#MedTwitter influencers show hypocrisy (advice vs actions on masks). Agree:

“unpleasant comments are ‘the nature of social media’ and holding public figures accountable is critical when they are setting an example for their ‘millions of followers.’”

insider.com/coronavirus-sh…
#tweetiatrician have even gotten death threats for pro-#vaccine #SciComm - most #MedTwitter influencers did nothing to protect vs these personal safety threats to #clinician & #doctor colleagues

@ZDoggMD & @DrToddWo did step up to help @NicoleB_MD

medpagetoday.com/special-report…
Compare above to Dr. Mike:
when medical influencers are “caught”

adds to public perception:
“doctors cannot be trusted”

“Another fan posted on Reddit: ‘I know it's your life and you can do what you want, but you have chosen to be a public figure.’”

mirror.co.uk/news/uk-news/w…
Note: “#business” & “moving beyond superficial”

“'Is this.. professional.. taking selfies and putting them online?'" he said. "Absolutely. I can impact — instead of the 40 people I see a week — 40,000 people a week, a million people, through my videos”

businessinsider.com/doctor-mike-on…
Dr. Mike’s actions=
-just don’t get caught in your private party
-if caught, curate image again after
-befriend/?pay someone in “social media medical #professionalism” to speak for you & make excuses

A month before, this super-spreader party.
This kills.

nbcnews.com/news/amp/ncna1…
These medical #influencers - both clinicians & the non-clinical reputation management apologists - are running a #business of monetizing the doctor image & mystique

But actions are same as b-school
Only there is no disciplinary process for influencers

poetsandquants.com/2020/11/17/col…
Being popular & having “fans” for being “sexiest doctor”

Private parties in #pandemic
Describing selfies in hospital as “inconvenient” (then focus on patting care in the hospital)

is VERY different from being trusted

Public no longer trusts doctors

nydailynews.com/opinion/ny-ope…
What selfies are frontline #clinician #HCW posting?

Other doctors *begging* public to distance

vs Dr. Mike says hospital selfies are higher “impact” than 40 patients a week ..by influencing health behavior?

1- patient care IS hard but is why you became a doctor
2-follow rules
This hypocrisy is rampant in #healthcare VIP & #Influencer
violate #safety rules
hire “reputation management”
for clean up after

Another thread
institutional “#professionalism” excuses/validates Dr. Mike

But doctors speaking UP on #PPE:fired

People are DYING in this pandemic
If “Impact” as a doctor = millions of fans you monetize via YouTube, then DO THE WORK
Be the role model you stepped forward to be

Frontline doctors do NOT need more “doctors can’t be trusted”

Nov/Dec=when these variants spread & Dr. Mike partied

nytimes.com/live/2021/04/1…
Medical influencers & reputation management consultants DISTRACT from #science & #EBM

Their
“I messed up” apology videos
snarky take downs of others’ content
going on/off Twitter drama
DISTRACT
from SCIENCE
We need science, not drama
in this #Pandemic

the-scientist.com/news-opinion/f…

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More from @usnehal

22 Apr
Word “racism” silenced, actively, by #MedEd #MedTwitter #healthcare#professionalism” & “communication” labels

Saying “racism” offends or “hurts feelings” > actual #BLM deaths

If #professionalism itself is racist -makes sense that word suppressed
@FutureDocs ImageImageImageImage
What @ayshakhoury experienced pushes out & silences many

If the editors of @JAMA_current resist hearing word “structural racism” then they certainly are not publishing papers using that word

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest ImageImageImageImage
Journal gatekeeping: men
Behavior gatekeeping: women/HR

#accountability only for white men
-> we miss “Amy Cooper” in #academia, #HR, #professionalism #compliance

insidehighered.com/advice/2020/06…

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest ImageImage
Read 18 tweets
22 Apr
The only feelings to center on are those of black community
Wrong use of this quote during the week of #DerekChauvinTrial

Some people “feel” things if a white male faces accountability
Amy Cooper’s feelings: call cops
Racism & racism lite has always focused on “feelings” #BLM
When @ayshakhoury or @uche_blackstock were authentic in their feelings: ended careers

Black female physician #DrSusanMoore having “knowledge” or a “voice”
while DYING
made others
*feel* “intimidated.”

This is part of a known pattern for WOC
@COCoQC
#BLM #BlackintheIvory ImageImageImageImage
This is a repeating pattern of “feelings” used against tellers of uncomfortable truths that #MLK described in the letter from the Birmingham jail.

Seeking order > justice or overpolicing are all to protect only certain “feelings” of “security” while those like #adamtoledo die. ImageImageImageImage
Read 13 tweets
20 Apr
Important perspective below

When I was a foreign grad & trainee I bought into idea: I just needed to work 3x as hard to get 1/2 as far

At mid-career, my health gave out trying for:
“be the person you needed when you were younger”
& to protect students

this system does not work ImageImage
Editors of elite journal @JAMA_current question if medical racism is real

the business world gets it
@HarvardBiz
published this on #minoritiesinmedicine #blackexcellence #blm #BlackLivesMatter

#MedTwitter needs #transparency & #Accountability

hbr.org/amp/2018/08/re…
why can’t elite journals that define #EBM & #datadriven #healthcare
like @JAMA_current

focus on OUTCOMES
as experienced by PATIENTS

Why focus on LABELS certain physicians don’t like to hear?

Am a former regulator
we need quality #data by gatekeepers

medpagetoday.com/publichealthpo…
Read 8 tweets
20 Apr
Evidence online “#vaccine research” by @Illinois_Alma drives anti-#vaccine #SoMe
=prolong #pandemic
=mortality

@KateClancy’s study: periods in perimenopause “after” vaccine
by 15-minute survey
= bad #data = #misinformation

American feminism has a long history of harming WOC Image
Best practices of #community engaged #research involves
LISTENING
to all important stakeholders

American feminism
frequently believes that it
✅box of the diversity
therefore
no need to listen to anybody else

Women & WOC deserve good, not bad #data.

ncbi.nlm.nih.gov/pmc/articles/P…
Theories of infertility “by” vaccine
Draw upon past government sterilization programs
Fears are never unfounded
even if not the case now

Being out of touch with these realities + poor #studydesign
= research that adds harm without adding knowledge

ihpi.umich.edu/news/forced-st…
Read 7 tweets
18 Apr
Accountability

Flowers, I will go see she said.

Headed to Esplanade (cuz this photo alone would check a box but would actually be cheating - the power of “optics” or manufactured data whose lives & careers are Twitter).

Question everything you see
See like a #pediatrician Image
I shall see from a new perspective she said - I will cross on the other side.

(Actually, I wanted to be on the other side but would have to walk a block to cross so, fine, I’ll cross on this side. Bah humbug). Image
I shall admire the barely born green hope unfurling into the crisp Spring air, fragile yet #resilient, she said

(Yay #Science and @museumofscience #BostonStrong #Boston ... and yes, and requisite monuments to male anatomy and war as well) Image
Read 25 tweets
14 Apr
I would say that society is at fault. The government was not behind Jenny McCarthy, Oprah, Dr. Oz, etc.
#vaccine #VaccinesSaveLives #VaccinesWork #MedTwitter #ScienceTwitter
What the government DID do wrong: “#security” & espionage via vaccines Frankenstein monster unleashed on Muslims

If the US government does do things like this it’s not a “#conspiracy

...all while what led to #CapitolRiots was brewing 🤦🏻‍♀️

@PeterHotez

npr.org/sections/thetw…
If Prius-driving Whole Foods-consuming suburbanites would STOP #misinformation #disinformation to #trauma ridden #refugee populations

(trauma->fear)

the jobs of minority & Muslim doctors would not be so hard

This is lack of *societal* control
of the most privileged
who HARM
Read 21 tweets

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