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👍
#WomeninSTEM
#SciComm
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

#womeninleadership
#womeninSTEM
#WomenInMedicine

vice.com/en/article/8xy…
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”

#womeninSTEM

psychologytoday.com/us/blog/family…
Women are also overtly shamed with things like “it wouldn’t be fair to give that to you”

fair based on *what* metric or standard?

Even if you are discussing a position unique to you, you are told you can’t have more than those reporting to you

#womeninleadership
#womeninSTEM
I have been told “be sweet”

“Women who assertively pursue their own ambitions..promote their own interests..labeled as bitchy or pushy...their work devalued.. ostracized or excluded from access to important information”

#womeninleadership
#womeninSTEM

hbr.org/2003/10/nice-g…
Overall my approach now is:

I am who/how I am

people who value results value me
people with values, value me & my values

those wedded to or enforcing misogynistic/sexist social/cultural norms on women will act as above

Yes, I will either leave or be shut out from some rooms
When women are let into rooms, they may lose their #ethics as a result of being in that room

they often feel pressured to conform to the behaviors, made to feel responsible for others and willing to lie for others, especially men

#womeninleadership

insight.kellogg.northwestern.edu/article/women-…
Women are influenced by context - a dark side of the #EQ and #empathy?
compared to rigid ethical backbone

On advocacy, I left spaces of “do whatever it takes”. I have lines I won’t cross regardless of mission

Also, #professionalism is sexist

#womeninleadership
#womeninSTEM
“fairness” framing used to shame women for even asking (deflecting from saying “no”)

triggers women to resent fellow women who ask
=deep social conditioning from childhood

“both male and female supervisors can have these negative feelings about women”

cnbc.com/2013/11/27/for…
look at the history of when women allowed
into institutions/workforce
right to vote

👩🏼 brought in to defend status quo using a narrative of “purity“ & “protecting culture“

women who serve men & past are allowed in the room
but serve self: not a good woman

#womeninleadership
despite being shamed by the concept of “fairness”, for asking more than others have

if women do not disrupt status quo, we perpetuate structural inequity & unfairness

Double bind

I wish I had the solution
Am working on it 🤓🧐

#womeninleadership
#WomenInSTEM
#WomenInMedicine
I have explored a lot of different spaces, interacted with many personalities in real life, academia, virtually

I am constantly learning (including from some very unfortunate situations)

Yes, one can rely on male allies..
But I want to solve this for women to be fully empowered
there have been notable female whistleblowers

is extremely scary
sometimes requires financial independence to do it

all of us should be willing to be the whistleblower
for the sake of ethics & harm mitigation
& for future women

#womeninleadership

sentinelsource.com/opinion/op-ed/…
If analyzing number of exclamation points in an email, how to take on the whole system?

In almost every situation there are multiple things one could report.

This is a perpetual dilemma:
stay & fight?
stay & look away?
report?
leave?
#WomenInLeadership

pewresearch.org/fact-tank/2013…
For #womeninSTEM being more ethical or cautious w/ data reduces productivity or publications. That bolsters the glass ceiling. It puts one in asking or defensive position, which makes one less comfortable speaking up.

insidehighered.com/news/2017/02/2…

#womeninleadership
#WomenInMedicine
fear of writing email wrong -> grant writing

“female life scientists use narrower, more topic-specific language than male applicants, resulting in lower reviewer scores”

lifelong conditioning -> fear

#womeninleadership
#womeninSTEM
#WomenInMedicine

sciencemag.org/careers/2019/0…
This is the kicker, we are doing it right, but penalized:

“The narrower and more technical language is probably the right way to think about and evaluate science,” he says.

But reviewers get swayed by “big ideas”... from men

#womeninleadership
#womeninSTEM
#WomenInMedicine
If funded, funded for less. Responsible, narrow, precise language that is likely to get published, gets less funding

Plus all the things NOT in job package: admin support, office space, meeting fees, etc

#womeninleadership
#womeninSTEM
#WomenInMedicine

insidehighered.com/news/2019/03/0…
I know this was heavily criticized then retracted. Reasons: System barriers, reviewer biases, internalized caution from experiencing the world as a woman

We NEED to support mid/late career women to mentor

#womeninleadership
#womeninSTEM
#WomenInMedicine

the-scientist.com/news-opinion/p…
The attention to detail that should be an asset in science and taking care of others social conditioning and feeling pressure/guilt if no one volunteers for an unwanted task

leads to office “housework” that are not visible, rewarded, promotion-oriented.

hbr.org/2018/07/why-wo…
You can’t completely disregard feedback or expectations, but at the same time, the more you identify the buttons placed in your mind by sexism in society, recognize what buttons in others’ mind get pushed, you can choose when to disregard, break past others’ boundaries for you.
Breaking past others’ professional boundaries for you includes:

If a mentor thinks you are “not ready”: don’t accept that

Recognize the concepts of #professionalism are sexist (& racist) like #Medbikini

#womeninleadership
#womeninSTEM
#WomenInMedicine

psmag.com/economics/men-…
There will always be consequences to not being “perfect”

Except no one is perfect, so that really means you get served “consequences” of being human

So decouple consequences from *you* to reduce your sense of responsibility

#womeninleadership
#womeninSTEM
#WomenInMedicine
Don’t let others, pushing your buttons or because their buttons are pushed, keep you focused on email exclamation points.

Think bigger.
Use ethics (not others)as your guide.
Cultivate relationships that support you being human.

#womeninleadership
#womeninSTEM
#WomenInMedicine
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More from @usnehal

12 Apr
We live in an attention #economy & what #Tweetiatricians have known for decades (#Twitter started in 2006): importance of drawing attention to factual science-based information as compared to #misinformation & #disinformation, especially on #vaccines

econreview.berkeley.edu/paying-attenti…
You have to be fast & prolific to play catch up to this. I have 77K tweets, a moderate sized band of 6K followers interested enough to tolerate my volume but use of hashtags allows reach across Twittersphere. Trending hashtags = better for riding a way for that attention economy Image
If is unclear if we are now so siloed that tweets are ineffective with anti-vaxx. But not all anti-vaxx are QAnon
Read 38 tweets
12 Apr
“QAnon is ...a self-sustaining environment of #disinformation & #misinformation...

.. QAnon hijacks the architecture of social media..

..By controlling acceptable forms of information, QAnon traps its members in a downward spiral of radicalization.”

american.edu/sis/centers/se…
“As P.W. Singer and Emerson Brooking describe in.. book Likewar: The Weaponization of #SocialMedia, this phenomenon of “junk” or “fake news” is not new. In 2016, a similar, but related, conspiracy known as “Pizzagate” resulted in a shooting at a DC area pizza parlor.” #SoMe
Above is not limited to academic articles

There has been an increase in #antiAsianhate crimes
shootings
#xenophobia
targeting of #GOTV by minorities
including this attempt to intimidate me for my GOTV, by armed right wing

There was the #Nashvillebombing (with QAnon beliefs) ImageImageImageImage
Read 19 tweets
11 Apr
This is why I do long threads on racism in child & education spaces (child education up to #MedEd) and on the role of women to “protect” only some kids, not others. There is focus on police without looking at the full picture of sources of harm to children of color.
It is very very easy to focus on the Boston police Union leader

but who is it that..

helps him get access to children?
stays silent?
silences abused children?
promotes him?
seeks to please him (be promoted by him)?
sees him as a “good leader”?
softens his image?
protects him?
The role of men & women who police/silence those who would speak up... who prevent identifying the abuser

=extremely important

it is all on one spectrum: if you experience being denied food by a teacher as a 3-year old, will you speak up on abuse...

vs Stockholm Syndrome?
Read 7 tweets
11 Apr
This is a form of privilege not often spoken about.

It is not “just” the money but the financial literacy, the comfort navigating certain spaces, feeling is belonging vs #impostersyndrome. It affects ability to do unpaid internships. It affects who is bullied. #MedTwitter
Women of more affluent families may not be the ones targeted by or vulnerable to slimy professors too.

Learning requires a “safe space” in reality as well as in your own head. #MedEd has a LONG way to go before #education spaces are truly open to all. #MedTwitter #equity
For instance, while my mom’s family was in Pakistan, I grew up knowing my mom had her own identity & her own money (she always reminded my dad he had no Islamic right to 😂
=the confidence of a woman who *could* leave)

She dressed simply but had the confident demeanor of a queen
Read 5 tweets
11 Apr
Is happening in the spaces I least expected (but that shows how naive I often am) #FQHC & #safetynet. Read up on Hahnemann Hospital closing & sale of assets: land, residency.... yup Medicare funded residencies among “assets” #MedTwitter

@Health_Affairs
healthaffairs.org/doi/10.1377/hl…
“The bankruptcy affected the lives of more than 2,500 employees in the city and displaced more than 550 physician trainees. The hospital’s underserved, ethnically diverse patient population was left to redistribute their own care around the city” #MedTwitter #healthcare #Medicaid
“became the institution’s first and only female professor of emergency medicine...assumed a leadership role as the associate dean of graduate medical #education. In that role, I and my team were asked to identify opportunities to improve the tenuous financial situation” #MedEd
Read 5 tweets
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

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