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Amy Faith Ho Profile picture
@amyfaithho
Mar 27 • 9 tweets • 13 min read • Twitter logo Read on Twitter
A snapshot in time confounded by @TheNRMP match “algorithm”. The truth is #medicine is we have work to do in #genderequity - US physician workforce only 37% women. Rads 27%, Gen Surg 22%, #EM 👋🏼29%…@acepnow @WomenSurgeons @AmCollSurgeons @radiologyacr @EmergencyDocs @aawr_org… twitter.com/i/web/status/1…
@AAMCtoday stats on 2021 US physicians by % female. #pediatrics 65%, #orthopedics 5.9%. Note surgical sub speciality ($$$) higher male dominance, medical/primary care higher female…#orthotwitter @aap_peds @aaos1
New generation of US #doctors show progress, by @aamc study on residents and fellows, 47% total female, #gensurg 46%, #radiology still only 27%, #emed 39%…
Based on the @StanfordMed graphic, we can assume why progress for gensurg but why not for Rads…
Why does this matter? Because we should look like the patients we are treating. 50% of the US population is women —and they get better care when treated by women physicians. They have better surgical outcomes and lower DEATH rates… @washingtonpost washingtonpost.com/outlook/2022/0…… twitter.com/i/web/status/1…
Women have better cardiac outcomes, diabetic outcomes, patient experience when treated by female physicians…. @WomenCardiology

ncbi.nlm.nih.gov/pmc/articles/P…

pnas.org/doi/10.1073/pn…

jamanetwork.com/journals/jaman… @JAMA_current
Yet, despite the unique #value @womeninmedicine bring to US #womenshealth…we make 74 cents on the dollar compared to men…@commonwealthfnd
commonwealthfund.org/blog/2022/male…
So when I see a class of almost all female resident physicians, I don’t think “affirmative action”, I think..#yougogirl — entering a field to do better for all women in the US, despite a pay gap worse than in other occupations…@womeninmedicine
And if you want to bring up the “family” argument…don’t get me started… you know where I stand #superhero #doctormommy 👶🏻👩🏻‍⚕️👩🏼‍⚕️👩🏽‍⚕️👩🏾‍⚕️👩🏿‍⚕️👶🏻👋🏼🍼💯@doctormommybook DoctorMommyBook.com @WomenCardiology @womeninmedicine @PhysicianMomsGp @womeninsurgery @feminemtweets @physicianwomen
Just my 2 cents (actually, my 74 cents…😡)…/endrant…#ilooklikeadoctor 👩🏻‍⚕️👋🏼@womeninmedicine #doctormommy #genderequity

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More from @amyfaithho

Amy Faith Ho Profile picture
Mar 27
So what are #PBMs? Chances are, if your meds suddenly got changed by your insurer, or you’ve been waiting weeks on #priorauth for a med you need, or you pay $$$$$ for a drug in the US that is cheap overseas, you’ve already experienced a #PBM and didn’t even know… twitter.com/i/web/status/1…
That’s b/c #PBMs aren’t meant to be known, they’re meant to be a middleman in healthcare cutting in an extra layer of profit for them and an extra cost to you…wonder why #prescriptiondrug pricing makes no sense compared to prices in other countries? This is why.
Pharmacy Benefit Managers (PBMs) are third party entities paid by healthcare insurance companies to manage all things meds: the formulary (what is/isn’t covered), the price from manufacturer, and the cost (copay or “tier”) to the patient.
Read 9 tweets
Amy Faith Ho Profile picture
Mar 26
Can’t talk about #womenshealth w/o mentioning #maternal death -unfortunately on the rise in America...how does one of the richest countries have the highest rate of maternal & infant mortality?🧵npr.org/sections/healt… @acog @ACOGPregnancy
We have high c-sx rates, low prenatal care, high chronic disease rates in our mothers. Post-partum care is a single visit at 6 weeks. Working pregnant moms may opt to induce labor for the 'convenience' of optimizing their leave...
Speaking of leave, the US is the one of the ONLY industrialized countries to NOT have ANY paid parental leave. If that doesn't reveal value in a society, I don't know what does. Punchline: the value isn't in family. No wonder our divorce rates and rates of mental health and… twitter.com/i/web/status/1…
Read 6 tweets
Amy Faith Ho Profile picture
Mar 25
Incredible piece in @propublica on the dark underbelly of #healthcare #insurance — making profit margins off of denying claims (aka healthcare) to its members when they need it most propublica.org/article/cigna-…
If time is money, this is what @Cigna thinks the health of its members is worth: 1.2 seconds Image
It’s not just @Cigna, it’s all the big insurers — @UHC @AnthemBCBS @Aetna - multiple lawsuits filed for the amount of denials they have, but it’s more profitable for them to rampantly deny claims and settle the class action lawsuits later than it is to just do the service they… twitter.com/i/web/status/1…
Read 6 tweets
Amy Faith Ho Profile picture
Mar 25
#womenshealth is #disparate because medicine evolved in a patriarchal society. Male presentations of disease are “typical”, female ones are “atypical”. Society becoming more #gender #equal, doesn’t undo the historical bias of medicine we still rely our practice on - as a result,… twitter.com/i/web/status/1…
While #postpartum care is an obvious example. @American_Heart published that women don’t classically present with chest pain like men in heart attacks, but instead may have fatigue or insomnia. This can be easily written off by doctors as “stress” ahajournals.org/doi/full/10.11…
“Stress” is a generous explanation I hear of writing off symptoms. More commonly, I hear “dramatic” or “being extra” as explanations. Those aren’t ICD codes, but implicit biases disproportionately assigned to female patients.
Read 7 tweets
Amy Faith Ho Profile picture
Mar 25
Great 🧵- my takeaway since having a 👶🏻myself: if a patient comes to the ER postpartum, DO NOT BLOW THEM OFF. The barrier to leave the house is so high, that if they put on pants to come to the ER, they NEED something. HELP.
Women’s symptoms are often seen as histrionic or atypical at baseline by a medical system grown in patriarchy. Postpartum is one of the most vulnerable times in a woman’s life, so if they seek help, do so, without judgement or barrier.
The issue may be social or a knowledge gap or a lack of healthcare access, but it’s our duty to counsel/reassure/coordinate just as much as it is to treat a classic medical complaint.
Read 5 tweets

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