Qualitative Exploration of the #MeTooMedicine Online Discourse: "Holding Beacons of Light to Shine in the Corners They Are Hoping to Keep Dark".


Journal

Academic medicine : journal of the Association of American Medical Colleges
ISSN: 1938-808X
Titre abrégé: Acad Med
Pays: United States
ID NLM: 8904605

Informations de publication

Date de publication:
23 Jul 2024
Historique:
medline: 23 7 2024
pubmed: 23 7 2024
entrez: 23 7 2024
Statut: aheadofprint

Résumé

The MeToo movement forced a social reckoning, spurring women in medicine to engage in the #MeTooMedicine online discourse. Given the risks of reporting sexual violence, discrimination, or harassment, it is important to understand how women in medicine use platforms like Twitter to publicly discuss their experiences. With such knowledge, the profession can use the public documentation of women in medicine for transformative change. Using reflexive thematic analysis, 7,983 tweets (posted between November 2017-January 2020) associated with #WomenInMedicine, #MeTooMedicine, and #TimesUpHC were systematically analyzed in 2020-2022, iteratively moving from describing their content, to identifying thematic patterns, to conceptualizing the purpose the tweets appeared to serve. The Twitter engagement of women in medicine was likened to "holding beacons of light to shine in the corners [harassers] are hoping to keep dark," both reinforcing the message that "gender bias is alive and well" and calling for a "complete transformation in how we approach" the problem. The tweets of women in medicine primarily seemed aimed at disrupting complacency; encouraging bystanders to become allies; challenging stereotypes about women in medicine; championing individual women leaders, peers, and trainees; and advocating for reporting mechanisms and policies to ensure safety and accountability across medical workplaces. Women in medicine appeared to use Twitter for a host of reasons: for amplification, peer support, advocacy, and seeking accountability. By sharing their experiences publicly, women in medicine seemed to make a persuasive argument that time is up, providing would-be allies with supporting evidence of sexual violence, discrimination, and harassment. Their tweets suggest a roadmap for what is needed to achieve gender equity, ensure that lack of awareness is no longer an excuse, and ask bystanders to grapple with why women's accounts continue to be overlooked, ignored, or dismissed and how they will support women moving forward.

Identifiants

pubmed: 39042427
doi: 10.1097/ACM.0000000000005828
pii: 00001888-990000000-00917
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 the Association of American Medical Colleges.

Auteurs

Kori A LaDonna (KA)

K.A. LaDonna is associate professor, Department of Innovation in Medical Education, and lead-qualitative education research, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Emily Field (E)

E. Field is PhD candidate, Women's Studies & Feminist Research, Western University, London, Ontario, Canada.

Lindsay Cowley (L)

L. Cowley is research assistant, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Shiphra Ginsburg (S)

S. Ginsburg is professor of medicine, Department of Medicine, Sinai Health System and Faculty of Medicine, University of Toronto, and scientist, Wilson Centre for Research in Education, University of Toronto, and Canada research chair in health professions education, Canadian Institutes of Health Research, University of Toronto, Toronto, Ontario, Canada; ORCID: http://orcid.org/0000-0002-4595-6650.

Chris Watling (C)

C. Watling is adjunct research professor, Department of Oncology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Rachael Pack (R)

R. Pack is research associate, Centre for Education Research & Innovation, Western University, London, Ontario, Canada.

Classifications MeSH