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…
If we look at a different but related industry - you CAN be a “good person” AND do harm if:

-you fail to consider the system in which you practice
-you cynically see #DEI as a ✅ not #system #transformation
-silence

At Google (which is getting into #healthcare)

#Systemdynamics ImageImage
Both sides of the aisle quote #MLK

This a clip - worth listening to ALL of it - explains why it is NOT just “pull yourself up by your bootstraps”

not “pay dues”

Personally, my own family experienced being refugees

if *I* can understand this history of the U.S. why can’t you?
many of us in “BIPOC” group

able to assume so-called #modelminority role
as compared to how #AdamToledo viewed by authority figures

Even with our past #trauma of refugee status in prior generations: privileged

We MUST speak UP on justice & change SYSTEMS as “POC”
#MedTwitter
That is not to say that rest of us in “BIPOC” do not have real issues

We DO experience range of barriers & harms
From
-exclusion from #research
-mislabeling
To
-#antiasian #hatecrimes

All true especially given #AntiAsianHate #asianhate that has worsened with #COVID19 #pandemic
If you look at #accountability-avoidant language

smear everyone

From licensed physicians #drsusanmoore, Dr. @ayshakhoury, Dr. Gokal

To #GeorgeFloyd or #AdamToledo

you see the same patterns

victim blaming
to avoid accountability
justify #system of exploitation

Words matter

• • •

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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
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
20 Apr
#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…
Read 11 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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