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Umbereen S. Nehal, MD, MPH Profile picture
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22 Apr, 18 tweets, 46 min read
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 Profile picture
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
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.
Read 13 tweets
Umbereen S. Nehal, MD, MPH Profile picture
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
Umbereen S. Nehal, MD, MPH Profile picture
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
Umbereen S. Nehal, MD, MPH Profile picture
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
Umbereen S. Nehal, MD, MPH Profile picture
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
Umbereen S. Nehal, MD, MPH Profile picture
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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