Adaira Landry, MD MEd
@AdairaLandryMD
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Girl Mom x3 | ER Doc | @HarvardMed | Currently writing a book and freelance about the workplace | Debut: MicroSkills, Coming 2024 w HarperCollins/HanoverSquare
Hopefully Outdoors
Joined May 2013
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Pinned Tweet
A few years ago I cared for a patient dying from cancer. I never expected he would change my world, & now, possibly yours.
My debut for the Boston Globe Ideas Column.
Thank you
@lissa_warren
@alvarezzzy
@ResaELewiss
& the additional 15+ people who read & edited the article.
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We are excited to share our article about microaggressions published in Annals of Emergency Medicine. It was written by us, 4 women of color physicians who practice in academics. We would love to comment on this article, a prized accomplishment in our professional lives. 1/
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Question for
#medtwitter
: what is a tip related to your speciality that can help people have a healthier 2023?
For EM, never drive while intoxicated.
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Only 0.6% of neurosurgeons in the country are Black women. Tamia Potter will soon become the first Black woman neurosurgery resident at Vanderbilt University Medical Center, an institution founded nearly 150 years ago. My Q&A w/
@PotterTamia
@TeenVogue
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Picked my almost 5 year old up from school. She handed me a folded up note. “I made this for you.” My heart was not ready to read a sweet vday letter. 🥰
Me: awwww what does it say?
Her: You forgot my lunch.
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Okay but the survey is not really anonymous if you are collecting demographics and I'm the only Black woman in the cohort.
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I’ll tell you a story. When I was in residency a 200+ pound man was brought into the emergency department for agitation. He was uncuffed by NYPD and released into a room with sliding glass doors. He was sweating, shouting, punching walls, and punching himself. 1/
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Co-worker emailed me about an opportunity today. I checked the criteria-I didn't exactly meet 1 of 6. Decided to pass. THEN,
I see KAYNE IS RUNNING FOR PRESIDENT?!?
Truth: I, a junior, woman, physician of color, have probably been eliminating myself from too many opportunities
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13 years ago I was accepted to this summer research program at Harvard for underrepresented students. I was in a lab with a very kind PI. He had published tremendously as a physician & researcher. He always seemed to be writing and submitting. 1/
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Is anyone else noticing how incredibly motivated medical students are these days to create change? I'm so inspired by their strength and advocacy!
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I was recently promoted to Assistant Professor
@harvardmed
. From Rialto CA to Berkeley to Westwood to NYC to Boston. The journey made me realize I need to share my personal lessons for navigating the academic waters. Excited to offer advice, mentorship, coaching and sponsorship.
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Wrote this bc I'm tired of being told I have Imposter Syndrome. I'm not an imposter. I've been miseducated; conditioned to believe the isolating experience of being Black in education, academics & the workplace is imagined & I'm the problem
@voguemagazine
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Realized I use "I have kids/husband" as reasoning for not being able to make evening and weekend meetings. This explanation could imply that people who are single or without dependents should be willing to spend off-hours doing work. That's not fair. We ALL need space & time off.
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By the time I can afford full price clothing from Anthropologie, I'll be the age where all I wanna wear is on sale clothing from Talbots.
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I tell this story to remind students to keep chugging. Its a long road, the gaps seem wide but you'll close them.
I tell this story to motivate more people to mentor young students of color. With your help those students, like myself 13 years ago, can become your colleagues 5/
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VIP patients were a distinct part of my residency at NYU. A nurse once said
"Rich & white go to NYU, poor & brown, Bellevue"
If you read only one NYT article this year let it be this:
@uche_blackstock
&
@EMSwam
continue to teach the power of honesty.
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I met Russell Ledet
@thguywithyes
a few months ago on Twitter. When he shared his
#humblebeginings
I was blown away. Thank you
@TeenVogue
for allowing me to write about his journey.
This is a great story of how one can "Climb the Ramp of Medicine."
1/
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An article by POC MDs encouraging an opportunity for law enforcement to collaborate with emergency medicine providers to optimize safe strategies of deescalation.
@choo_ek
@uche_blackstock
@DrOniBee
@DrTsion
@jeremyfaust
@AliRaja_MD
@gradydoctor
8/
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I hear from POC residency applicants about layers of isolation from virtual interviews. It reminds me of my own experience applying to programs, sitting around packed tables as the only applicant of color. We hope "Interviewed while Black" characterizes that common experience.
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As 4 POC physicians we feel obligated to write about issues that are unfairly affecting POC. Thank you
@gr8vision
@OnyekaOtugo
@alvarezzzy
. Thank you to
@jeremyfaust
for your support. Thank you
@USATODAY
for amplifying our voices.
#blacklivesmatter
#whitecoatsforblacklives
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Journals are like: Announcing call for articles on diversity, equity, inclusion, racism, social justice...
Reviewers are like: Can you tone down your language? And use more data because "not sure this is really happening as you state in line 72..."
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We,
@melmolinaMD
@adairalandryMD
@anitachary
@BurnettBowie
, took a journey together. It was insightful to learn from each other. Even more, it was inspiring to write about these complex interactions that affect WOC directly. This is what diversity in medicine looks like. 5/
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I am not threatened in the same way or frequency as law enforcement. However, I am threatened enough to understand fear. Harming the patient is not our default. I hope we, healthcare providers and law enforcement, can exchange stories, strategies, & skills to work together. 6/
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There are strategies to control our response to threats. Often it is giving time & space. Often it is physical restraints w/ safe positioning. Often its medication to cause sedation. Never, not even once should it be murder. We are not perfect & we are not above the law. 5/
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1/ If nothing else, this might explain the power of walking down a road already paved. It might explain how Black women physicians set examples. It might explain why 2% is not enough. A tribute to
@dr_uche_bee
and all Black women who are on their way as well. Thread Below.
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Awful seeing unvaccinated patients months after COVID has resolved w/ lingering shortness of breath. Negative EKGs, Labs, CXRs, CTPEs, ultrasounds..
Them: Doc if I get vaccinated now will it take my symptoms away? I can't live like this forever
So hard to see their desperation.
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Excited bc this weekend I get to celebrate my 6 year wedding anniversary with my favorite husband. Started dating 13+ years ago & now 3 kids later...we are still in 💚🧡💛 ...though very tired & overwhelmed by daycare costs😂
Grateful for it all, the good and hard.
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After 10 years of being interviewed or conducting interviews in medicine I believe URM applicants should be interviewed by at least 1 URM interviewer. Ideally, this is a faculty member who is appropriately compensated for their time. Can also be a senior resident or nurse.
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Nothing worked. My attending looked over and said, “What do you want to do?”
Never once, during all of the chaos or his threat to harm, did I think to myself that in order to control this stressful situation someone would have to die. 4/
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@Docsocksomaha
I love this. So much. I needed to hear it as we are in tantrum season in my house and I’m like “will this ever pass?” Yes, I think so bc my husband and I are a great source of support for our kids. And we shower them with love (and some structure). That’s what I tell myself.😬🙏🏽
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WOC must speak up as much as we can from WITHIN the system. Our truth as WOC should be no secret. We deserve to be advocates and seek change. We are hopeful this paper inspires others who are struggling to find and use their voice. You are not alone.
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@jendegeus
Yes, want to highlight cosleeping; all my mom's groups share "safe practices" for co-sleeping. To clarify, cosleeping is not supported by peds/AAP. But since many are going to do it, there are tips that decrease the risk. But again, still not recommended.
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So honored to have been named EMRA FAculty mentor of the Year. Special kudos to my colleague
@ericshappell
for the support!
Thanks to all of my mentors, advisors, sponsors and coaches who have guided me along the way!!
EMRA's Faculty Mentor of the Year Award is presented to an EMRA alumnus who has demonstrated exceptional service as a mentor in
#EM
. This year, we are pleased to announce
@AdairaLandryMD
as the recipient of this honor.
@harvardmed
@BrighamWomens
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Honored to be selected
@harvardmed
2020 Young Mentor Award.
It's easy to do the things you believe in.
I believe in supporting
#medicalstudents
and
#residents
towards their success.
Hoping to get involved in more K-12 mentorship in 2020.
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The power of the article is that we are able to write truthfully from our lens, WOC who identify as LatinX, African American, & Indian American. The challenge was our search for language that shares our truth while simultaneously welcoming a positive discussion with others. 2/
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Day 1, new goal: get promoted to Associate Professor. I used to be discouraged by data showing low
#s
of women & esp Black women in medicine w/ this rank. This data now motivates me. Women, WOC, Black women -- we belong up top, too. Time to bend the curve in the right direction.
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It was such a weird feeling to see it b/c of the massive career gap that appeared between the two of us 13 years ago. Now we are mentioned in the same institution wide newsletter. 4/
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Today is my birthday! I had no idea that after being 35 years old I go back to being 21 years old. Why didn't anyone tell me??? This is amazing!
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It was important to support our perspective with data. We quickly realized it is tough to find literature that validates our collective and shared experiences when issues of microaggressions against WOC physicians aren't frequently considered, discussed, studied, or published 3/
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I got to mentor AWESOME medical students tonight. I love when
#medstudents
reach out to ask questions. Often, I reach out to them first. We covered strategies for mentorship, rotations, LORs, Steps, scholarship. Was able to mentor 3 students in 1 hour! Next goal is 10! Hit me up!
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That summer was my first research experience & I was so grateful to see what opportunities exist in academia.
Today, 13 years later, I see a mass institutional email from "Harvard in the News" and it had my recent article listed right above the same PI's recent publication. 3/
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Thank you
@VanJones68
from
@CNN
for writing these thoughts down so clearly.
"While Covid-19 may not discriminate based on race, US health care certainly does."
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We don't talk enough about the way mentorship can be abused in academia.
Thank you
@ScienceMagazine
for sharing my story.
Thank you to my friends, family, mentors, and teachers for giving me the support I needed to write this essay.
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Toddler Talk:
7am, in the kitchen, a woman with her two children
Me: I can't lift you and your sister while I make breakfast.
Essa: That's what I'm saying! We need to go get you MORE arms!
end scene.
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We hope that this paper gives readers an opportunity to reflect on what we, WOC, often experience in the house of medicine. We hope that these conversations are educational. We hope readers will be inspired to research and publish these issues raised as they commonly occur 4/
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The idea that we need to break residents to build good doctors should be a relic of the past. We should be at a point where we are embarrassed this practice ever existed. Yet here we are, in 2023, seeing doctors and students commit suicide due to intolerable workplace conditions.
This is my dear friend, Nakita.
Nakita and I were medical school classmates and both interns in New York City. Nakita tragically took her own life on May 26.
She is such a beautiful soul. She was so fun to be around. She was intelligent, charismatic, and confident. (1/x)
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Harvard med now recognizes DEI efforts in promotions process for "work in building programs that increase workforce diversity, creating policies that address disparities in health outcomes & research & serving in leadership & committee roles that advance diversity initiatives"
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@Narniarawr
Good to offer help within reason. I stopped asking for permission to leave late 3rd year. Someone taught me to say "I finished my work for the day. Thanks for teaching me so much. See you tomorrow!" As faculty, I love when students confidently finish their work and leave on time.
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As we enter
#match2021
, a new interview season, we hope this perspective brings awareness to the verbal & nonverbal unwelcoming cues that occur when interviewed as a Black applicant. We hope it nurtures further discourse, research, and problem solving.
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What a dream team to join! On a panel with
@LashNolen
and
@valstonemd
for Black women in STEM. This is an mentoring/educational series led by college junior Laetitia Pierre-Louis at Northeastern University with the help of an amazing med student at
@harvardmed
,
@ghutchins97
!
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Whoa! Another mentoring session!
Had 12 students on this call. TWO full hours of talking about strategies for the match + general mentoring. Lots of Q&A. A few jokes. HOLY MOLY THAT WAS FUN.
#medstudents
let me know if you want to join the next one.
I got to mentor AWESOME medical students tonight. I love when
#medstudents
reach out to ask questions. Often, I reach out to them first. We covered strategies for mentorship, rotations, LORs, Steps, scholarship. Was able to mentor 3 students in 1 hour! Next goal is 10! Hit me up!
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Due to
#covid19
We're trialing virtual conference for weekly didactics. iIf you have a lecture on deck you would like to give virtually, comment below w/ topic. Retweet so others know you are available and interested in virtually speaking to fill education gaps we all might have.
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Thanks to the amazing residents at
@EMRES_MGHBWH
for the nomination. I was incredibly surprised and honored to hear the news! For me, mentoring isn't work because it is so fulfilling and important. I'm grateful for my mentors who demonstrate what powerful mentorship looks like.
The
#BrighamBEI
congratulates
@AdairaLandryMD
for receiving the
@MassGenBrigham
Outstanding Mentor Award of 2020 for making exceptional contributions as a mentor.
#MedEd
#MedTwitter
@BrighamWomens
@HarvardMed
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I have never ever been so inspired. Thank you,
@KamalaHarris
. Congratulations on your new historic journey! I'm glad you saw yourself in a position that no one has ever seen before.
"While I may be the first woman in this office, I will not be the last." -KH, '20
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“Overpolicing” in the academic setting & workplace refers to aggressive and unnecessary scrutiny, discipline, & dismissal. These actions affect the mental health of trainees as well as their careers.
#MedTwitter
@JoshuaEllisEM
@OnyekaOtugo
@AMLandryMD
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Our article is now open source for you all to read and share. Thank you
@AnnalsofEM
for working with us on this manuscript. We appreciate your support.
@MelMolinaMD
@anitachary
@BurnettBowie
We are excited to share our article about microaggressions published in Annals of Emergency Medicine. It was written by us, 4 women of color physicians who practice in academics. We would love to comment on this article, a prized accomplishment in our professional lives. 1/
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He picked up the stretcher and slid it hard against the glass door. BANG! He was intoxicated and enraged. At one point he looked at me and said, “I’m going to kill you.” He punched the walls and his own chest. He paced his room. When security entered his room he punched one. 2/
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8/ A Friend and Now, a Colleague. Thank you for being the North Star for my career. Thank you for supporting me to become Assistant Professor at HMS. Thank you for sharing your sense of purpose with other young Black women who aspire to be seen, heard, and valued.
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Outside the room was a crowd of security, technicians, nurses, & doctors. I felt like a bystander as well as a member of the treating team. We waited outside and discussed a plan. We formed a strategy to calm him. Verbal redirection, assessed his needs, spoke slowly & softly. 3/
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We are excited to have invited
@MaxJordan_N
to speak to the
@EMRES_MGHBWH
residency on "Medical Schools as Racialized Organizations." So fitting for interview season! Impressed by medical students speaking across the nation! A different generation & they want change! Amazing.
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@ShaalanBeg
And there's a growing market for nonalcoholic beverages. We just ordered some by
@drinkdesoi
that was recommended to us. Co-founded by
@katyperry
.
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A special surprise. Hard to for me to call anything when I'm having fun! Thank you,
@EMRES_MGHBWH
for the lovely award. Honored to be the inaugural recipient of this award.
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How I mentor WOC students on joining Twitter.
#1
Follow
@dr_uche_bee
; she's the broth of the Twitter stew
#2
Use a real photo and name; there is nothing about themselves they need to hide and THAT should be clear
#3
Share your voice and lens; titrate to comfort
#medtwitter
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Imagine being a Black woman, Orthopedic resident, MBA & MD grad, Fencer & Tokyo Olympic Alternate. This is
@Kamali_Thompson
& her story. TY
@TeenVogue
for publishing our interview
*Of note title says Olympian but Dr. Thompson is an Olympic Alternate
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There were ~7 students of various levels in the lab. I was the only Black woman & I believe I was the only Black woman student in the building. I remember thinking that the level of success I saw around would require hard work.
At the end of the summer the PI wished me well. 2/
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Again, another job referral form I'm filling out that is asking me if someone else has mental health isues. I have no clue who's reading this form, I don't know my colleagues medical history, and if I did why would I feel comfortable disclosing any of it on my colleagues behalf?
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Watching these closing arguments has me convinced we need more MD/JDs out in the world. Defense has weak understanding of the field of medicine & basic physiology and this case hinges more around these topics than the actual interpretation of the law.
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Did I just get a new role model? Why yes, yes I did.
@KizzyPhD
NIH’s lead scientist for coronavirus vaccine research Kizzmekia Corbett lays out the government’s race to create a vaccine, saying they could be on track to have a vaccine from sequence to the general population within 8 months.
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Last week I stressed over my mom's 60th birthday. She
deserves it all but I had no time to plan. I tried. I even said I'm crazy to make all these details. But then,
the photographer sent me this picture.
My parents. Their lasting love
Work brings happiness, but not like this
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Our BWH EM department created a new position, Vice Chair of D&I and an Office of IDEaS (Inclusion, Diversity, Equity, and Social Justice). Our office, led by Dr. Asiku, was provided funding for the internal faculty positions plus a program manager and admin -- who are AMAZING.
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Heard this recently in a meeting & thought it is important to share
"If you are interviewing someone please don't mark them down for being quiet or an introvert. I'm an introvert and I'm still able to participate and develop deep meaning and commitment to my work."
#MedTwitter
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Emailed by hospital's generic email address to evaluate a candidate for hire. I have no clue who will read it. One question asked me to disclose if the person has "mental health issues." Why would they ask me? Why would I disclose sensitive information to an unidentified source?
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Honored to have been able to give Grandrounds at NYU EM today. Topic was Mentorship, of course. Thankful for the mentorship and education from Drs. Manko, Goldfrank, Swami, Menlove, Doran, Kass, Blackstock, Mojica, Vassallo, Hessler, Hoffman, Nelson, Lewin, Jamin, Carmody...
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@jbullockruns
I'm so sorry, Justin. You deserve better. Being called names didnt get easier for me as an attending. To be honest, theres no rank in the world that would be able to overcome my vulnerable human response to being called names. No job will protect or remove that horrible feeling.
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Whoever said "2 years old is the toughest age" must have been a first time parent who had not yet met a 3 year old.
this GIF isn't my child ...but this GIF is also my child.
I'm looking for solidarity.
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I read a lot of personal statements and I have read many from Black applicants that open with an example of how they were doubted and discredited. At a young age. Doubted at a young age. I'm so sad that many of us have been motivated by a negative comment, myself included
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I joined Twitter to share my journey and to meet other women of color MDs. I've seen more WOC MDs in 4 months on Twitter than I have in 4+ years as a practicing physician!
Grateful I met 2 bright stars,
@emefahloccoh
and
@LashNolen
via tweets and that we can connect in person!
So blessed to be surrounded by amazing women in medicine who uplift, mentor and inspire me.
Thankful for you
@AdairaLandryMD
!👩🏾⚕️👸🏾
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Reading Becoming
@MichelleObama
for a bookclub
@harvardmed
"Time ,..., was a gift you gave to other people"
Before reading this book, I told my husband I needed senior women of color mentors. This book fills a void. I've never been so deeply mentored through someone's writing.
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I just watched an AMAAAAAZING lecture. WOW! Please invite
@MaxJordan_N
to speak & share his talk. Amazing that a medical student can have such a rich understanding of the historical and current landscape of medicine to that degree. Very impressed, but not surprised. Rising star!
We are excited to have invited
@MaxJordan_N
to speak to the
@EMRES_MGHBWH
residency on "Medical Schools as Racialized Organizations." So fitting for interview season! Impressed by medical students speaking across the nation! A different generation & they want change! Amazing.
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My 1000th Tweet! Thankful for
@Twitter
. Started ~ 1 year ago & have loved meeting folks, collaborating, & mentoring. Seems fitting that this tweet promotes a recent paper we wrote about how Twitter is great for mentorship!
#MedTwitter
@ResaELewiss
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Grateful to mentor 4 amazing
@EMRES_MGHBWH
residents as they shared their truth. Often in medicine when women, especially women of color, speak about their experiences we are met with "but that happens to everyone!" No. No it doesn't. Let's stop the denial.
"It's not a female resident problem." A group of us from
@EMRES_MGHBWH
just published in
@ACEPNow
about gender inequality in residency training, and a surprisingly common response when we've tried to draw attention to it.
Check out Equity Equation:
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That's a wrap! Goal was 100 but virtually mentored ~180
#medstudents
for
#match21
. Laughs, stress, sadness, and hope. What a unique process to go through! Will reflect and write.
#MedTwitter
get some rest if you're doing ERAS interview screening. Tomorrow is a big big day!
Great time speaking with 16 students from
@ZuckerSoM
at Hofstra/Northwell on mentorship. Lovely to meet Dr. Guerrier
@shindanaa
who had solid strategies for mentorship as well!
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Excited
@HMS_DICP
will be hosting a panel to discuss our
@NEJM
paper "Interviewed while Black" with
@AMLandryMD
@OnyekaOtugo
@JoshuaEllisEM
. Even more thrilled that it will be moderated by Dr. Joan Reede.
Register here & please share:
I hear from POC residency applicants about layers of isolation from virtual interviews. It reminds me of my own experience applying to programs, sitting around packed tables as the only applicant of color. We hope "Interviewed while Black" characterizes that common experience.
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Mentoring Tip: Routine meetings with your mentee can be done with purpose and themes. I tend section them in terms of quarters of year. 1st Quarter: Goals for Year, 2nd Quarter: Meeting Deadlines, 3rd Quarter: Finding Sense of Purpose, 4th Quarter: Reflections on Personal Growth
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I will not put a smiley face in this email to appear friendly. Women can direct others without needing emoticons. I will not put a smiley face in this email to appear friendly. Women can direct others without needing emoticons. I will not put a smiley face in this email...
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Here
@ResaELewiss
and I share 10 high-yield items you can ask for when someone says "We'd love to invite you to speak."
Thank you
@HarvardBiz
.
#medtwitter
#educator
#speakers
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The short term problem is the lack of diversity on this panel. The larger & much longer term problem? These positions being held below often have no term limits. Without churn, less women and persons of color are able to mobilize upward. This caps our ceiling. 1/
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Wow! 1000+
#medstudents
at the
@HMS
"applying to residency" session hosted by
@AMLandryMD
. Many questions in the Q&A that we just didn't have time to answer. Just to show us that students are looking for answers and support regarding the application process during
#COVID
ー19
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Closing thoughts of the week: Quitting is a skill, not a flaw. Just like any other skill, it only feels bad or off when you do it wrong, when you are learning. Practice leads to comfort. Practice erases the shame. Life is short, spent it doing what you want. And quit the rest.
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This is my worry. Much of my success is due to the influence
@uche_blackstock
had on my career. If she hadn't been there, I might not be here. I hope others see the ripple effect that occurs when even one Black woman doctor is pushed out. It's not just that single person we lose.
The number of Black women leaving academia is terrifying. From
@uche_blackstock
,
@DrBrittaniJ
,
@DrDennar
and
@ayshakhoury
(to name a few), academic medicine is suffering great losses.
Why can’t we be seen and valued *before* being pushed out?
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I'm a published author. I struggled to write essays in HS, college, grad school, even as faculty. Never assumed Id be a writer. Never consider writing a skill one can develop. After small lessons via courses, books, rejections - I grew - & felt like I was ready to write a book.
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I recognize
#DNRTulane
gathers people for a mission & lets students, residents have a voice in the situation. But I worry it is unfairly placing burden on (Black) students to solve a problem they did not create. I think we have the wrong hashtag. Call out the responsible parties.
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Wow, I can't even imagine what medical school was like for Dr. Oxley. We need buildings and societies named after people with her!! This type of strength and bravery paved the way for people like me.
Despite explicit racism and discrimination while at our institution, Lucy Oxley graduated UC medical school in 1935 and became the first board certified African American woman in IM. After training, she returned to serve walnut hills as part of her decorated career.
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With good teams, everyone has a way to contribute. I love this video -- they are all adding joy to the moment.
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Had a great session with 7 med students on interview strategies + how to learn if program is a good match. Discussed how to triage questions appropriately for admin, residents, faculty, APDs/PD, Chairs...Love it. DM if interested. Will do a few more before ERAS opens.
Thanks to
@roberson3james
for organizing a mentoring session with his Meharry
@MeharryMedical
classmates! 10 amazing POC MS4s all coming from an HBCU! All this talent just waiting to shine!
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Closing thoughts of this week: Life is short, don't be afraid to toss your name in the hat and sponsor yourself.
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If you had to pick ONE thing to ask to a pregnant, lactating, post-partum, OR parenting person... just ask, "Are you getting enough support?" That's it. It's more important than: sex of baby, gestation week, breastmilk vs formula, yes/no on epidural, desire for more kids, etc..
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