Dr. @JillianHortonMD starts with a very personal reflection that many of us can relate to... recognition that she (we) are often going through the motions of academic medicine, burning out, leaving 'garbage scraps' and a low feeling of accomplishment. #CCME2022
"What if this IS the story?"

Dr. @JillianHortonMD writes in the margins during an airplane ride...the realization that we ARE the story. If we have the courage to use our voice...

#CCME2022
Well crafted stories lead us to lean in.

We learn best from stories that strike a chord and invite us to change. - @JillianHortonMD

#CCME2022
So how do we take the first step?

Dr. @JillianHortonMD reminds us that bravery and courage often come in stages.
She invokes research and narratives on #stigma. Yet, such stories are often 'in the family' and should go beyond our journals.

...As an aside, our recent paper highlights the tension in #stigma discourses and stories in #meded

onlinelibrary.wiley.com/doi/abs/10.111…

#CCME2022
One of the most important questions we can ask before telling our story: would I be helped if I heard this story from someone else? - @JillianHortonMD #CCME2022
We must embrace diverse ways of seeing and knowing... reject the dichotomy

... reminds me of the need to embrace Indigenous scholarship. One of my favourite articles is one by @academicinuk on the concept of Two Eyed Seeing: cjnr.archive.mcgill.ca/article/view/2…

#CCME2022
Dr. @JillianHortonMD also highlights the need for support for storytelling from academic leaders in one's institution.

This leads to my concern that many BIPOC voices do not have the privilege of such support in #meded.

#CCME2022
I hope my thread helped give glimpses into the brilliant talk by Dr @JillianHortonMD She is inspiring, generous, and a true role model for so many of us. I am grateful for her courage. If you haven't read it yet, please check out her book. #CCME2022

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More from @javeedsukhera

Apr 23
On my way to #CCME22 Look forward to seeing #MedEd folks in person soon in #YYC …This year I’m proud to be supporting 5 student collaborator presentations…
On Sunday #CCME22 in OA1-3 Khadija Ahmed will present on exploring how admissions stakeholders grapple with their biases. This one will be in person! Hope to see folks there.
also on Sunday #CCME22 Caitlin Loo will present on bias in dentistry education and Snow Wangding on how arts and humanities foster transformative learning.
Read 4 tweets
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
Mar 4
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.
Read 4 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

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