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Umbereen S. Nehal, MD, MPH Profile picture
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10 Dec, 9 tweets, 4 min read
I only became certified as an executive #coach as I experience SUCH bad coaching...I can't even begin to describe all the levels of wrong. But this is one of those times (a lot of my life) when someone harmed (on my dime no less) then I was motivated to create something better
A part of me was like yeah, yeah, yeah..I know this stuff...hurry up and give me the darn certificate. But.... I have to say, I see myself changing in practice sessions: able to not tell/be a consultant but open up space, listen, reflect THEIR words, then get them to go deeper.
I see SO many bad...like harmful bad..coaches out there...who beat you up to try to motivate you while also talking of compassion. *sigh*

I am learning that I care SO much about #safety (which I knew) - it is the trigger when I fail to be a coach and become ED doc/pediatrician
If I hear someone suggesting to themselves something that seems self-suppression, psychologically unsafe, will fare poorly....I insert myself in a way that is opposed to coaching best practices. Gah. But...am learning how not to just ignore either...
Now...I am learning to get them to reflect on how that felt, what those words or decisions mean to them. They do figure it out, actually. People have a LOT of wisdom within them. (The toxic "coaches" make you dependent on them for answers.) It is amazing to observe the growth.
The other scenario that gets me and I have to really work on is if I am coaching the coach of a CEO and then I do not focus on my client but their managing their client. Then I go into very active mode to help them deliver & impress a busy CEO and I am doing opposite to my job.
I need to open up the space for them to consider what they want as a coach in their own right. I'm not coaching their CEO but coaching them to coach. Coaching the coach is such an interesting scenario. It's complex and I need to keep working on that to avoid consultant mode.
I can't have the impact I want if I allow my real or perceived ideas of others' needs or expectations to put me in a consulting mode. Yes, I DO often know the answer, 3x faster than others from SO much education+life experience. That is the hotshot consultant not the coach, tho.
As a #pediatrician I genuinely believe everyone is smart, but some people are fish put into a tree so their talent is not recognized. (or whatever that analogy is) People need to learn to best utilize what they have in themselves and be confident in their own selves, find answers

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More from @usnehal

Umbereen S. Nehal, MD, MPH Profile picture
12 Dec
At every critical step past the early life & career stage (then rewarded for just delivering)

when protecting loved ones from harm
or #leadership

listening to #BlackExcellence/Black women gave me the framework to understand & the tools to be effective.

time.com/5869662/black-…
“Model minorities” chase impossible standards? Then let’s try to match of achievement level set by Black women

…who accomplish so much while mislabeled, hated, un-/underpaid, killed, losing their children to violence of others’ fear/anti-Blackness

wbur.org/cognoscenti/20…
This is NOT the standard:
-keep your access/proximity to power via a politician
-stay in spotlight
-use your credentials (& frowns/soothing tone) to gaslight a nation that deaths occurring not a concern to you

known for a collection of Hermès scarves…& now >700K American deaths
Read 32 tweets
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
Those of us with immigrant backgrounds have NO idea what debt we owe these women for risking their lives so some of us can shop at Whole Foods with other suburban moms, then drive a Lexus home to ride on a Peloton, & think only our own hard work created this access to success.
Those of us who are Muslim have a partial experience of what it is like to be made the face of threat and danger and vilified.

…But “the West “still wants to “save” Muslim women… make us a token or mascot of saviorism & evidence of being a shining city on the hill.
In comparison, the black woman doesn’t have that opportunity to be paraded around as the most recent woman “saved” & celebrated - the tropes are universally harmful & exploitative/pejorative vs Black women in society/media + centuries of economic barriers/being exploited. Image
Read 46 tweets
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
When I see this, and think of how a Muslim woman was denied a soda can given other passengers on the flight, out of fear of her look & belief she would harm people…

then look at this & school shootings

the double standards are SO clear.

These ppl likely were violent before
Is a question of who is given a pass?

what kind of violence is “acceptable” to American society?

towards whom violence is “acceptable”?

We already know who is dangerous. It’s just that “domestic” violence (vs women) is “acceptable” in American society

bloomberg.com/graphics/2020-…
The same is true about maternal mortality

Judging by outcomes, compared to peer nations, we’re a nation where women’s lives are not valued

This is indirect societal violence vs women

Still surprised Americans get violent vs flight (female) attendants?

npr.org/2017/05/12/528…
Read 4 tweets
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
Court of public opinion
"defendants…willfully destructed the evidence by deleting the webpages and social media accounts," Hanna wrote. "Plaintiffs cannot continue to be blindsided by the defendants by having to search for what evidence is being destroyed or altered”

LinkedIn is personal, not school’s
This is a really fascinating case as a lot of what I see happening in #MedTwitter (Twitter presence of the legal minefield that is #healthcare #MedEd, etc):

faculty, consultants, #hcw deleting content & accounts

My prior 🧵 on this & potential legal implications.
Read 11 tweets
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
Anybody who says “the #data don’t lie” either is ignorant or manipulative or both. The data are merely a tool that must be used responsibly & ethically to try to approximate “the truth” …some of which is unmeasurable (yet?). There are MANY #datascience methods & varying results
Everybody gets super excited about this new #AI #ML #machinelearning technique or that

You cannot build a RELIABLE house with low #quality bricks

First, look at the building blocks… meaning, how the #data fields are even defined & how the data are obtained

Who defined them? ImageImage
I can’t tell you how glad I am that I have done coursework at both @MITSloan AND @StanfordGSB - Former immerses you in a ton of hands on analysis & options for analytic techniques useful in a #datascience job. Latter steps back to frame questions, assess missing data, biases.
Read 13 tweets
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
This 🧵 resonated. Trained in Houston, #asthma central, I was in this scenario SO many times.

I had the best #pediatric training at @TexasChildrens & @bcmhouston - you see it all.

Amazing that mere tweets can transmit humane, quality #MedEd teaching across the globe.
After moving to Boston I found myself surrounded by highly anxious doctors. We have an over abundance of resources and a healthier population. I saw people quick to overreact and manage (poorly) their own anxiety & need for control, with harmful aggressive overintervention.
I also do get being “Harvard” makes one a target. Juries are not going to understand “at the brink of death” and not intubating or the equivalent action in another scenario. “Jury of peers” is not present in a malpractice case. Good care can seem negligent, paradoxically.
Read 14 tweets

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