How do we talk things that are hard to talk about? Some musings.

I imagine that if I were a man, I would be upset about the way women and non-binary folks are treated in the workplace. I imagine I would want to speak up—that’s how I’m wired. But I might not know what to say.
1/
Being the type of person I am, I would probably read books such as She Said or Good and Mad to try to understand. And then I might start speaking up.

But what if someone tells me I’m speaking up in the wrong way?

2/
No, you shouldn’t MENTOR that woman, you should SPONSOR her! It’s not MATERNITY leave, it’s PARENTAL leave! You’re not babysitting your children, you’re taking care of them! They’re YOUR kids!

I would learn, sure. But I also might start to shy away from the conversation.

3/
At our core, we are all self-protective. We are all selfish. To some extent, that’s what it takes to survive. In order to advocate for others, though, we have to step out of that space. We have to step out, even if only a tiny bit, onto a limb.

4/
If we take a step and the limb supports our weight, we keep going. We take another step. We keeping speaking out. But if the limb starts to break as we step out, we retract our feet and go back to the safety of the trunk of the tree.

5/
When we criticize people who are trying to help, it feels to them like the limb is starting to break. Here is the struggle: How do we appreciate people who are trying to stand up as allies AND gently redirect them if they are on the wrong path?

6/
The reason I ask is that I see people who try to be supportive in the background, offline, outside the meetings and off social media. But these folks don’t speak up publicly, don’t question policies and procedures because they are worried they will say the wrong words.

7/
Here’s another example. Someone cuts off a woman during a meeting, and a man tries to redirect the conversation back to her. Some might say he’s overstepping because she can speak for herself. Is it paternalistic for him to advocate for her?

8/
I don’t think so. I think that is exactly the type of behavior we need to see. But because there is more risk in speaking than there is in staying quiet, people stay quiet.

I worry the fear of getting it wrong is holding us back.

9/
So my take is that if we want to build a bold, lasting movement for real change, whatever the topic, we need to support the limb as people step out onto it. We need to help them stand up, rather than taking the support out from under them.

10/
I know intent is not the same as impact, and we all make mistakes. All I’m saying is that, whenever possible, if we focus on gentle correction and redirection we may be more successful than by tearing people down when they err.

11/
What are your thoughts? Are there things you care about but don’t speak out about? Why? What would make it feel safer for you to speak up?

12/12

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More from @arghavan_salles

27 Mar
It’s been almost 2 years since I left my academic surgery job. In this time, I’ve become acutely aware of how much we have to PAY ($$) to build an academic career. I stopped submitting abstracts to meetings because I had no money to pay for going to them. When students…

1/
…asked to submit abstracts based on our work, it was heartbreaking to tell them that I couldn’t pay for them to go but that maybe we could try to find another way. (I made so little myself I couldn’t pay for them out of pocket).

When I got asked to give talks...

2/
...I could only do it if they were paying me. Of course, most societies don’t pay their own members to give talks, even when they’re invited opportunities. This is what I mean about paying, and many of you know this. You have to pay an annual membership fee...

3/
Read 17 tweets
10 Mar
Earlier this week I spoke at @thoracicrad about how biases affect our evaluations of performance. Here's the gist on how we measure "intelligence" and perceive others.

(I also talked about stereotypes but will save that for another day.)

1/
First of all, let's start with what intelligence is. There is a ton of variability, but this, from Howard Gardner, resonates with me.
2/ Intelligence: A set of skills of problem-solving--enabling t
How do we measure intelligence? There are many many many tests. What I learned about human cognitive abilities in my PhD, though, was there's no one measurable "intelligence." There are instead measures, such as the ones on this slide, of specific skillsets.

3/ Slide showing different IQ tests and how they work
Read 13 tweets
8 Mar
On this #IWD21, let’s talk about the data on quality of care by physician gender. I wrote about it for @Medscape (thanks, @eugeniayun!). Please read the piece if you think they should have a recurring gender equity column!

Let’s dig right in. A 🧵.

medscape.com/viewarticle/94…
The first major study examining this was in @NEJM in 1993. Researchers looked at visits for almost 100,000 women patients with over 1200 physicians and assessed how often pap smears and screening mammograms were done.

2/

nejm.org/doi/full/10.10…
They found that women physicians were more likely than men physicians to order both.

3/

medscape.com/viewarticle/94…
Read 13 tweets
18 Feb
Preparing for this “Master Class,” I reviewed a 2018 Pew study @fumikochino had recently tweeted. They surveyed people on words used to describe men and women and whether they are positive or negative. 🧵 Image
People perceived society to use different words for men than they do for women. For example, “powerful” was mostly seen as a good thing for men and a bad thing for women. Similarly, “strength” was good for men, bad for women. Same for “leadership” and “ambition.” ImageImageImage
I mean, do women even stand a chance in the workplace if we’re not supposed to lead or be ambitious??

Moving on...
Read 7 tweets
18 Jan
Quick thread about vaccine distribution—personal story

Mom is in a high-risk category and is eligible to receive a vaccine. I’ve been busy in the ICU and honestly assumed she was signing up to get vaccinated because she’s a responsible, conscientious person.

1/
After days of meaning to call, I finally remembered at a time of day when we're both awake and asked, just to confirm because of course she’s on it, right?

Nope. She’s not signed up.

2/
I’m in Arizona right now, she’s home in California. I haven’t kept close tabs on what’s going on with vaccines there (I've been busy), so I ask her why not. She says she doesn’t know what she’s supposed to do.

3/
Read 28 tweets
2 Jan
Can we all stop playing the suffering Olympics? You know this game. It’s the one where everyone fights with their friends to prove they have it worse than everyone else.

In a world full of suffering, no one wins this competition.

Empathy, on the other hand, may help us heal.
It goes like this:

Person A: I can’t believe I lost my job. I don’t know how I’m going to pay my rent.

Person B: Well, at least you’re still healthy. With my arthritis I can’t even work.

Often Person B goes on to explain how their suffering is more extreme/sad/awful.
This leaves Person A feeling invalidated when what Person A actually needed was some emotional support.

Person B is also struggling and in need of support. Rather than competing about who has it worse, maybe it’s “yes, and”?

YES, you are suffering. AND so am I.
Read 7 tweets

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