1/ Content warning: sexual harassment and assault. The @theNASEM released a report on sexual harassment in medicine. Disturbing quotes by #womeinmedicine from the report are in this thread (17). #MeToo #MeTooSTEM #heforshe @womeninmedchat @physcianwomen bit.ly/2JzUunm
2/ Residency. "But, the thing is about residency training is everyone is having human rights violations. So, it’s just like tolerable sexual harassment." (Nontenure-track faculty) #believewomen #MeToo #MeTooSTEM #womeinmedicine #metoophd #metoomed #MedEd #sheforshe #heforshe
3/ Culture. "I still don’t think that the prospect of being sexually assaulted was as bad as watching the next generation of sexual harassers being formed. I think that was the worst part for me." (Nontenure-track faculty) #MeToo #MeTooSTEM #womeinmedicine #MedEd #heforshe
4/ Racism. "... I’ve been more affronted by my race than my gender, at least more overtly...I’ve had people say to my face I don’t want to be taking care of that black person, oh, you speak articulate for a black person..." (Nontenure track faculy) #MeToo #womeinmedicine #racism
5/Reporting Barriers. "I reported to my program director, the chief resident, who I had already talked to about it, but this was more formal, and then the site director. . . my program director pretty much left it up to the site director...[next thread] #MeToo #womeinmedicine
6/"who told me that maybe if I..stopped whining so much I would have more friends. So, they basically blew off the report then. And then he—the one I reported it to—started giving me failing grades, directly after me telling him about what was happening..." (Nontenure faculty)
7/"To [report] makes me a difficult person, kind of an outsider." (Assistant professor of medicine) #believewomen #MeToo #MeTooSTEM #womeinmedicine #metoophd #metoomed #MedEd #HeForShe #sheforshe
8/ "I felt I would be labeled as a troublemaker." (Assistant professor of medicine)
#believewomen #MeToo #MeTooSTEM #womeinmedicine #metoophd #metoomed #MedEd #HeForShe #sheforshe
9/"I think a lot of times that the consequence of [reporting] is something in someone’s record that’s negative and is perceived incredibly negatively, and the whole intent of the situation gets lost in the administrative punishment or administrative correction.. [contd]
10/"...I just think that a lot of times, the process for correction is more harmful than if there was an actual face-to-face conversation and something that was less punitive or permanent." (Assistant professor of medicine) #believewomen #MeToo #MeTooSTEM #womeinmedicine #MedEd
11/"I believe in counseling and everything, but it’s also when your environment is that much of a pressure cooker. . . . I knew that I couldn’t bear to hear how bad this was. I had to keep going. There was no choice. Kind of like getting therapy in the middle of a war zone [cont]
12/ "..like I can’t be feeling these feelings right now. If I actually feel what’s going on here, I will not be able to function." (Nontenure track faculty) #believewomen #MeToo #MeTooSTEM #womeinmedicine #MedEd
13/"...the senior leadership, is majority male and has never been affected. . . . If you’ve never been discriminated against, you don’t understand discrimination. It takes a lot more work to appreciate that something is happening to other people." #heforshe #womeinmedicine #MedEd
14/Facilitators for Change. "...my Senior Associate Dean . . . she went up against the old guard and she said, “This is what the data is showing.” And because we had...data, she was able to actually fight...and what was created is a reporting structure." #womeinmedicine #MedEd
15/Hiring. "But they hired a lot of what I’m calling the old guard . . . who we know because of public record that they were dismissed from said universities, Ivy League universities because of sexual harassment—and we have hired them. . . ." (Nontenure-track faculty) #MedEd
16/ There are 15 recommendations outlined in the report: bit.ly/2JzUunm to guide institutions and organizations to action now. @womeninmedchat @AAMCtoday @AmerMedicalAssn @NPAlive @RadiologyChicks @WomenPhysics @physicianwomen @PhysicianMomsGp
18/ Resource: National Sexual Assault Telephone Hotline: Call 800.656.HOPE (4673).

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More from @kelseycpriest

Jun 11, 2018
1/Yes. Thanks @LeoBeletsky and @liebschutz for the periodic reminder!

So what are some of the policy barriers and levers…
2/Although CMS requires Part D formularies to include OUD treatment, and mandate Part C Medicare Advantage to cover behav health services related to addiction services, the only FDA approved OAT meeting the Part D definition is bupe/naloxone
3/Further, if bupe/naloxone is administered in an OTP it will not be reimbursed, because an OTP is not a pharmacy, a reimbursement requirement for Part D. Same issue for methadone. Methadone is required to be OTP administered (42 CFR 8.12) it is not a qualified Part D product.
Read 9 tweets
Jun 4, 2018
1/This article highlights an urgent need for training faculty and administrators on issues related to gender violence and discrimination in #meded. We have five concerns with the article. #metoo #meded #womeninmedicine #sheforshe #heforshe @caroline_a_king @womeninmedchat
2/ Title IX. This article is missing information about federally mandated reporting processes and protections that legally protect medical students (and all students in the U.S.).
3/Anecdotal beliefs perpetuate harms. A physician expert states “the trainee must amass allies before lodging this complaint…” This is legally incorrect, a single report is enough to trigger Title IX and this reinforces the notion that single reports will not be believed.
Read 7 tweets

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