On vacation but still 🤔 about equity,justice,oppression

🤔about how BIPOC folks speak of

disappointment
frustration
fatigue

when #EDI initiatives that aim to disrupt are overturned @CMA_Docs

while others use the words

surprise
shock
“at least it’s a start”

1/
The stark contrast in words is because

those who live this

for whom lack of #EDI is deeply personal, lived&often traumatic

are exhausted

but we are most definitely

NOT

surprised

because

we know

that those who hold power do not wish to rebalance/redistribute

2/
we also know that healthcare is deeply racist and still (in 2021)

centres whiteness,
heteronormativity, maleness and able-bodies

and yet also believes that physicians are “neutral” and always “objective”

when we continue to centre this,how can we possibly shift&transform?

3/
as I oscillate between despair&anger (#CMAagm; stories about white folks who are completely under qualified still being interviewed over highly qualified Black folks; a white man w a column in a prestigious paper writing about Indian food as monolithic and inherently flawed)

4/
I also remember that

change
disruption
transformation

bring w them

the discomfort&anger of those so desperately clinging to an old and known narrative

that fear often overtakes humility

that compassion&patience can exist alongside

challenging
pushing
resisting

5/
So we continue to

do the work

speak up

advocate

resist

disrupt

all at risk to ourselves

but with the knowledge that

we are in community

and that the community grows

talks

connects

collaborates

&will continue to do so

we are the story

we are the change

6/
we are the leaders

and the followers

and we can be loud

and quiet

strong

and

calm

but

we will NOT

accept the status quo

for ourselves

our patients

our learners 7/

@AlikaMD @RicharLisa @RitikaGoelTO @Monika_Dutt @KatharineSmart @MarciaJAnderson @OnyeActiveMD

• • •

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More from @SarooSharda_MD

13 May
When I think about colleagues who’ve influenced me,rarely is it their academic work/publications I think of
Rather it’s their ➡️humility
➡️ability to hold space
➡️compassion
➡️advocacy
➡️integrity

So,the past few weeks when greeted w “Oh I’m so glad it’s you!” by a colleague 1/
who is a patient, or by a colleague with whom I’m working with that day on a complex case; or a patient in clinic asking “could YOU look after me in the OR?”; or a colleague who calls me cos’ their child is havin a *really* hard time as woman of colour in medicine; or a friend 2/
who says “I don’t think my specialist is listening to me& I’m scared - can you help?”; or an acquaintance who asks “can you talk to me about vaccine risks”; or a parent who says “can we chat about how hard this home schooling thing is?”; or a group of physicians doing 3/
Read 5 tweets
20 Jun 20
What I’ve learnt about advocacy work from my running app...
“It’s not about speed, it’s about endurance,”she reminds me as I find myself flagging half way through the run.A little voice in my ear,the steady&reliable lady on my app,reminding me,“One foot in front of the other”

1/
I keep going. This non-runner, trying time remember how far I’ve come from week 1 till now.

I think about how much work there is still left to do with regard to anti-oppression, anti-racism, the intersectionality of race and gender, and my head begins to swim.

2/
The little “to-do lists” are popping up in my mind. Pinging at me and stinging my conscious.
“You’re not doing enough, not working hard enough,”

And then my trusted running coach again, in my ear,
“Remember how hard you’ve worked, keep running. Slow down. Just don’t stop.”

3/
Read 9 tweets
17 Jun 20
So grateful that @javeedsukhera accepted my invitation to speak on #bias #implicitbias #oppression to @MacAnesthesia

Live tweeting some pearls!

Stigma has a negative impact on clinical outcomes
Shame is not an effective pedagogic strategy in calling out stigma. Shaming and calling out may actually make problem worse

Education may be helpful but it also isn’t enough alone
We often have conversations about #equity that are blaming (“us” vs. “them”)

Blame has an inverse relationship with accountability
Read 21 tweets
7 Jun 20
I’ve been tagged in a lot of “pledge” tweets regarding antiracism. I haven’t responded to any of them. Here’s why. 🧵

I don’t really understand what you mean by “pledge”. What is it you’re “pledging” to do? More importantly, what have you actually *done*?

I’m not black 1/
But I have thought a lot about racism, particularly in the context of the oppressive structures of medicine and medical culture. I’ve written about it, spoken about it and suggested concrete ways we can move forward:

blogs.bmj.com/bmj/2020/03/05…

But I repeat, I’m not black 2/
I do not come from a community that has been violently and continually oppressed for centuries. I do not come from a community that has tried over and over again to have their voices heard, only to be forced to shout louder and louder, and even then to be drowned out 3/
Read 24 tweets
14 Mar 20
Thread: As Chair of the very newly formed @CASUpdate #PhysicianWellness committee (we have not even had our first meeting yet), I've been thinking &talking alot about the physical & psychological wellbeing of my colleagues amidst #covid19. I applaud leaders like @amit_pawa for 1/
the reminder that it is indeed "OK to *not* be OK". We are facing many unknowns in a rapidly changing situation. We are at the frontline of acute care, charged with performing high-risk procedures in potentially time-pressured and resource contrained systems. The balance 2/
between professional duty&our own health and the health of those we love is at the forefront of our minds. Many of us are likely fluctuating between fear and duty, between calm and storm.Please don't think you are alone in the frenzy of your mind.I'm working on collating some 3/
Read 13 tweets
19 Dec 19
Yesterday I visited the cafe where my brother works. His work is a big deal. Because he has an #IntellectualDisability #DevelopmentalDisability and #InclusiveEmployment is ridiculously hard to find. We talk a lot on #MedTwitter about being #Inclusive. 1/
I am part of those conversations. They usually centre around #GenderEquity, sometimes #Antiracism, occasionally #LGBTQ+ rights, and once in a while #Disability - but under that term I almost never hear about #DevelopmentalDisability, or more importantly, how we - physicians 2/
members of society with privilege, including for many of us, our own businesses (yes, for those of you in North America, your medicine practice is run as a small business), could be actively supporting truly #InclusiveEmployment. My brother has had many jobs. Almost none of 3/
Read 18 tweets

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