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Umbereen S. Nehal, MD, MPH Profile picture
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11 Dec, 13 tweets, 16 min read
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?
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.
#Data are meaningless without labels, context

#GIGO

Any serious scientist looks at methods BEFORE results, conclusions. Then…even valid results can be used past their #validity

The problem with #AI #ethics is not only #bias in data but overuse by vendors selling “AI-enabled”
#AI in #surveillance is DEEPLY concerning, its creepy #bullying misuse in #school #highered #MedEd appalling. This 🧵by @DGlaucomflecken shows how inaccurate #tech can cause wrong expulsion

Pause
These are DOCTORS who don’t get eye movements can’t be use this way

#MedTwitter
Controlling punitive types who hang out in #highered (in the real world, delivering measurable outcomes matters > pettiness)
some of them misuse #data to try to control students via #tech

But imagine if these same academics get hired by industry to consult on surveillance #AI?
I come down hard on #academia a lot - if one separates self from humanity as intellectually “superior” in ivory tower of “prestige”

earn it

I see optics, ego, even emotional immaturity from imbalanced/lack of life experience

Then hired as consultants

propublica.org/article/we-ask…
So - not all - many #academics truly are out of touch, oversure of own expertise, not held accountable, like control, & distrust others.

Industry, while has #accountability via the marketplace, the market does not penalize for poor #ethics. Then this:

forbes.com/sites/jackmccu…
Now #designthinking, segmenting the market, & the concept of an “MVP”

Taught: you should narrowly defined the user, empathize with YOUR segment only, create MVP

therefore NOT designing #tech for all of humanity

be first to market to grab market share, dominate
💰💰💰
Which faculty are not getting hired as consultants? Those of us who are busy taking care of the emotional/safety needs of students, using our #empathy in non-monetized way so students don’t suffer, drop out of school, or God forbid (TW), commit suicide.

insidehighered.com/advice/2021/06…
As far as #empathy goes, when it is applied at scale (you know if you follow me I am a huge fan of the work of @paulbloomatyale & how)

empathy is even unethical when you take it out of 1:1 empathy to population.

Like #AI #tech #designthinking MVP

Not only is the #empathy used in #designthinking, for an MVP, customized for a very specific customer segment

NOT for the general population

the academic consultants hired to design #AI it are not of marginalized populations

#Bias upon bias

#tech

news.trust.org/item/202103041…
Given the nature of power in #academia, where

faculty produce mini versions of their own selves

exert draconian control in their labs/groups

engage in this type of sabotage of juniors

merely adding a brown or Black or female or transgender or…
face to a group
is not enough

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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.
Read 47 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
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
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
Doing a 🧵 of @EM_RESUS’s thread with screenshots.

We see a lot of screenshots of what is wrong in #SciComm.

What went right here? How can one doc transmit knowledge & confidence to another so well via a series of tweets?
First: what was the outcome of the #SciComm? Intention matters little as communitarian happens on the terms of the listener/reader. How was your #communication received/understood?

A doc:
recognized similar scenario
calmed team
avoided overaggression
achieved a similar result
The fact that the #MedEd teaching allowed an EQ & #leadership outcome (staying course despite others’ anxiety), not merely medical knowledge/journal club, is striking. How was this achieved? Let’s look at the thread. How do you transmit courage AND knowledge via tweets in a 🧵?
Read 15 tweets

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