Utibe R. Essien, MD MPH
@UREssien
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Physician Scientist | Assistant Professor @UCLA | Alum @HarvardChanSPH @MGHMedicine @EinsteinMed | Opinions mine | #Pharmacoequity 💊
NYC | BOS | PGH | LA
Joined May 2014
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Still on a high from our 3rd Annual Pharmacoequity Conference on Fri! 😅
It was such an amazing meeting. So grateful to our speakers who each gave 🔥 talks, our funders, our Planning Committee, and all who attended.
More on why this year was special…
#Pharmacoequity2024
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Reasons I won’t actually “just write that on the flight”
• Turbulence
• Didn’t charge my laptop
• Plane WiFi is the worst
• Lion King is playing and I’m pretty sure I haven’t seen that in a few months
• I’m suddenly sleepier than I’ve ever been in my entire life
Others?
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Wow. 😧
If y’all read *one* thing today, might I suggest this new article in
@NEJM
?
“The belief that Black people have denser bones, more muscle, or thicker skin led radiologists and technicians to use higher radiation exposure during x-ray procedures.”
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After seeing patients all day, my Dad is going to settle into his office, open up his weekly copy of
@NEJM
and see his son’s name in it. And that makes all of this worth it. 🙏🏾
Thanks
@QuentinYoumans
@DrQuinnCapers4
for the collab.
#BlackMenInMedicine
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Is it wrong that I want us to do *so* much more than just matter? 😕
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Inpatient Attending Day 1: First day on service at the Los Angeles VA! 👨🏾⚕️
Hoping the classic “Superman pose” helps with these “first day of school” jitters. 😅
Pls send over some well wishes… and your favorite teaching points! Thanks. 👊🏾
#AttendingLyfe
#NewProfilePic
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Some news to share.
Today was my last day rounding
@VAPittsburgh
. 🥲
After a special 4+ years, I’ll be joining the faculty
@UCLAHealth
@LosAngelesVA
in Jan ‘23. 😊
Excited for the adventure. Many goodbyes & gratitude to my Pitt fam ahead, but for now lets finish some notes. 🫶🏾
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12 years ago I was sitting in my apartment
@EinsteinMed
after failing my first exam in med school, thinking "well, they're finally onto me. I guess I really don't belong here."
Tomorrow, I have the opportunity to give Grand Rounds
@einsteinmedicin
. And that's pretty cool. 🙏🏾
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Y’all, I am SO beyond excited to officially share that my 5-year
@vahsrd
Career Development Award was funded!
Coming out of fellowship with a few papers and a dream I literally couldn’t have imagined this.
Ready to work towards achieving
#HealthEquity
in Veterans with
#AFib
. 💪🏾
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Getting home safely from a run hits different this morning. 💔🖤
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Must read.
“Black patients had ~3x more hypoxemia that was not detected by pulse oximetry as White patients.
...reliance on pulse oximetry to triage patients and adjust supplemental oxygen levels may place Black patients at ⬆️ risk for hypoxemia.”
Link:
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Shot 2/2 of my
#COVID19
vaccine complete!
The side effects will hit harder this time around...my immune system out here putting in that WORK.
Let’s keep spreading the word. We need to protect us and make sure enough of us get this shot y’all. 💪🏾
#ThisBoutUs
#RighttoBareArms
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“The black patient is less likely to become addicted to opioids because they're less likely to be prescribed.”
The “black patient” is also less likely to receive:
• cardiovascular 1° & 2° prevention
• end of life care
• novel cancer treatment
• conservative nephrology care..
An estimated 14,000 black Americans would have died from the opioid crisis had they been prescribed the drugs at the same rate as their white counterparts, a new analysis finds. (
@hereandnow
)
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20 years ago, my Dad and I took a father-son trip for a college tour to Stanford.
We flew out to San Francisco. Explored the beautiful Palo Alto campus. Caught a Giants game.
Today, he logged on to hear me give the Inaugural Health Equity Lecture
@StanfordHP
.
Pretty dope. ❤️
Health Equity Lecture with Dr. Utibe Essien by Stanford University
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“Tomorrow, I’ll be at the table…”
-Langston Hughes, 1925
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Doing everything I can to make sure imposter syndrome doesn’t stop me from being great! 🙅🏾♂️
Nervous, excited, and hugely honored to be giving my first Department of Medicine Grand Rounds tomorrow
@BrighamWomens
. 🙏🏾
Thank you for the invite
@valstonemd
! DM for that Zoom link. 👨🏾💻
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"..hospitals located in poorer neighborhoods often lack resources needed to provide optimal care. In effect, hospitals in the US are paid less to care for Black vs. White patients. When we talk about structural racism in health care, this is what we mean."
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What if I don’t have enough time?
To raise a beautiful Black daughter.
To get that first RO1.
To give Grand Rounds back at MGH.
To be promoted to full Professor.
To be Division Chief. Department Chair. Dean.
What if I dont have enough time to catch all these dreams I’m chasing?
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New in
@NEJM
.
“Black residents training face ⬆️ rates of both remedial interventions & dismissal from their programs than do their White counterparts. This disproportionality raises concern that Black trainees are being overpoliced in medical education.”
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Bittersweet day.
Grateful to receive my
#COVID19
vaccine today. Thinking of:
•300,000 lives lost
•Sacrifices my parents made to make my life possible
•Friends & fellow citizens whose daily exposure risk is far ⬆️ than mine
Hopeful that we all soon have the
#RighttoBareArms
.
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Mom: Thank you for this interesting consult. 👩🏾🍳
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Year 4 on faculty. 🙏🏾
Refreshed, restored, and ready for all the joy that this new year is set to bring…
…just in time for apple picking, pumpkin spicing, and that 1 week of the year that we can finally wear that bubble vest that usually sits in the closet. 🍂
#NewProfilePic
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Y’all, we finally made it. 🥲🖤💫
Good corner Room Rater Top Doc setup. Organ art. Books. Diplomas. Who is bottom left? 10/10
@UREssien
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Waking up to see the whole team in
@nytimes
, boldly and importantly sharing their truths about being Black in medicine. ✊🏾
Grateful for the incredible women of color in medicine who mentor and sponsor me everyday in this journey. 🙏🏾
#WhataDoctorLooksLike
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Beyond incredibly honored to be invited to the White House to hear
@VP
Kamala Harris & members of the administration speak about policies for Giving Americans Relief From Medical Debt. 🙏🏾
1 in 3 Americans have medical debt, with huge racial/ethnic disparities.
#Pharmacoequity
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“Black people are ⬆️ infected bc we are more exposed and less protected. Once infected, we are more likely to die because we carry a ⬆️ burden of chronic diseases from living in communities with poor food options, poisoned air & ⬇️ access to care.”
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1/ NEW: Excited to share our Viewpoint in
@JAMA_current
: "A Policy Prescription for Reducing Health Disparities -- Achieving Pharmacoequity."
A 🧵 on what
#Pharmacoequity
is, why it should be a public health & policy priority, and how we can achieve it.
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Did anyone else get this excited to see their first publication in print??
I’ve been reading
@JournalGIM
for a long time... feeling extra inspired and grateful today. 😆❤️
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1/🧵 It’s
#BlackHistoryMonth
.
A time for us to re-learn and re-discover our history.
A history beyond the chapter on Civil Rightsin our high school textbooks.
A history beyond the Emancipation Proclamation and Brown v. Board of Education.
So what are you reading this month?
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8 years ago this weekend, I met
@valstonemd
at the Harvard SNMA residency event when she asked “did you apply to our Primary Care program?” I had not... yet.
Today, she helped give me the opportunity of a lifetime.
Overwhelmed with gratitude for all the support y’all. 🙏🏾❤️👊🏾
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“Who is this kid, what’s he gonna do?”
Happy Friday y’all! 🖤✌🏾🤵🏾♂️
#BowtieFriday
x
#Hamilton
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Grateful for the opportunity to represent my new city and my incredible parents, whose sacrifices paved the road from where I am today. 🙏🏾🤎
Cheers to my fellow 2021
@PittsburghMag
40 Under 40 Honorees! Check out the full list and bios below. 👇🏾
Link:
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Grant application: How many previous publications do you have? How many grants have you had funded?
Young researcher: “...unimportant, there’s a million things I haven’t done. Just you wait. Just you wait!”
#HamiltonLyricOfTheDay
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As physicians, we are trained to have difficult conversations. We share the news of a terminal illness. We call family to inform them of the death of a loved one.
I promise you this moment is no different. Your friends, colleagues, peers, and patients are looking for your words.
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NEW in
@NEJM
.
“Black and Hispanic persons were ⬇️ likely to receive bystander CPR at home (38.5%) than White persons (47.4%) and ⬇️ likely to receive bystander CPR in public locations than White persons (45.6% vs. 60.0%).“
This is a devastating finding.
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Inpatient Lesson of the Day 1:
Them: You are a doctor here?
Me: Yessir.
Them: Man, I ain’t seen a brother out here in a *minute*!
::Elbow bumps::
Me: 🥺🙏🏾🙂
#WhataDoctorLooksLike
#RepresentationMatters
#BlackMeninMedicine
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My birthday wishes three:
1. Wear a mask.😷
2. Strive to be anti-racist.✊🏾
3. Check out my new website!🙏🏾
Inspired by
@LashNolen
@RRHDr
@uche_blackstock
to take the digital presence to the next level. Let me know what yall think! 🥳
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This is big. 👇🏿
"The USPSTF commits to advancing its methods to better identify when systemic racism contributes to health inequities and to include evidence-based strategies that will reverse the effects of systemic racism on preventable disease."
Link:
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I mean, Dr. Manning only speaks the truth so... 👇🏾👇🏾👇🏾
Zero exaggeration: This
@CPSolvers
Anti-Racism Series is one of the BEST things I’ve heard in a long time.
Just finished up episodes 2-3 and just . . . WOW. Mind BLOWN.
Stop. Everything. And. Listen.
@UREssien
@dereckwpaul
@LashNolen
@rohankhaz
y’all DID that.
#dothework
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I can hear the giggles around me on my first day of 5th grade as my teacher struggled to say my name.
Quickly I interjected “you can just call me Ralph” (my middle name) which is what I went by for the entire year.
#MyNameIs
Utibe. It means miracle in the Nigerian dialect Efik.
#MyNameIs
Uché Blackstock. The full variant of my first name means “God’s will”. My Afrocentric parents named me to honor and remember my ancestral connections to Nigeria and the Motherland. Growing up, I was uncomfortable with my name, but I’ve truly grown to love it.
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I'm acutely aware (and ashamed) that the 6 words that might save me in the hospital one day are, "by the way, he's a doctor."
I was taking care of a patient the other day who was very seriously injured. And I stepped out to talk to his family briefly and give them an update. For context, he was Black. I told them what was going on quickly and asked if they had any questions. And this is what they said.
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Update: Dad joined Grand Rounds today, hearing my talk for the first time.
I think he liked it. 😭😭😭
12 years ago I was sitting in my apartment
@EinsteinMed
after failing my first exam in med school, thinking "well, they're finally onto me. I guess I really don't belong here."
Tomorrow, I have the opportunity to give Grand Rounds
@einsteinmedicin
. And that's pretty cool. 🙏🏾
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Honored is an absolute understatement. 🙏🏾
My Dad called me last Friday afternoon (which he never does) to share that one of his patients dropped a copy of
@EinsteinMed
Magazine at his office. 🥹
Thank you for sharing my
#HealthEquity
journey. 👊🏾
Link:
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NEW in
@Health_Affairs
.
“…we found that Black patients had 2.54x the odds of being described with 1+ negative descriptors in the history & physical notes of their EHRs, even after we adjusted for their sociodemographic and health characteristics.”
Link:
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Not me teaching a seminar
@Harvard
. 🥹
I asked the class if they would humor me with a selfie for
#MedTwitter
(and for my 🇳🇬 parents of course). They were supportive… 😂🤳🏾
Appreciate you
@AnupamBJena
for the invite to share our work on
#Pharmacoequity
with your class. 👊🏾
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NEW. One of the hardest things I've read was when the opioid epidemic was described as "a rare case where racial bias actually protected the population being discriminated against.”
As we had the chance to share, there's nothing protective about racism.
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🔊 New Podcast Alert 🔊
Excited to share this conversation with y’all. The 1st in our 3-part “Dismantling Race-Based Medicine” feat. guest esteemed scholar
@EdwinLindo
and hosted by
@LashNolen
@rohankhaz
@dereckwpaul
.
Available on Apple, Spotify, etc! 1/
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1/ Folks have recommended Richard Rothstein’s “The Color of Law” to me for a minute now. Finally had a chance to finish it this weekend.
Absolutely rocked.
The insidiousness of state & federal policy to maintain racial segregation in the US is devastating.
A thread of quotes.
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“Discussing race & racism are key to an antiracist culture. Rather than abandoning the use of race in medicine, we should transform the way it is used, embracing a rigorous understanding of how race, racism & race-based science contribute to inequities.”
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Today I received the Larry E. Davis Excellence in Race Research from
@PittCRSP
.
I met Dr. Davis when I first got to Pitt and was amazed by his fierce & enduring commitment to racial justice. He is greatly missed in our community and I am incredibly honored for this award. 🙏🏾
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Who would have thought that a kid born in Brooklyn to Nigerian immigrants would be out here trying to make a difference in Western PA?
But from my 1st trip to Pittsburgh, I knew I had found a community that believed in me and my purpose.
🙏🏾
@PittsburghMag
for this recognition.
Congratulations to
@UREssien
for being named one of
@PittsburghMag
's 40 Under 40 Honorees! 🎉
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Next Stop: Chicago! ✈️
Thrilled to join some brilliant physician scientists as one of the 2023
@the_asci
Young Physician Scientist Awardees. 😊
Grateful to
@Neil_R_Powe
and my mentor Michael Fine for nominating me. 🙏🏾
#WhataScientistLooksLike
👨🏾🔬👨🏾⚕️
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Growing up as a preacher’s kid I learned about Esther and what it means to be in the world for “such a time as this.”
I’m grateful for the reminders that I‘m fully working in my purpose and for all who continue to push me in pursuit of health equity and antiracism in medicine.✊🏾
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Grateful to share my 1st piece in
@Forbes
.
After conversations with amazing leaders on our
@CPSolvers
pod (Episode 5 drops tomorrow!) and speaking around the country at (virtual) Grand Rounds, sharing a few ways we sustain
#antiracism
in medicine in 2021.
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Inpatient Lesson of the Day 1: What do I say? I recall the moments during my residency. Freddie Gray. Michael Brown. I recall the silence. I recall the mindset of business as usual. I recall wishing someone would say something. Anything. But now what Im the leader, what do I say?
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Grateful to the
@AAMCtoday
for the 2021 Herbert Nickens Faculty Fellowship Award.
I am especially honored for the opportunity to, in the legacy of Dr. Nickens, inspire future physician-scientists who look like me, reminding them that there is no limit to what you can achieve. 🙏🏾
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1/ OUT TODAY in
@JAMANetworkOpen
!
Studying >110K Veterans with atrial fibrillation (
#AFib
) we found *major* racial/ethnic disparities in anticoagulation use, controlling for clinical, provider, & SES factors: .
A 🧵 on the journey and future of our work.
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Not 1, Not 2, but 3(!) of our
#AntiracisminMedicine
podcast family making the Forbes 30 Under 30 Healthcare list! We love to see it. 🎉
Congrats to these amazing leaders who are already changing, not just medicine, but the world. 👊🏾
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Getting ready to go back on the wards next week and prepping what will likely be the only chalk talk I give for the next 5-7 years (sorry med students and residents!)
What else am I missing? I’m all in on crowdsourcing this framework
@CPSolvers
style.
#AttendingLyfe
🧐👨🏾⚕️👨🏾🏫
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Honored by this recognition by
@Medscape
. 🙏🏾
Humbled to join so many phenomenal leaders. 🌟
2020 has been a lot for us. Grateful for the community I’ve found on here. Remain inspired to keep fighting for
#HealthEquity
and
#Antiracism
in medicine. ✊🏾
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Before the grants are reviewed, the IRBs are submitted, the data are analyzed, and the manuscripts are in press, reporters will likely continue to shed light on the issues related to
#COVID19
and
#HealthEquity
.
A thread of articles, to be daily updated, on this topic. 1/
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🎈😄💯
Can y’all please stop what you’re doing and get on your feet to applaud my prolific little bro
@UREssien
on publishing his ONE HUNDREDTH academic paper?!
Such a huge accomplishment that deserves a celebration! Keep shining, Dr. Essien! So proud of you!👊🏽🤴🏾
#pharmacoequity
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My parents came to visit Pittsburgh this weekend. 🍁🍂
These two are the biggest blessing of my life. Couldn’t be happier. ❤️🥰
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🚨New Paper (Pre-Print)🚨
As many have noted, one of the keys to addressing the racial disparities in
#COVID19
is ensuring comprehensive race/ethnicity data. Yet, as late as mid-April, 22 states were still not reporting such data on mortality. Here's what else we found...
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1/ 🧵 NEW Paper.
We asked: Are there racial & ethnic differences in barriers to applying to & enrolling in med school and do those affect med school diversity?
TL;DR: Black & Hispanic students were less likely to apply & enroll and faced more barriers.
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Our Antiracism in Medicine series episodes are more than just a casual conversation about race in medicine.
Our show notes (expertly written by
@jazzminciara
and edited by
@ChiomaOnuoha
@DrChelleMD
@NaomiFFields
& team) are an *incredible* resource. 👇🏾
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Oh you know we had to do it! 🤵🏾♂️
Couldn’t let
@gradydoctor
&
@rubin_allergy
have all the fun here on
#BowtieFriday
. 😉
This one is for all the
@HamiltonMusical
fans out there. Hey, I heard a rumor that
@Lin_Manuel
wears bowties…? 🎀
cc
@DrJRMarcelin
@aoglasser
@arghavan_salles
It’s
#BowTieFriday
—and since I disrupted things on Thursday, I figured I’d rejoin the fun today just for
@rubin_allergy
.
Remember:
1. Never take yourself too seriously.
2. Make yourself laugh.
3.
#BlackWomeninMedicine
and all
#WomeninMedicine
are badass.
Happy Friday!😂🎀👊🏽
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During medical school and residency, the idea of the “triple threat” physician was the dream.
The master clinician. 👩🏾⚕️
The sage educator. 👨🏾🏫
The brilliant research scientist. 👩🏿🔬
1/2
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It took me 30 minutes to get into the
@VAPittsburgh
parking lot today because there are literally *hundreds* of Veterans scheduled to get their
#COVID19
vaccine!
Very proud to work here and excited for our community taking one step closer to the other side of this pandemic. 💪🏾
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This is part of the note I sent to my team last night. It’s probably not enough. Not sure if anything is ever enough.
But I sent it for the Black intern and the Black medical student on our team. I sent it for the non-Black members of our team. I sent it to avoid the silence.
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Waiting on this paper to drop like a mixtape...
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Last talk of the year! Had to hit ‘em with the holiday swag for one day only. 🎄
We’ve still got work to do in achieving
#HealthEquity
so I’ll see y’all virtuall, or hopefully in person (🤞🏾) in 2022. 👊🏾
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One of the ways we address distrust & disinformation comes from which voices we amplify, including who is “verified” on
@Twitter
.
Striking how few Black women scholars are underrepresented here:
@LisaCooperMD
@DorothyERoberts
@CamaraJones
@gcsmd
@gradydoctor
@Isabelwilkerson
.
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July 12th has always been a good day for cake. 🙂🎂
Grateful for another year… and my mom’s OG photo albums. 🙏🏾🤎
📸: Mama, 1989.
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Texts from Mama. ❤️😭
Have a great weekend y’all. ✌🏾
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When your Mom realizes you celebrate a birth month and the jollof rice and stew hits just in time. 🙌🏾🙏🏾❤️
Yo
@ChristleNwora
, lemme know if you wanna hold a plate... 😏🇳🇬
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Pretty sure I'm dreaming, but in >24 hours I'll be joining 3 incredible women of color journalists
@OnPointRadio
to discuss race and the
#COVID19
pandemic. Please tune in to hear
@MeghnaWBUR
@nhannahjones
@kat__stafford
and I. And let me know if this is real life.
#HealthEquity
Tomorrow: In Chicago, 61 of 86 recorded deaths from COVID-19 so far have been African Americans; that’s 70% of the city’s known deaths.
Why is the coronavirus crisis hitting the African American community harder than almost any other? We'll delve into it.
Thursday, 10 a.m. ET
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Coming for that ever-elusive 10/10! 😎
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Excited to receive the Eric Prystowsky Early Career Research Award
@HRSonline
! 🙏🏾
Thanks to an awesome team for their support in leading our latest study on
#Pharmacoequity
& atrial fibrillation in the Get With The Guidlines-AFIB Registry.
More to come this weekend!
#HRS2022
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NEW: “Patient care revenues & profits averaged $1,736 and $−17 per patient day respectively at Black-serving hospitals vs $2,213 and $126 per patient day at other hospitals. Hospital financing effectively assigns a ↓ 💰 value to care of Black patients.”
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Thankful to an amazing team of mentors & colleagues who helped make this dream a reality. 🙏🏾
Grateful to
@AHAScience
@RWJF
for supporting my Harold Amos Award. 🤎
Excited for the work ahead in improving
#Pharmacoequity
for patients with
#AFib
. 👊🏾
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"We found that the number of poor mental health days ⬆️ by up to 14 days for each police killing...
At a population level, police killings of unarmed black Americans might cause 55 million excess poor mental health days per year among Black Americans."
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Racism is a public health crisis.
The NBA season is going to be cancelled because of racism, not COVID. Think about that.
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A friendly reminder at this over halfway mark of
#BlackHistoryMonth
.
Across medical schools in the U.S. in 2020:
• 2.2% of faculty are Black women
• 1.5% of faculty are Black men
For more:
#DiversityinMedicine
#RepresentationMatters
#HealthEquity
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Inpatient Lesson of the Day 14:
Spent the last 2 weeks having open, honest, and real conversations with my patients and team about race and racism within medicine and our society.
Grateful to have found my voice this year.
Leaving inspired by our residents & Veterans. ✌🏾
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🙏🏾
@AAMCtoday
& the Group on Diversity and Inclusion for the opportunity to virtually celebrate the Herbert W. Nickens Faculty Fellowship Award!
"Born & raised in NYC to Nigerian immigrants..." is how the story begins. Always grateful to honor Mom & Dad.
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"I hesitated to speak up because I didn’t know how hard I would have to push, what impression that would leave on the team, or how it would affect my clerkship grade. But I recognized that Black patients deserve to be heard by every health professional..."
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Hey, new followers! 👋🏾
Come for the room rating. Stay for the daily commitment to health equity (
#Pharmacoequity
in particular), fierce passion for diversifying our medical & research workforce, and relentless mission to help leave this world better. 🤎
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This week we would have been hosting
@katrinarmstrong
as guest speaker for our
@PittDeptofMed
Research Day.
Thanks to an amazing team, I had the awesome pleasure of receiving the “Health Sciences Research Award” for our research in
#AFib
disparities in Veterans. Grateful. 🙏🏾❤️
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Honored to be recognized by
@businessinsider
as one of "30 leaders under 40 working to transform US healthcare." 🙏🏾
Humbled to join
@TaisonBell
@SafiyaMD
@sacjai
and many other phenomenal leaders. 🌟
Inspired to keep fighting for
#HealthEquity
and antiracism in medicine. ✊🏾
INTRODUCING — Meet this year's 30 leaders under 40 transforming healthcare!
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“Mentorship is what I was looking for at this stage. As I interviewed, there was a unique mentorship opportunity here in Pittsburgh that would help take my career to the next level. I felt it on my interview, and it turned out to be the case.”
@PghBizTimes
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🚨 New paper! 🚨
Excited to share our latest in
@JournalofGME
on the role of podcasting as a means to amplify the much-needed message of
#HealthEquity
and
#Antiracism
in academic medicine.
H/T the folks who have been leading in this space.
Link:
1/
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Who all has a pineapple I can borrow...? I'm tryna see something... 😉🍍😎
cc
@uche_blackstock
@EbonyJHilton_MD
@oni_blackstock
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This one comes with all the feels:
•Gratetul to my mentors for their support. 🙏🏾
•Bittersweet for not celebrating w. my
@SocietyGIM
fam. 🙁
•Proud to receive this with 2 amazing women, Anna Goldman and
@mad_sters
. 🌟
•Excited for the future work to come in this space! 🙌🏾
🎉 Congratulations, Dr. Utibe Essien (
@UREssien
), on being selected by
@SocietyGIM
as one of the three top-rated Oral Scientific Abstract presentations, receiving the Milton W. Hamolsky Junior Faculty Award!
See below for a link to the presentation ⬇️
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There’s a new Chair of Ortho
@PittTweet
!
“A graduate of Xavier University of Louisiana & Howard University College of Medicine, Dr. Hogan was recruited by Dr. Fu to Pitt, where he earned an executive MBA & most recently served as professor of orthopaedic surgery at the SOM.” 🎉
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@Eugenia_South
Great question Gina. Your dear friend wrote a whole paper on the topic. Would love to hear your thoughts...
"Disparities in Quality of Primary Care by Resident and Staff Physicians: Is There a Conflict Between Training and Equity?"
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