Thread by @JulieSilverMD

🧵VERY IMPORTANT NEW STUDY pub in @bmj_latest focused on 140 US med schools & 30K med students looking at #burnout in people with intersectional identities.👩🏿‍⚕️🧑🏾‍⚕️🏳️‍🌈 Bottom line: We are likely underestimating harm.

#MedTwitter #MedEd #WomenInMedicine #LGBTQ
bit.ly/3LkKtFV

"Study’s major finding is that a higher proportion of students with multiple marginalized identities report mistreatment and discrimination. Students with all three marginalized identities (female, non-white, LGB) had the largest proportion."
#MedTwitter
bit.ly/3LkKtFV

"Additional pressure marginalized groups face to represent their communities or contribute to diversity efforts at their institutions and experiences of bias and discrimination likely contributes to the effect observed with this dimension of burnout."👩🏿‍⚕️🏳️‍🌈
bit.ly/3LkKtFV

"Mistreatment & discrimination were significantly associated with both female sex & higher disengagement scores." This distinction is important because it suggests interventions to reduce burnout might be different depending on sex.
#WomenInMedicine
bit.ly/3LkKtFV

"Owing to a pervasive heteronormative climate, LGB students might witness more discrimination against LGB groups by bigoted people who might not regulate their actions as they would with more observable identities such as race or gender." bit.ly/3LkKtFV
@GianniLorelll

"This study’s findings support the need for more integration of students’ support services and for more interaction between student affinity groups." bit.ly/3LkKtFV

"Despite gains in diversity among medical students by sex and race or ethnicity over the last 10 years, the diversity of faculty has remained stagnant." bit.ly/3LkKtFV

"Interventions targeting fatigue might be a promising starting point to manage the exhaustion disparately reported by these students." #burnout #MedEd #MedTwitter

bit.ly/3LkKtFV

"Our finding that LGB students across unique identity groups had higher exhaustion and disengagement scores suggests a greater need for institutional support for these students." #LGBT #LGBTQIA bit.ly/3LkKtFV

"Students with multiple marginalized identities reported greater exposure to recurrent mistreatment; improve the existing mechanisms for dealing with reports of negative behaviors and create a climate of respect." bit.ly/3LkKtFV

"Our analysis only focused on 3 aspects of identity. Additional social positions, such as socioeconomic status and disability, influence privilege and discrimination in complex ways."

bit.ly/3LkKtFV