Dan Weinberg

[Sanjee Baksh @S__Baksh]

Food deserts are a public health crisis engineered by institutionalized racism in America. Check out our infographic summarizing cardiovascular impacts & general strategies to advocate for patients experiencing food insecurity @MClerkship @catheri18173530 @CarrieSha3 @peejwalker

[Dan Weinberg @DanW_2021]

@miketzeng1 @CarrieSha3 @PNussenzweig @sudhavallii @rachelbabij @MClerkship Thanks for this, very informative! The consequences of weight bias you describe are very compelling and speak for a need for further action on this issue.

[miketzeng @miketzeng1]

Check out this infographic on weight bias in the healthcare system that my colleagues and I put together @PNussenzweig @sudhavallii @rachelbabij @MClerkship

[Ross Weber @RossWeber18]

We identified stigmatization of alcohol use disorder as a barrier to effective medical care. Steps need to be taken at the medical and structural levels to address these biases. @tos20141 @jyu1523 @LisaZha15073078 @MClerkship

[Dan Weinberg @DanW_2021]

@EvanHonig1 @JayShi79938365 @abhichatts @JohnKwo99136212 Thanks for bringing attention to this! An excellent example of how biomarkers (e.g. creatinine) need to be interpreted within a broader context

[Lisa Zhang @LisaZha15073078]

Proportion of total tests to population and positive tests clustered by zip code, with the number of total tests increasing and ratio of positive tests to total tests significantly decreasing with increasing proportion of white residents.

[Sanjee Baksh @S__Baksh]

Increasingly medical technologies are gaining attention for entrenching racism. In this 2019 @ScienceMagazine paper the authors find that a widely used algorithm to allocate more resources to "sicker" patients discriminates against Black people @MClerkship
https://t.co/YGMKiyc1jq

[Carrie Sha @CarrieSha3]

This paper follows children, their families, and their communities to examine patterns in health mobility
https://t.co/CGYQqEameR
#Mclerkship #healthequity #socialdeterminantsofhealth #SDOH #socialjustice #healthdisparities

[Jay Shi @JayShi79938365]

(1/3) @MClerkship Pulse oximeters are the most common way to measure O2 saturation in the hospital and one of the best ways to track a patient’s progress and decompensation with a COVID infection.

https://t.co/rbwc82vTbn

[John Kwon @JohnKwo99136212]

1/ Interesting study by Masquinelli et al JAMA Oncology 2018 on how design of clinical cancer screening programs may inadvertently unveil health disparities. @MClerkship https://t.co/dw5qkDYbih

[Philip Nussenzweig @PNussenzweig]

This study shows that race is not a useful medical category in the absence of the socioeconomic contexts perpetuated by racism and white supremacy. We must not fall back on race-based clinical categorization that ignores the racial inequities of our society. #socialjustice

[Dan Weinberg @DanW_2021]

@RossWeber18 Another unfortunate example of how the pandemic has further enhanced existing inequalities here and around the world. Love the idea of prescribing video enabled devices as a potential solution!

[Ross Weber @RossWeber18]

As the authors indicated, these differences reflect inequities of hardware and broadband access. As technology is a healthcare issue, doctors should be able to prescribe video enabled devices #healthequity #socialdeterminantsofhealth #SDOH #socialjustice #healthdisparities

[Dan Weinberg @DanW_2021]

@sudhavallii Interesting! I agree- race is often treated in medicine like it is a biomarker, when it is in fact a social construct. We need to focus on underlying molecular mechanisms, not race.

[Sudha Guttikonda @sudhavallii]

The eGFR correction factor was introduced in the 90s on the basis that Black people have higher levels of creatinine than whites, though their kidney function seemed similar. 1/5
#healthequity #raceinmedicine #diagnosis @MClerkship
https://t.co/VbCMsshR3j

[Dan Weinberg @DanW_2021]

(Figure panel from: https://t.co/5pxd3Ubm8E) #healthequity, #socialdeterminantsofhealth, #SDOH, #socialjustice, #healthdisparities

[Dan Weinberg @DanW_2021]

Empathy is a key component of patient care and is susceptible to influence by implicit bias, contributing to inequities in clinical settings. A recent WaPo article https://t.co/xn9yx7XjDZ explores how implicit bias can create racial disparities in pain management. @MClerkship

[Dan Weinberg @DanW_2021]

Implicit bias relies on the perception of difference between groups of people. Individuation is a potential strategy to counteract this bias by directing providers to focus on a patient’s specific characteristics, thereby increasing levels of empathy and recognition of pain.