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Rebekah Fenton, MD, FAAP

@RFentonMD

21 Apr

@sandylocks

Why we need to talk about policing of ALL Black folks, not just men:

The #SayHerName hashtag (by @sandylocks) was a call for attention to Black women murdered by police i.e. #MaKhiaBryant and how our expectation that this issue only affects Black men misses the full picture.

The African American Policy Forum released a report entitled Say Her Name: Resisting Police Brutality Against Black Women in 2015 to highlight this overlooked issue. Later that same year, #SandraBland died while incarcerated and still ruled a suicide.

static1.squarespace.com/static/53f20d9…

@washingtonpost

.@washingtonpost has been tracking police killings since 2015 and found by 9/2020, 247 women had been killed by police, 48 (19.4%) were Black women. What names do you hear most often or see in a hashtag? Killings of Black women receive less attention.

washingtonpost.com/graphics/2020/…

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Rebekah Fenton, MD, FAAP

@RFentonMD

20 Feb

It is past due time we talk about microaggressions on interviews (a thread #MedTwitter #AcademicTwitter):

First, microaggressions are harmful! Despite their name, they signal “you don’t belong here” to marginalized groups.

Second, interview days are already nerve-wrecking.

One comment or experience has the ability to undermine an interview day. Applicants may not have the ability to report immediately and anonymously or may fear retribution for doing so. Interview day microaggressions put applicants in an awkward spot in addition to the harm.

They are also not rare experiences. As a Black woman, I have experienced them at multiple institutions and different levels. I’m sharing my stories as examples of what happens, but I have no doubt there are many others, even within your institution, that need to be responded to.

Read 10 tweets

Rebekah Fenton, MD, FAAP

@RFentonMD

17 Oct 20

@Margaret1473

How to counsel about health w/o talking about weight (@Margaret1473)

First, just bc obesity is associated with a condition doesnt mean its the cause. Correlation doesn’t mean causation! There’s no evidence showing wt loss (isolated from nutrition & exercise) improves health.

2. dieting/weight loss is not sustainable for 9/10 people. Most regain the weight...and risk feeling like failures.

3. Every body has a set point range it likes to maintain. The body works hard to keep it, like increasing hunger on a diet. Yoyo dieting increases the set point😳

4. Weight is not an indicator of health. Ex: There are athletes of all sizes, including higher weights. There’s a also a thing called the obesity paradox that shows people who are overweight or “stage 1 obesity” (BMI 30-35) actually live longer than those that are normal weight.

Read 15 tweets

Rebekah Fenton, MD, FAAP

@RFentonMD

15 Oct 20

Some UIM applicants have approached me about if they should "go there" in an essay or interview aka tell THOSE stories where they witnessed racism at work in healthcare. My thoughts in a thread (I welcome others):

Own the motivation for your interest in health and stay focused.

I wrote about an experience in my residency essay and honed in on the patient's condition & what I offered to intervene. The team perceived the family was non-adherent while I saw a a Black mother who was a fierce advocate. I sat with her. I learned about the barrier to follow-up

and the stressors (new and ongoing) at home that challenged the family. I brought that knowledge to rounds along with my overnight events and exam findings to rounds along with the patient's perspective so that our plans reflected their experiences and were more successful.

Read 9 tweets

Rebekah Fenton, MD, FAAP

@RFentonMD

11 Sep 20

@HollandStanton

With in-person rotations back in full swing, it’s time for a thread about managing rough feedback. This is geared towards #MedStudentTwitter, but hopefully applicable to everyone whether you are giving or receiving feedback.

Here we go...
@HollandStanton @m3betch

Why I care: I got called “shy”, “unengaged”, a “passive learner”, & a “great pediatrician on my OB rotation”🙃. Critical feedback can hurt. I had to learn how to receive it and also how to change my actions so that the comments reflected my commitment. Thanks to mentors, I did.

First, I had to learn as a person who liked being liked and getting good grades to not take feedback personally, even when it sounds personal. Even though feedback is the basis of grading, people often get little training in it or uncomfortable giving/asking for it.

Read 14 tweets

Rebekah Fenton, MD, FAAP

@RFentonMD

19 May 20

Just finished a convo about medical errors. It reminded me of my first real mistake. Thankfully, I was surrounded by a community that helped me learn from it without falling into shame. Culture is SO important for preventing & processing errors. I even wrote this to normalize it:

Many don’t have a “good” mistake experience. I was involved in a different situation where learners were blamed instead of taught. I asked an intern to do something that turned out to be incorrect. Our supervisor yelled at the intern w/o acknowledging that they were my directions

I could have done nothing and let the intern take the rap, but that is the literal opposite of my character. I also had concerns about how the supervisor was managing the team. The interns were afraid to speak up about plans out of fear of embarrassment. My team’s morale dropped

Read 7 tweets

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