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Umbereen S Nehal, MD, MPH, MBA Profile picture
@usnehal
Apr 22, 2021 • 18 tweets • 46 min read • Read on X
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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
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
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
Feelings/comfort > facts
Is problem

Black women/ black men/BIPOC not allowed feelings
lest “intimidate”, “bully”, “threaten”

Q:Threat to whom is most believed?
A:Amy Cooper/“fainting feminism”

@AmerMedicalAssn @JAMA_current
@KemiDoll @RheaBoydMD @DrAlethaMaybank @FutureDocs
Facts: most important per @KemiDoll

What “facts” do we have
if use of word “racism”
suppressed, vilified
BOTH by male journal editors
AND female #HR
for “feelings”/fragility

#MedEd #MedTwitter #AcademicTwitter #AcademicChatter
@AmerMedicalAssn @DrAlethaMaybank @FutureDocs
#MedEd fails black babies

“feelings” of least vulnerable > #BLM
->Kills, literally

#WomenInMedicine #womeninSTEM must step up to address issues within #education

@FutureDocs @DrAlethaMaybank @acgme @AmerAcadPeds @AmerMedicalAssn #BlackLivesMatter #Pediatrics #tweetiatrician
“Emotional mammy” = avoid “racism”
feelings > #BLM
vs

#antiracism #systemsthinking

call things by correct names: #SystemicRacism

Dean=incentive creator
in #MedEd #system

Deconstruct “narrative”
Decolonize #compliance #education
@JAMA_current @Health_Affairs
@mdawriter @usc
#DrSusanMoore case in late Dec
made this *click*
“#SciComm” = racism
if
assigns aggression labels
to #antiracist WOC w/
#Socialmedia
voice

“narrative”:
Words “perspective” “experience”
=center white or white-adjacent POC

=Distract from facts
Blame victim
“Intimidated”
#BLM
@DrWhatABurton draws #parallel vilify POC examples

#hospital/#healthcare institution’s communication
=#SciComm
on #drsusanmoore

Preschool-to-prison pipeline - pre-K Black boys

Latter, I only heard at at White House #policy briefing

=#pediatrics #MedEd failure @AmerAcadPeds
#pediatrics #MedEd state of affairs: NOT #antiracist

So why would I be believed despite a published, credentialed, midcareer #pediatrician

if this is what our #pediatric conferences teach

is the place of #frontline
WOC #tweetiatrician?

@RheaBoydMD @AmerAcadPeds @PASMeeting
Above: #vaccine #MedEd #Pediatrics
No Black👩🏾‍⚕️ or WOC
I was told “no one qualified”

=block #VaccineEquity
=optics” of who is a valid leader

Then, words for WOC physicians from #drsusanmoore to @ayshakhoury:
#socialmedia/voice = threat

#MinorityHealthMonth
#MedTwitter

Threat:
April: #MinorityHealthMonth

We know: Black, POC & women doctors = higher #quality of care

⬆️Minority #COVID19 patient deaths
#BLM deaths daily

Yet #MedEd #education:
shutting out #quality
shushing “racism” word
mislabeling voices of minoritized docs

labblog.uofmhealth.org/rounds/minorit…
This #MinorityHealthMonth, remember Dr. Chaniece Wallace

Failure = unable to even save our own #MedEd #pediatrics

Dr. Wallace was more than one doctor, mother, wife #pediatrician

Black doctors
=#BLM in #healthcare
=measurable results for babies
Yet WOC called “intimidating”
Words matter
#SciComm words matter
for
#MedEd
#PublicHealth
#VaccineEquity
#professionalism
#minorityhealth
#drsusanmoore
@ayshakhoury

#Racism
#Racist
#structuralracism
#SystemicRacism

Use these words

@RheaBoydMD @Health_Affairs @JAMA_current @MITSloan

#MinorityHealthMonth
#MedEd silo
+ denial/hiding from reality
centering on hurt feelings, not #facts

->ignorance of urgent current #SciComm needs
for #vaccine & #VaccineEquity
in #COVID19 #pandemic
that too in #MinorityHealthMonth

=failure of #AcademicTwitter #antiracism

lansingcitypulse.com/stories/state-…
#SystemicRacism 🧵
@JAMA_current #EBM focus

MUST be matched w/OUR focus:
1-#HR #MedEd silencing of @ayshakhoury
2-#SciComm-manipulated mislabeling of #drsusanmoore

to stop CURRENT
ongoing HARM
INSIDE hospitals
in #COVID19 #pandemic #BLM
@DrAlethaMaybank
@COCoQC
#MedTwitter
#antiracism #BLM #MedTwitter #MedEd🧵I write are

for not-Black “POC” who can

choose “model minority”
= #SystemicRacism apologist

Or

choose to embrace radical candor & #accountability culture
When black & brown babies no longer dying this #tweetiatrician will 🤐

🧵below
Radical candor in 6 min

Care personally
Be direct
(be factual/verify)

Barriers:
Wrong teaching on #professionalism
Wrong teaching on “be polite”
-> gossip, avoiding #accountability, manipulation (words & data)

Be #antiracist
#MedEd
#MedTwitter
#SciComm

• • •

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More from @usnehal

Umbereen S Nehal, MD, MPH, MBA Profile picture
May 29, 2023
This. When I had experiencing #bullying towards myself, I had just walked away or been silent, keep moving forward.

Once I had some degree of “rank”, felt others should not “just deal”

I did speak up on behalf of those less powerful… which only set me up for this mislabeling.
That is not to say that as faculty you should not speak up for or defend students are trainees

but you should be aware of this.

If the #bully is a woman, then she can always claim that she is being “attacked”… “as a woman”

That narrative aligns with a common reality.
False narratives spread quickly

if they align with something that people recognize as a truth (& may even have experienced themselves)

This is particularly why Machiavellian types are strategic/smart to utilize/promote a female bully while they stay more quiet/behind scenes
Read 13 tweets
Umbereen S Nehal, MD, MPH, MBA Profile picture
Jun 24, 2022
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte All of this was already tested out vs American Muslims - the country was just fine with it. Regardless of what you think of the dad, killing/executing American citizen children by drone, along with father, should have been a big red flag on due process.

theatlantic.com/politics/archi…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte ~Half of Americans approve of/support torture. The idea is you can use profiling/bias to assume someone is a terrorist or sympathizes with terrorists, assume has information, torture them first, then retroactively justify violation of human rights.

pewresearch.org/fact-tank/2017…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte Loss of Civil Liberties happened after 9/11: even if go white water rafting, spied on

pandemic killed >1 million dead but CDC has removed mask mandate & FL just refused to order vaccines=no interest in saving lives/prevention 9/11 killed 3K➡️police state

gothamist.com/news/nypd-spie…
Read 5 tweets
Umbereen S Nehal, MD, MPH, MBA Profile picture
Jun 23, 2022
I think I need to go to law school. It might be a bit late to be #RBG & make it to SCOTUS… but seriously, it is all about the courts, the law, legal precedents.

Or maybe I just need to make myself small/silent enough to be able to fit into a government job again?
As hard as it is for me to stay in government long term given all the regulations that box you in/tie you up

plus needing to be a public servant to serve every taxpayer, even the ones you don’t agree with/like

Despite that, you *can* have an impact…small things at scale matter
There are times like this I want to be a cat & have 9 lives because there SO too many things I want to do…

…even though other times I am like, okay, how long exactly am I supposed to serve in this life because I am exhausted. (Albeit I did just recover from anemia.)
Read 5 tweets
Umbereen S Nehal, MD, MPH, MBA Profile picture
Jun 23, 2022
For the first time in my life I felt unsafe doing #GOTV & got personally targeted & my photo posted on a QAnon type site.

More appalling was how many on #healthcare & #academia, if you are connected on social media like FB, are pro-violence & anti-rule of law & support J6.
If you are a Black, immigrant, LGBTQ, chronic illness, Muslim, etc person, patient, #HCW, teacher, heck yeah, is scary

Thing is those who have been safely tucked in cocoon of suburbia, worried about junior making the cut for the bball team
now feels suddenly scary

Us: not new
We *need* the ppl who typically enjoy more safety to step up. It feels “ick” to report, like you are an informant in Nazi Germany or something, but it is opposite: being “nice” & “not controversial” & “let’s all get along”
➡️empowers bullies

Be a true ally
Not bully ally

Cuz:
Read 5 tweets
Umbereen S Nehal, MD, MPH, MBA Profile picture
Jun 22, 2022
Anyone who did not see this coming does not understand #tech…(which includes people who design #AI).

“Important nuances were lost in translation when a rule commonly used to measure disparate impacts on protected groups in hiring was codified for easy-to-use tools…AI fairness”
Every time I see “our #AI will solve bias! Give us your #DEI budget!” win an #innovation award, accelerator, #hackathon I feel exhausted…

institutions would rather purchase ineffective & worsening-the-problem #tech than hard work of holding ppl accountable or change culture
And this is how #DEI - how currently approached - is ineffective & wastes money because a small amount of money is thrown at it with zero/minimal real hard work & unwillingness to be uncomfortable. Hence these bills: amp.cnn.com/cnn/2022/01/19…
Read 5 tweets
Umbereen S Nehal, MD, MPH, MBA Profile picture
Jun 21, 2022
When will we admit that “clash of civilizations” of Islamophobia narrative is not only false but dangerous. “War on Terror”=waging war vs Muslims but #J6 & #BuffaloMassacre reveal terror is not one religion. When Muslims are “legit” targets…that supremacist hate spreads further. ImageImageImageImage
Who was it “okay” to torture? (assumed is a terrorist?) Whose civil liberties disappeared 20 years ago? Muslims.

“But you all ‘deserve’ it” we’ve heard &: Why didn’t you stop terrorism? Why haven’t you apologized about x & y?

Now: consequences of that

vox.com/2016/3/31/1133…
The “Great Replacement” is an extension of “Clash of Civilizations” that conflict/war is “inevitable” between “different” humans defined by race or religion. It dehumanizes some humans as “less than” or “threat.” Once you label as such, violence follows. vox.com/science-and-he…
Read 22 tweets

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