If a grant is about addressing implicit bias and doesn’t mention structural bias it shouldn’t be funded.
If a paper is about implicit bias without mentioning structural bias it shouldn’t be published.
If a talk is about implicit bias and it doesn’t mention structural bias it should be challenged.
I literally did a PhD on how to tackle bias in health professionals. I’m saddened by the sloppy science out there about bias. Bias is always manifested in implicit, explicit, and structural ways. #MedEd

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More from @javeedsukhera

Mar 5
Amidst increasing attention to the #mentalhealth of health workers, we explored how #stigma is understood/enacted in #MedEd. We learned that things are a lot more complicated than we thought. 🧵

@jelenapole @juveriazaheer @rachaelpack89 @MedEd_Journal

onlinelibrary.wiley.com/doi/abs/10.111…
We know #stigma can prevent help-seeking due to the risk/repercussions of disclosure. This topic has been well researched. See the article below and work of @drjessigold @KGoldMD for more details /1

healio.com/news/primary-c…
Yet, the pandemic has brought the hero narrative to the fore, a sentiment meant to praise workers, yet may stifle conversations about distress, burnout, and help-seeking. See the important work of @drbreenheroes for more on this and Dr. Breen's story/legacy. /2
Read 14 tweets
Jan 24
This week will mark the first #bellletstalk day since I have moved from Canada to the US. Now that I have begun a new chapter I want to share the story of the past 10 years of fighting for change in Canada. Buckle your seatbelts…this is a long thread 🧵
I grew up idealizing Canadian healthcare. I trained/worked in different countries yet moved back to Canada 10 years ago expecting something better than what I found. The truth is that Canadian decision makers have systematically neglected/underfunded mental health for decades. /1
I have witnessed the horrible consequences of a system that is built on a foundation of prejudice and discrimination against people with mental illness. I worked in busy inpatient units and emergency departments and watched those suffering offered blame instead of empathy. /2
Read 19 tweets
Jan 22
Symbolic solidarity or virtue signaling? Major paper alert on #antiracism in #meded 🚨🚨🚨

journals.lww.com/academicmedici…

Led by @allison_brown99 and with a stellar team of coauthors @auguste_emma912 F Omobhude and N Bakana
We sought to examine the initial statements published by academic medical organizations in response to societal concerns about systemic, anti-Black racism.

Through discourse analysis of statements from US and Canadian medical schools and academic organizations we learned:
There was

tension between what was explicit v implied. a lack of critical reflection

lack of commitment to institutional accountability to specifically address anti-Black racism

Academia expressed “shock” about racism that was hardly shocking for many communities
Read 10 tweets
Nov 6, 2021
During the middle of the pandemic, my former Department Chair asked us to go around the room and say a few words about how we were feeling… 🧵 bbc.com/worklife/artic…
“I’m feeling hopeless and hopeful,” I said to the group of about 20 colleagues. As the meeting ended, I was sent an email asking me to meet with the Chair for a check-in. /1
She scheduled a zoom meeting where I was admonished and my feelings were invalidated. I was informed that I should feel grateful and fortunate and that my feelings in meetings come across as “too strong” /2
Read 9 tweets
Oct 5, 2021
Excited to join #CERIconversation today with @CaulfieldTim about the dangers of misinformation and how health professions educators can play an important role into the future. @ChrisWatling3 starts off with our introduction...
Along with the pandemic came an #infodemic - there is REAL harm associated with misinformation. It is actually "killing people" and we must do something to act. We need to "push back against the noise" - @CaulfieldTim
The infodemic is largely related to social media. Those who believe in conspiracies are much more likely to be getting their information from social media.

journals.sagepub.com/doi/abs/10.117…
Read 14 tweets
Oct 5, 2021
Must listen for anyone involved with #equity #antiracism work in #meded and beyond. #RIME #AAMC21 A few highlights...
It is fantastic to see a growth of scholarship related to inequity, racism, and justice in #MedEd. Research can help us gain a deeper understanding and both papers we featured use innovative methods to help generate knowledge with important implications. /1
First is the paper by Drs. @DrTashaWyatt @DrTarynMD White, and @MCGpharmacprof They explored the effects of #racialviolence on Black trainees/physicians using the concept of #racialtrauma and constructivist grounded theory. /2

journals.lww.com/academicmedici…
Read 12 tweets

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