Rhea Liang Profile picture
Sep 28 5 tweets 4 min read
.@drpwh62 and I supervised soon-to-be Drs Angela Chen and Neha Ravi in a #LGBTQI+ literature review. Very impressed to see students present 'off podium' with minimal notes at the @BondUniversity MD conference! #MedEd 1/5
The review looked at the gap between medical students and consultancy/attending practice. This is the career stage with the least research, and yet makes the biggest difference to eventual specialist workforce #LGBTQI representation. 2/5
There were just 19 studies, and the results were as awful as expected. Bullying, discrimination, poor mental health, burnout, and lots of emotional labour. There were risks in both disclosing and not disclosing personal #LGBTQI identity. 3/5
Surveys have low response rates and can't untangle complexity, there's a lack of qualitative data, and for research about #DiversityandInclusion there was a distressing lack of recognition of diversity, with most studies lumping the whole #LGBTQI population together. 4/5
So- major research gaps identified for #LGBTQI pre-specialist doctors. These are opportunities for #DiversityandInclusion advocates/programmes, because medical students don't become consultants/attendings by magic. Let's get onto it! 5/5

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More from @LiangRhea

Dec 21, 2021
I've been asked what I mean by responsibility = privilege.

If you are poor you can't afford masks or sanitizer.
If you live in crowded housing you can't isolate.
If you don't speak English there is almost no messaging for you.
1/4
If you have insecure work you can't take the time to queue for hours to get tested.
If you are First Nations you might only recently have had access to your First Jab.
If you're a rest home resident your 'personal responsibility' lies entirely in the hands of others.
2/4
If you don't have a car there are limited testing locations on public routes.
If you care for kids it's really hard arranging care or wrangling them while waiting for jabs/testing.
If you have a vax contraindication you take a risk even just going out to get tested.
3/4
Read 4 tweets
Dec 20, 2021
Do you need a TL break? Here's some wonderful work from @RACSurgeons- the latest Surgical News, with an Indigenous theme 🖤💛❤️and cover art from Sumaya Issa. Too many highlights to cover them all, but here's some highlights. Full link at surgeons.org/-/media/Projec…
1/6
Profiles of two rising stars, Dr Rachel Farrelly who will be the first woman Aboriginal orthopaedic surgeon, and Dr Andrew Martin, who joins @KelvinKongENT as an Indigenous ORL and is just starting his Head and Neck fellowship.
2/6
Wise words from @KelvinKongENT, Dr John Mutu-Grigg, and Dr Alan Woodward about the #COVID19 pandemic response and Indigenous people. For example, initial vaccination prioritisation for age 65+ meant fewer Indigenous people vaccinated, due to the pre-existing mortality gap.
3/6
Read 6 tweets
Dec 2, 2021
How much bullying is there NOW in surgery, and is the #OperateWithRespect project working?

In much anticipated news, the results of the @RACSurgeons 2021 Building Respect prevalence survey are out, as part of the very comprehensive Phase 2 evaluation.

A thread-
1/-
The whole report is BIG- 185 pages. I'll bet this is the most substantial report into disrespectful behaviours by any specialty medical college anywhere worldwide. It indicates how seriously RACS takes the issue and makes me proud to be a Fellow. Link-
2/-
surgeons.org/-/media/Projec…
The prevalence survey results span pages 100-147 with the survey instrument spanning pages 148-185. This is all in the public domain and any College wishing to conduct similar research is welcome to access and build on it. Disrespect isn't just a surgical problem!
3/-
Read 10 tweets
Oct 4, 2021
6 weeks since my appendix tried to kill me, including an inter-hospital transfer on inotropes, I have learned some hard truths about serious illness that will inform my practice going forward.

A thread.
1/13
The tweets I posted at the time? I have no memory of writing them. Ditto this text exchange with hubby👇.

I apparently signed a consent form for the operation. No memory of that either. In future I'm not going to equate 'apparently oriented' with competence.
2/13
Being a suspected #COVID19 case (at that point I was septic with no clear cause) was incredibly hard on family. Hubby was not allowed to accompany me in the ambulance or visit. He was told to stay home and wait with the kids in case they all had to quarantine.
3/13
Read 7 tweets
Jul 2, 2021
A reminder that a 'Diversity' event doesn't mean getting women to speak/ chair/ organise. There's a WHOLE lot more to #DiversityAndInclusion than just gender.

(And there's a lot more to gender than men and women).
1/4 Image
The 'who can we think of?' method of finding speakers/ chairs/ organisers is what helped create a lack of diversity in the first place. Even if you're finding 'diverse' contributors, stop and think- why do I think of *these* people? Could it be #SurvivorBias? 2/4 Image
If you are getting the same few people to represent 'diversity' in your events; if you are getting 'diversity' that looks different but says the same things (lack of #ThoughtDiversity); if every 'diversity' story sounds like a 'how I succeeded against all odds' story...
3/4
Read 4 tweets
Apr 2, 2021
Re-upping the latest excellent #feedback thread from @GStetsonMD @MedEdTwagTeam, and emphasizing this point- someone is not a 'struggling trainee' or, even worse, 'the difficult trainee'. 🤨
#MedEd #SurgEd
1/6
A trainee not meeting expectations reflects on the unit as much as the trainee. Our local saying is 'not a trainee to fail until they are a *properly supported* trainee to fail'. Importantly, this does not mean the support provided to the last successful trainee is sufficient.2/6
Recall the difference between equality and equity. Teaching cannot be 'one size fits all'. Teaching must be tailored to prior knowledge, learning opportunities, learning goals, preferred ways of communicating, and much more*. 3/6

*#DiversityIceberg 👇👇👇. Read on!
Read 6 tweets

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