Dear
@CMAJ
,
Your publication of a recent letter by Dr. Sherif Emil, in which the Hijab worn by many observant Muslim women was portrayed as a symbol of oppression, in which the author argued against tolerating or accommodating it and mused that it has become an (thread)
Can’t stop hugging and kissing my 5 1/2 year old olive skinned twins, telling the I love them and don’t want anyone to harm them. I have watched this week as members of my own academic medicine community in 🇨🇦 callously threw out dog whistles of anti-Muslim hatred tropes. Broken.
And just like that, after 32 years, we are leaving
#YUL
and moving to
#YVR
. Montréal je t’aime, je t’aime, je t’aime ❤️. You have changed and enriched me in so many ways. Here is to new adventures in Vancouver at
@UBC
(CHES) and
@BCChildrensHosp
!
@DrNadiaChaudhri
I am so inspired by you. I became a Dad later in life (twins, now 3) and you remind me that doing things like reading Gerald the Giraffe pr Goodnight Moon for the 700th time at bedtime defines “magical”. Miss Vicky’s is now magical for me as well, after following you!
“More Muslims have been killed in hate-targeted attacks in Canada than any other G7 country over the past five years, according to a July, 2021, report by the National Council of Canadian Muslims.”
(14) or musings about the more “genteel” patriarchies that make having a woman dean of a faculty of medicine in Canada something that one pays attention to because it hasn’t always been that way.
Bottom line: let’s stop telling women how to adorn their bodies. <end>
(3) and as a Canadian physician.
I have read your apology on Twitter, but still feel compelled to comment. There was such a failure of the editorial process here that there needs to be positive dismantling action on the part of
@CMAJ
as well. (cont'd)
I reiterate—Why do we design postgraduate training, which mostly is for people of childbearing and childrearing age, such that it is an irregularity to be managing work and little ones during training? This is a structural inequity.
Important work in
@JAMASurgery
by
@heatheryeomd
and
@Jasosamd
on demograhic factors influencing pass rates on the
@AmBdSurg
exams - interns entering programs in 2007 followed
Odds of passing were 10x higher for 👩⚕️with no children vs. 👩⚕️with children
(5) Substantively, the author tarred us all with the same brush, and through it engaged in casual stereotyping, Islamophobia and racial discrimination. I say “racial” because, let’s face it, brownness is (inaccurately but substantively) tied up with all of this. (cont'd)
(4) I felt hurt, betrayed and excluded by the publishing of the editorial –that it made it through peer review – as someone who has tried to participate positively in Canadian Academic Medicine for 25 years. This is why I have waited a few days to write these words. (cont'd)
(12) I found the article threatening because it played into all of the tropes of Islamophobia, which have lead to violence against Muslims in Canada, and it saddens me profoundly to see this beleaguered faith community beaten up yet again. (cont'd)
Meet our 2023 Professor-in-Residence
I am humbled and honoured to serve in this way. Thinking of the ancestors and the little immigrant boy whose Mum made him wear a suit to his Grade 3 school photo, in an inadvertent act of cultural misunderstanding!
(6) He also committed the intellectual fallacy of equating symbolic representation (Hijab as oppression) with the actions in the real world enacted by people (oppression, coercion, violence). (cont'd)
(2) emblematic cause celebre of ‘woke’ culture, has shaken me to the core as a Muslim, a Gay Man, the father of a daughter who struggles to teach her about how to claim her place in the patriarchal spaces that characterize all the powerful parts of our society, (cont'd)
(7) With respect to stereotyping and Islamophobia, the author failed to recognize that there are a great many ways to be Muslim and to participate within any faith community. One of the ways for women who identify as Muslim is to wear a head scarf. (cont'd)
(11) to force women to wear it. It can also be seen as a way to participate in a faith community, and a way to be empowered as a woman. If you don’t believe me about this last point, check in with some Hijab wearing Canadian Muslim physicians and/or visa trainees. (cont'd)
Super psyched to be giving a plenary at
#RME2022
in London 🇬🇧 ! Title: The Unbearable Whiteness of Professionalism: Casting a Critical Gaze on Professional Identity Formation. Looking forward to the discussion.
@IHSE_McGill
@WesElyMD
@SapnaKmd
You have warmed my heart and the picture of your brother in a cape and crown is the best representation of joy I have seen in a ling time. What matters is people, relationships, and caring, both in medicine and outside of it.
So many things I never permitted myself the permission to want, as a Gay man. Being a Dad is one of them. Yet here I am with my twins, putting on “sunscream” (as they say), and doing a high ponytail. Happy Fathers’ day to all who celebrate.
#FathersDay2023
#2daddies
#freeyourmind
A little dip into the personal. I used to think putting in art lines in
#PedsICU
was very Zen and grounding in the moment. Getting a good well-braided high ponytail for daycare is just as good!
@drjfrank
is there an EPA for this? Do you need to be there “just in case”?
(8) With respect to the intellectual fallacy of equating symbolic representation with actions in the real world, the author failed to realize that symbols can have multiple meanings. (cont'd)
(10) Crosses were also found burning on lawns in the American South, with the express purpose of intimidating Black people. So, which is it? With respect to the Hijab, it can be seen as rooted in patriarchal faith traditions which have been coopted by repressive regimes(cont'd)
(9) They are interpreted through the reading of texts, within contexts, subtexts and pretexts, and sometimes referring to other texts. The cross can be seen as the symbol of one of the world’s great religions, whose central message is rooted in forgiveness and redemption.(cont'd)
Love is love and my heart is full of it. For my husband with whom I have walked through life for 29 years. For my children who make everything I work for personal. For friends. Being out at work has enabled me to live an authentic professional life. Happy pride month.
@medstudent_kait
True cliché: it does get better. Wait till you operate as a professional with the authenticity of not hiding! Think of the beautiful connections with patients, families and co-workers you will have. Welcome to the world of outness and thank you so much for your courage. 🌈
Very sad days for all of us in
#PedsICU
@HopitalChildren
—we lost our mentor and friend on Friday. His reach as an educator, giant and founder of the specialty in 🇨🇦 and beyond was enormous, whose office you went into troubled and came out better. RIP Ronald Gottesman
There is nothing like having two pant-less 23 month olds videobombing an academic discussion going on on ZOOM yelling “Caca! Caca!” to crystallize both my problems with the methodology being discussed, and what it is like to live in this moment, right here, right now.
Sometimes grief just wafts over you. My brother has been gone since 2015. It was a horrible didn’t-respond-chemo death in a man who was about to launch into major Grandfather daycare pick-ups and sick day bailouts. When I think of being a Dad, I channel him. Miss you, Zai.
Never thought I would hear the term “epistemic racism” at an
#ICRE2019
conference. I hope this sets the tone for courageous and inspiring conversations at this conference about
#equity
#Diversity
and
#Inclusion
throughout.
@RicharLisa
Never thought I would utter the words “ Nice people don’t bite other people, except maybe with their explicit consent, and then only with a safe word.” But here I am, and ex-fabulous gay man in his 50s, raising twin toddlers. Wouldn’t change it for the world.
@chungk1031
Two. That and the Oxford comma are the two hills upon which I will die, having sought to live a punctuated, stylistically sound, and grammatically meaningful life.
Much contact from distressed colleagues and students about recent retracted
@CMAJ
article.
@SACE_McGill
will organize a debrief around time of anniversary of Quebec City mosque massacre. Use this holiday time to recharge and don’t hesitate to reach out to WELL office or to me.
@jmugele
My dying brother on the palliative care/oncology ward of NYGH in Toronto. The staff facilitated my niece’s big fat Indian wedding with saris galore on the ward. No qiestions asked. “Yeah, we can do that. Would you like modern or old Bollywood tunes?”
New opportunity to enhance early career researcher diversity from
@CIHR_IRSC
. I was privileged to be on the anti-racism taskforce. Please share broadly in your networks of racialized women and Black persons researchers!
Join us on Dec. 6 for the 2023 Professor-in-Residence Lecture with Dr. Saleem Razack: “Transforming postgraduate medical education: A vision for socially just specialty training in Canada.”
Register:
@SaleemRazack
@thorsley_handle
#HealthEquity
#MedEd
Had a bit of feeling the love for my kids so much it aches. It just creeps up on you. In these times where my kind of family is the subject of truck honks and placards (on 3 counts 🏳️🌈🕌✡️) I am grateful for this moment and the people who fight to preserve its ability to exist.❤️
Fully agree—
@McGillMed
dropped the MCAT in 2010 and as far as I can tell the we did not experience academic Armageddon—the students are just as awesome as they always have been!
More thorough conversations need to be had on how classist the MCAT is when used for medical school applicants.
The argument is sometimes made that the test is used as a "filter" (i.e. a hurdle) with low cutoffs and that it is not weighed heavily in applications.
#MedTwitter
/1
@ShreeParadkar
So well said. As a Gay Muslim man, I live in my bones the truth of the adage: nobody is free until we all are. All arguments in favour of human rights fall apart unless their values orientation includes this adage. And, by the way, we Brown Gay people have always been here.
@gmbutts
Honestly, I feel that Dr. Tam and her provincial colleagues (Arruda here in Quebec) have done a good job in shifting sands situation. I speak as a health care professional in a critical care environment.Stuff is changing every two seconds and every single policy has to be adapted
All dichotomies are false—they are simply socially constructed rhetorical tools to advance an argument (and all arguments are political—about influence and power). To draw a line between the ‘social’ and the ‘medical’ is a choice to ignore a vast corpus of medical literature.
A call to *centre* values such as anti-oppression, anti-racism and social justice *in the practice of medicine* means supporting MDs to obtain the knowledge and skills necessary to address the shameful chasm in health outcomes for Black and Indigenous peoples... /1
My 3.5 yo twins just accused me of serving the same meal “yesterday and 3 weeks ago” . (“3 weeks ago” is a particle in twinspeak that means “the remote past”—20 mins ago to last year). I mean, I did di that, but gove a guy a break. I feel so judged.
See
@MSF
tweets for detailed horrible security situation at Al Shifa Hospital. Heroic doctors and HCW’s are manually bagging babies needing ventilatory support since generator taken out. I cannot imagine. Babies literally define our future.
🚨Director of Shifa Hospital: Remaining babies in Al Shifa’s NICU (39) HAVE NOT DIED. 1 died this morning. I repeat the 39 babies ARE ALIVE, sustained by manual life support by hero doctors. They face imminent death but they are still alive. They need help. Don’t give up on them
@MKIttlesonMD
Working in a community family med practice servicing inner city, including large gay and sex trade population. I thought a blow job involved air currents and couldn’t figure out how STD’s were transmitted in this situation. It would be a few years before I myself came out!
Discussing
@JillianHortonMD
book (We are all perfectly fine..)
@IHSE_McGill
. This ⬇️ is what keeps me grounded (nearly 4 yrs ago!). They make the search for >
#socialjustice
so much more personal. Thinking of 🇺🇦 & all horrible conflicts affecting children.
Been there. Done that. I celebrate my love for my life partner, Jack. He: only can be of one place (Montreal), me: no easy answer to “where are you from?” He: ✡️, me: ☪️. We two: parents. Walking through life together, come what may.❤️. In the name of those who can’t.🏳️🌈
On Resident Doctor Appreciation week, I reflect on what a privilege it has been to work with residents and fellows for 25 years
@HopitalChildren
and now
@BCChildrensHosp
.You are the best. I love watching you become the amazing clinicians and accomplished academicians you become.
Patient rounds with zoom today—only resident and staff for a particular patient go to bedside, all others socially distant (2m)in large conference room. Next patient, new resident at bedside with staff. Worked well and all were able to contribute. What have you done?
@drjfrank
From my kind of family (other dad is taking pic) to yours, allowing a few moments to not have our legitimacy threatened.Let’s hope that children separated from parents at borders will never be abstracted as “policy”, & that the immoral practice will end forever.Yay Biden!🏳️🌈🇨🇦🇹🇹🇺🇸
@RicharLisa
I think it might be time for a new flag too —one that includes us all and intentionally symbolizes the dismantling of colonial structures and the multiple Indigenous nations’ sovereignties to respect.
Dear 🇨🇦,
#solidarity
is the only way.
#antisemitism
and
#Islamophobia
: close cultural cousins.
#WhiteSupremacy
gives rise to all forms of racism. Patriarchy, heteronormativity/transphobia. Ableism…Together with listening ❤️s and power of numbers, we will prevail.
So this happened in Vancouver just for my birthday. Ok i am not the centre of things—it just happened. But it took my breath away. Photo doesn’t do it justice.
Today is the first day of my last autumn as a resident of this beautiful city of
#Montreal
. Ma Belle Ville sera à son meilleur in a few weeks—when the mountain will be on fire with fall colours. A vibrant, beautiful, meaningful place that has made me a better human.
Mind officially blown by
@WillBynumMD
visit to
@IHSE_McGill
today, discussing the
#phenomenology
of
#shame
in
#MedEd
. Many thoughts in my head, specifically connection between shame and minoritized/racialized status and legitimacy in the spaces of learning.
In 25 years of
#PedsICU
, and a few early years in Peds
#PalliativeCare
, I have seen 8-year olds display this kind of concern for those they will leave behind. What a privilege to witness this great humanity it has been.
One of my hospice patient’s once said to me “I have it easy, all I have to do is die. My family has to live, they have to grieve, they have to mourn”.
He wrote his children legacy letters.
He fulfilled his wish of being present when he was no longer present.
#hospicecare
Deep listening is about connectedness, reciprocity, and dialogue.
@RicharLisa
continues to nail it and capture the spiritual quality of what we mean when we can authentically say to a patient or learner, “I see you.”
#ICRE2019
We're thrilled to announce that
@DrLisaRobinson
has been appointed as the dean of
#TemertyMed
!
Prof. Robinson will assume her new role on July 1, 2024 for a five-year term.
We are in a moment of moral clarity. In 20 yrs my kids will ask me what I did or did not do. I choose shared humanity, which includes factoring in systemic injustice, and is clear on the absolute sanctity of human life.
Or it could all be swept under the rug.
@maximebillick
Thank you for this courageous tweet. Medicine has set itself up so that child rearing is a nuisance. I became an older dad to twins after thinking it could never be and it is beautiful. I thought nothing of those 5-7pm meetings for 25 yrs. Now I know that as the witching hour!
@cblackst
@SeamusORegan
Interesting choice to label it “historical” harm. People whose lives were changed by this still very much with us and don’t seem as though they fit the definition of “historical”. Seems like the same discourse that allows white suburbs to carry appropriated Indigenous names.
@paimadhu
Colonialist curricula, heavily disguised through notions of scientific “objectivity” in courses like “child health”, “epidemiology” or “research methods”, so you might not even notice it is there.
@jmugele
Most people get married because they are “turned on” in some way. I got married much more for reasons of “turn off” than “ turn on”—if I am on a ventilator one day, I want my husband to be recognized as the decision maker. Ok maybe a little bit “turn on” too. 😊🏳️🌈
Being authentically Gay in a meaningful way (ie known to others as one of the important things I am, and also allowed to be non-suppressed in the experiences I channel for my phronesis of medicine) has made me a better doctor.
#ICRE2019
Yes! I’ve recently realized that allowing ppl to plant roots w/i our learning environments isn’t enough. We then have to water them & allow them to blossom. Attempts to create true belonging won’t work if we don’t also ensure a meaningful degree of authentic self-expression
At the mentorship plenary, humble as ever, Kevin mused about why he was there to present. “I come from environments where mentoring is ordinary and expected.”
ECME Co-Award Director Dr. Sarah Burm and Co-President Dr. Tim Dubé were pleased to present the ECME Mentor Award to Dr. Kevin Eva at our award cocktail event last night at
#ICAM2023
!
@TimVDube
@sarah_burm
@kevineva72
I joke that I live my life “as an immigrant—one policy change away from deportation. Bullion under the bed. Suit cases packed. Some hyperbole there, but truth too. It is all about legitimate presence in a space. After many decades in 🇨🇦, I assert my legitimacy in this place. 🧵
Coming out is both once and major and daily and mundane. For me, telling my parents was coming out. But it is also daily, in the decisions made to disclose or not disclose in all aspects of life. Whatever it is, it has given me an authentic existence, and for that I am grateful.
Shoutout to queer people everywhere: let’s claim our places in histories of meaning. For me, situating myself as a queer Muslim in a pedigree that might include Rumi or maybe two secret lovers in some imagined Mogul court past was important for my journey.
#wehavealwaysbeenhere
Happy
#PRIDE2020
to everyone, and especially to my Muslim friends. It can be very hard to be queer and Muslim, and I want you to know that I see you, support you and admire you 🌈🌈🌈
Had a wonderful time at
#RME2022
.
@asmeofficial
is a great organization. I loved that there are attendees across the continuum— from student to senior
#MedEd
leaders. And to hold it in such a place of spirituality as the
@friendshouseldn
seemed apt. Thanks for having me!
What world have we come to to test our commitment to shared humanity so? Should I ever be tested this way, may I be helped to remember the value that if you need me, I’m there, no questions asked. This act will be studied in
#MedEd
and
#professionalism
for decades. 🧵
100 Israeli doctors sign a petition calling for the destruction of all hospitals in Gaza. Lovely people with great colleagiate attitude. They must have taken the same Hippocratic oath as Harold Shipman.
Cuba’s vaccination story is impressive and must be honoured more by actually being reported as a global success more than it has been. It can be part of strategy of global vaccine equity
@paimadhu
@PeterASinger
@dr_uche_bee
Thank you for this. My daughter is Talia—not too difficult, but her name means the same thing in both Hebrew and Arabic, in celebration of her dual Muslim-Jewish heritage.
March 9, 1969 was the day we emigrated from 🇹🇹 to 🇨🇦. Air Canada Vanguard propeller plane with stops in Barbados, Antigua, Bermuda, and then Halifax, where I first saw snow. For better or for worse, I am irrevocably defined by that day.
#proudimmigrant
. 🇹🇹🇨🇦🇮🇳 It’s all mine. ❤️
Proud to hail from a
#shitholecountry
. Sweet, sweet
#TrinidadandTobago
land of steel drums, aunties feeding you food, and nobel prize winning literature. Returning from
#AAMC
minority faculty seminar. The promise of the future is there.
My dream is that my twins will walk together with Indigenous friends, maybe lovers, or maybe colleagues, towards a shared future in this land, holding hands sometimes, letting each other be at other times, honouring each other’s histories through action, in full respect.
@colmjmccarthy
It boggles my mind that residency training, which is largely for people of childbearing and childrearing age, is constructed such that having children is an inconvenience. Defines systemic dysfunction.
Always get a little choked up when I vote, which I did today in advance. My parents were born in a racialized British colony where they were not represented. My dad was born two years after the end of Indian indenture. Democracy is not a given for me.
At
#generalism
plenary at
#ICAM2023
, Jeff Turnbull encourages us to guard against the false dichotomy between generalism and specialization, and instead focus in whole person care. “Health care as a strategy to mitigate health inequity”.
The data that we need to justify investment in the public healthcare system. There’s too much “it’s not working—we meed to privatize” conversation going on, without recognition that either way the expenditures go up, but with one increasing inequity rather than decreasing it.
Fascinating but not surprising: "For every £1 put into '
#upstream
' NHS services in places with historically poor funding, including primary care settings & wider community treatment, there is a return of up to £14 to area’s Gross Value Added (GVA) output."
In print
@pmeded
!We suggest reimagining medical professionalism as one of a covenant of solidarity rather than a social contract, with skills in critical consciousness (Freire) and dismantling are part of being professional.
@MarcoCarvalhoFi
@IHSE_McGill
Excited for this opportunity! Grateful to Karen Mann, who was a legendary force in medical education in Canada and the world, and to the Mann family for supporting this lectureship.
@IHSE_McGill
Happy day against homophobia and transphobia everyone! I plan to have a completely chaotic dinner meal with my toddler twins and their other Dad to celebrate. Food will be thrown; discipline will be meted out (unsuccessfully). But I will be grateful for it all. ❤️❤️❤️❤️🌈
From humble beginnings in 🇹🇹 my sibs, me and about 100 first cousins are globally emigrated. We are an RCT of immigration to 🇨🇦🇺🇸🇬🇧 and elsewhere. We are large enough for p values and outcome measures! The pandemic really sucks for connectedness. Today I miss my family +++ ❤️
Mind currently being blown by
@NaiduThirusha
plenary on coloniality in
#MedEd
at
#AMEE2022
. Her bringing home of the work of Fanon, a native son of France (through Martinique), to Lyon feels important and emotional.
@paimadhu
Because an ideological stance of othering is part of the curriculum, coming from the history of established knowledge systems of both public and global health.
How much snot can one toddler produce? The question is rhetorical, phenomenological, and quantitative. There has not been much time for critical reflexivity. The study is about to be reproduced in the second twin.
“We Brown Queer People have always been here. I am part of this venerable history, and my hope is that the health professional who cares for me is able to see me in all of this complexity.” -
@SaleemRazack
My 22 month old son will now only drink Perrier. Club Soda in a pinch. I guess I shouldn’t talk about walking to school uphill both ways in the snow for five miles?