 tweets
10 Apr
This “fertility” fake news has been going on since December, apparently.…
“CDC report found that 62% of nursing home workers are refusing the vaccine”

“...First responders in New Mexico have sued after a county official ordered firefighters, corrections officers and other first responders to receive injections.”

Lawsuits over staff mandates to vaccinate or mask boggle my mind.

This has been brewing for years.

There is SO much anti-science rampant within #healthcare staff more so in those “anti-establishment” on either extreme of political spectrum…
Read 19 tweets
9 Apr
Shame & #impostersyndrome = energy waste you canNOT afford (I realized w/ chronic illness & pain). You WILL fall - while rest & recovery are important - sometimes the ball about to drop is too important
Don’t miss your shot

BUT do miss a lot of shots. I promise you, it will drain you of less energy to try over and over than to try to be perfect. You will ALWAYS fail to be perfect. You will only sometimes fail to make the shot


Of course there will be these people, (whether in reality or your perception of it - but perception becomes reality).

They have only as much power as YOU give them.

Go to your beginner’s mind. Find that inner child’s courage.

Read 8 tweets
9 Apr
When folks online think women at midcareer are “too much” or “overcompensate”

you are 100% right

=working 3-10x as hard to get 1/2 as far
on display

Tired of experiencing us online?
Try living this way ALL THE TIME
If you don’t recognize it, ask yourself whether your goals and/or identity align with power, privilege, structural inequity

..and in how many domains?

How complex or intersectional is your identity?

Centering on self is the best way to misinterpret the world around you.
If you start by asking yourself questions

you will start to learn to ask others questions, not assume

One version is called “the beginner’s mind” or a child-like curiosity about the world that promotes learning & understanding

Opposite of expert
Read 19 tweets

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