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Bryan Leyva, MD⚕️

@DrBryanLeyva

Apr 5

https://twitter.com/drbryanleyva/status/1511083567304122372

I can’t help but wonder what would have been said if I hadn’t been in that room? How would have this conversation have gone, if it hadn’t been interrupted by the patient due my physical presence? 1/4

https://twitter.com/drbryanleyva/status/1511083567304122372

I could tell my attending found this display of casual racism hilarious bc he was laughing. But he was also uncomfortable. But he was uncomfortable bc I was there and heard it all, and not necessarily (hard to know for sure) bc he thought that was she said was offensive. 2/4

And that’s what most bothers me. If this is how my attending reacted when I was there, how would he have reacted if I wasn’t there? Would they have kept going? I left the patient’s room really feeling like they all just had a bonding moment— over anti-Black racism. 3/4

Read 4 tweets

Bryan Leyva, MD⚕️

@DrBryanLeyva

Apr 4

I’m in clinic, the patient’s wife is on the phone on speaker (doesn’t know I’m in the room), police sirens are heard in the background, and my attending jokes around, “are you getting arrested there?”
“No, I’m not. GOOD THING I’M NOT BLACK”
::they all start laughing :: 1/4

“I’m just a fragile white woman,” she says sarcastically.
Patient looks up at me and
says to wife, “you’re on speaker.”
“What?!,” she says (sirens heard)
“YOU’RE ON SPEAKER”
Wife says, “I’m sure he’s laughing,” she asserts.

My attending was indeed laughing. 2/4

“We’re not alone,” the patients tells his wife.
“I’m being supervised,” my attending says sarcastically.
“Oh well I’m sorry to anyone in the room who I might have offended.” Laughs.

Patient care resumes. 3/4

Read 4 tweets

Bryan Leyva, MD⚕️

@DrBryanLeyva

Mar 29

White people often show outrage when Black ppl do “bad things.” But they are often silent when white ppl and the systems they’ve built, which are steeped in white supremacy, do bad things *to* Black ppl. This is a thread about how the Will and Chris incident became about race. 🧵

White people’s seeming disregard for Black lives, and the inconsistency in which they apply their outrage makes white people’s response to almost any situation involving Black people, however justified, feel almost wrong in and of itself. This is especially true when

white people start virtue signaling and grandstanding—
i.e. when they try to speak from a place of moral authority, speak about right and wrong in absolute terms without nuance, and try to enforce rigid “standards of conduct” onto others, that they themselves can’t even uphold.

Read 25 tweets

Bryan Leyva, MD⚕️

@DrBryanLeyva

Mar 17

People seem to want to know whether the relationship btwn race/ethnicity and MATCH outcome is mediated by STEP score. That is, if you control for STEP score, will the association btwn race and MATCH outcome still hold true? Here’s the answer: IT DOESN’T MATTER. And here’s why. 🧵

STEP was intended to be Pass/Fail. Throughout the years we’ve perversely assigned increasing value to STEP scores despite no evidence to support this practice. We know STEP scores don’t predict whether someone will be a good doctor, and that’s ultimately what matters, isn’t it?

Centering the STEP score in any analysis of MATCH data is literally the opposite of what we’re proposing because results from such studies will undoubtably lead us to the wrong solution. We aren’t asking for interventions to increase racial parity in STEP scores.

Read 4 tweets

Bryan Leyva, MD⚕️

@DrBryanLeyva

Mar 15

I got this message yesterday because I spoke up about Dr. Jeffrey Lieberman’s racism towards Nyakim Gatwetch. This isn’t the first time, but I’m going to address this particular message point by point because there is a lot to unpack here. 🙏🏾

I spoke out because I believe Dr. Lieberman’s behavior was reprehensible and Black patients deserve better. What is there not to believe? Pls believe it.
I did not get him fired. The consequences he’s facing are his own doing. This was also not an isolated incident.

Him calling Nyakim Gatwetch a “freak of nature” is not a compliment nor was it innocuous.
I am not ashamed of myself for standing up for what’s right.
I wish I could “get over” racism but I live it.
If you don’t want to hear about structural/ institutional racism then fix it.

Read 6 tweets

Bryan Leyva, MD⚕️

@DrBryanLeyva

Mar 6

@ColumbiaPsych

Letter from @ColumbiaPsych Residents to the leadership at @nyphospital, CUIMC, NYSPI + VP&S, following Dr. Lieberman’s racist comments towards Sudanese model Nyakim Gatwech. The receipts are LONG. 🧵

@ColumbiaPsych

@ColumbiaPsych residents are asking for the following actions:

1. Transparency. This includes increased visibility and awareness of confidential and anonymous reporting procedures for workplace discrimination and professionalism concerns.

In addition, ensuring that there is an independent team that is empowered to take corrective action to maintain an inclusive workplace.

2. Request that Dr. Lieberman voluntarily resign or be removed from his position as faculty member.

Read 7 tweets

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