Oh my, sit tight & let's unpack how this case illustrates how medicine is an incredibly unsafe training environment for ppl with intersectional vulnerability. 1/9
#metoo #equity #psychologicalsafety #cardiology #MedEd
#metoo #equity #psychologicalsafety #cardiology #MedEd
https://twitter.com/picardonhealth/status/1545767172554629120
1) The power gradient creates no ability for learners to speak up against a preceptor. Trainees in specialty programs want to get hired & can't risk pushing back, esp if you are equity deserving. 2/9
2) The culture forces trainees to be submissive to preceptors in clinical settings, you have to follow their lead. If you can't challenge or speak up, you have a psychologically unsafe space & abuse will happen. 3/9
3) We have a white cis-hetero-patriarchy that is woven into ALL medical processes. This never bodes well for folks that are not white, male or cis-het in reporting mistreatment. The processes assume equal power when that does NOT exist. @AmyTanMD amytanmd.com/home/blog/ 4/9
4) To illustrate point 3, <1% of sexual violence cases lead to conviction/citation. Women don't report b/c they are not heard, they are interrogated. When they speak up, LISTEN. 5/9
5) Further to that point, the narrative of 'women out to destroy a man' is the most sexist trope there is. We make less, have less political clout, and get raped way more than men. Stop telling us we are the ones out to destroy you. 6/9
6) Reporting mechanisms in medicine are completely ineffective. Good processes wouldn't end in legal proceedings. Ppl lawyer up when they are not heard, and then the legal process kills all reasonable communication. 7/9
7) Restorative justice approaches are far more functional and relationship sparing. However, for this to work, there must be trust and some level of good faith, and those are lacking in these deeply hierarchical systems. 8/9
8) A female student has experienced harm, has reported (presumably to protect others) and is now being brought to court by the system that harmed her. So much for all thoe #EDI statements from med schools out there. 9/9
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