Debated on retweeting or not - this video can reinforce PTSD & sexual trauma

1- note comments about a male provider by those in healthcare: assume he is a doctor

This is a nurse

2- #womeninmedicine & male nurses face this bias often

3- this is outside his scope of practice https://twitter.com/shesinscrubs/status/1252647917824782336
Amid appropriate outrage on the content itself that is sexualizing these nuances getting missed

There is a narrative that abuse is by doctors

yes, there *is* historic & current abuse by doctors

but to *effectively* address abuse & harm we must be careful about assumptions
I find it appropriate that it was a nurse @shesinscrubs addressing issue of professionalism by a fellow nurse

It is similar to how @HealthyWorkInst addresses #bullying in healthcare, including nurse on nurse bullying

Doctors could learn a lot from that kind of self policing
Fact is some images are more powerful than others

a white male in scrubs or a white coat = authority

in a way that a woman or minority never will

This is an uncomfortable truth for many. It is well established, however

From @NEJM
https://www.nejm.org/doi/do_file/10.1056/NEJMdo002475/NEJMdo002475.mp3?area=

#WomenInMedicine
I am especially concerned about the #mentalhealth of all #HCP and clinicians right now, as well as those who work at front lines and may experience stigma. Illustrative tweets from @NursePatMacRN

Now imagine if it were hospital cleaning staff, at lowest level of hierarchy?
Meanwhile politicians are shaming #healthcare staff instead of doing their own jobs

my responses to the suggestion that

adhering to #safety standards to *prevent* disease transmission in #hospitals is not our job?

Respecting #clinicians means respecting #quality standards
Then turf wars - where some clinicians align with nativism & anti-immigrant sentiment - to self promote, like this poster/marketing campaign to hire “made in America” PAs (instead of immigrant physicians)

= #healthcare *not* a safe space for #minorityhealth or immigrants
Something that has not been talked about as we move towards #interdisciplinary #teamwork:

how #professionalism gets defined & policed across different clinician types

This is an interesting piece from a #nursing journal on what “patient #advocacy” means

https://journals.lww.com/nursing/Fulltext/2017/11000/Getting_political_about_patient_advocacy.14.aspx
Was deeply concerned by public shaming for “smiles”

of a black physician trainee who *had* followed all rules

by a marketing professional who lacks relevant training, experience, licensure
+
not citing any valid standard
+
denying #mentalhealth stresses & implicit bias
In fact, as per @colleenmfarrell a leading voice on trainees, #MedEd, #MedTwitter work hours, #bullying in #healthcare, dancing and posts on @SoMe have a clear influence on morale and #mentalhealth when under unusual stresses during #covid19 #pandemic
https://twitter.com/colleenmfarrell/status/1252838533103902721?s=21 https://twitter.com/colleenmfarrell/status/1252838533103902721
I have seen many calls & shaming within #MedTwitter for #censorship of physicians, nurses, trainees & #HCP to get off of #socialmedia or #TikTok during the #pandemic

to self silence

No

Yes to: valid #interdisciplinary standards-based, culturally respectful approaches to #SoMe
We HAVE licensed clinicians & communication experts within #MedTwitter

Do NOT allow paid non-clinical consultants trained in corporate marketing working for administrators to police

police ourselves @JulieSilverMD @mclemoremr @shesinscrubs @DrToddWo @ZDoggMD @HealthyWorkInst
There are SO many #SoMe experts on #MedTwitter I will miss a lot because of Tweet character limits

We MUST assume this responsibility to set standards

The @AmerAcadPeds is an early adopter w/ guidance - like this on #TikTok to #tweetiatrician https://www.aappublications.org/news/2020/03/30/tick-tock-tiktok-pediatrics-in-review-3-30-20
At a time when colleagues do not have simple #PPE
+
losing their jobs

that #universities and #hospitals employing *paid marketers*

to *inappropriately* police & shame trainees on #SoMe & #MedTwitter

is unethical

we MUST step up #MedEd #ethics

https://www.beckershospitalreview.com/finance/49-hospitals-furloughing-workers-in-response-to-covid-19.html
Am an expert at identifying waste, abuse, fraud

even served as an expert witness in a grand jury trial to take down bad doc (pill mill)

Why are #hospitals & #universities keeping marketing #SoMe staff while firing #HCP?

+ #PPE censorship

=abuse, waste https://www.medscape.com/viewarticle/927590
When served as #Medicaid med director, had disciplinary authority over all #healthcare #providers

When I went back to #academia + clinical, #MedEd + #hospital silos prevent #interdisciplinary standards

= loopholes for bullies

We are failing our #trainees
Especially on #SoMe
Now take me - I am a brown-skinned, Muslim, foreign grad with so-called “Not American” name

I have never been supported to *safely* engage on #SoMe by those who have sent me out to do so

@AmerAcadPeds is ahead of pack but this is NOT enough https://www.aappublications.org/news/2019/08/29/masteringmedia082919
I’m issuing a call to action

for ethical
#interdisciplinary
culturally respectful
set of valid #standards & #guidelines

on use of #SoMe #socialmedia
by licensed #clinicians
for effectiveness
&
limits/discipline criteria

take back from paid marketers
self regulate
#medtwitter
You can follow @usnehal.
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