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Why Does This Medical Publisher Need To Know Your Race?

The publisher behind The Lancet, one of world’s most prestigious medical journals, wants to know the race and gender of all its peer reviewers. Do No Harm reviewed the details, which are deeply concerning. This beacon of medical scholarship is fixated on race, when it should be fully focused on medical research.

The publisher is Elsevier, and its demands for reviewers are blunt. Before a medical educator or scholar can review a study being considered for publication – the tried-and-true process known as “peer review” – they must first fill out a diversity survey. If they refuse, they are not allowed to continue with their review. Apparently, their expertise doesn’t matter if they don’t first disclose their skin color.

Reviewers can choose from a variety of racial classifications, and if you answer “White,” you are further directed to choose “Western European” or “Eastern European.” The survey states, “You are not expected to undertake DNA testing, nor to use the results of such a test as your basis for answering.” It also says: “Selecting one’s racial identity as ‘white’ should not be misconstrued with nor is indicative of white supremacy in any way.” Yet it still sends the message that white reviewers are somehow biased and therefore unwelcome as reviewers.

How is Elsevier using this racial data? Its woke bureaucracy-babble doesn’t give a straight answer. The publisher says: “Your self-reported diversity data will be used to improve diversity and inclusion across journal editorial processes,” and “if there are opportunities to further advance inclusion and diversity, such as by enhancing outreach, we aim to take action to adopt them.” This raises the question of whether Elsevier is moving to ban or solicit scholarly reviewers based on race.

Such is the nature of woke ideology in health care. It inevitably leads to racial discrimination, while sending divisive messages to scholars and experts. The Lancet and Elsevier’s other medical publications are supposed to promote the best medical research. So why are they increasingly obsessed with race?

Have you seen discriminatory woke ideology at a medical journal or in medical research? Please let us know – securely and anonymously.

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Wokeness Is Gaining a Toehold In Arkansas Medical Education

The Alice L. Walton School of Medicine (AWSOM) opened in 2021 with a degree program “that integrates conventional medicine with holistic principles and self-care practices.” Problem is, the school is also integrating wokeness into its recruiting and hiring processes.

Prospective faculty members seeking a position at AWSOM are informed that, in addition to their curriculum vitae and a statement on their teaching philosophy, they will be required to submit a “diversity statement.”

Figure 1. From the “Join Our Team” page at AWSOM.

One of the available positions is for an Assistant Dean of Inclusive Excellence in the Office of Faculty Affairs and Inclusive Excellence:

The Assistant Dean of Inclusive Excellence will work with school leaders to build and guide a team of staff charged with building and fostering a diverse, inclusive, equitable work and learning environment such that our faculty, students and staff can thrive. Areas of responsibility include but are not limited to developing, leading and guiding the development of a DEI plan, facilitate training programs, advocate for policies, programs and processes that enhance our diversity, increase our strength, and ultimately result in excellence. In short, this person will work to create and sustain a professional and inclusive culture/climate. We are building a workplace and learning climate in which inclusive excellence and whole health principles are inextricable parts of our culture and practices.

It’s to be expected that a woke medical school would require its “inclusive excellence” dean to be “committed to diversity and inclusion.” But what about other faculty positions? A Physiology Faculty opening says the ideal candidate will be responsible for curriculum development and instruction of students with “demonstrated experience and expertise in medical education.” Yet, this position is expected to take the same DEI pledge.

AWSOM isn’t finished with infusing DEI into every corner of the school. The Director of Facilities Services, which is responsible for the management of building operation, mechanical systems, and environmental services, is also required to submit a Diversity Statement and meet the DEI commitment skills requirement.

Figure 2. From AWSOM Director of Facilities Services job posting.

 

AWSOM isn’t expecting its first class to start until 2025, but it is taking measures to ensure the DEI agenda is teed up and ready to go for students, faculty, and even the plant engineer. The residents of northwest Arkansas need to decide if they want wokeness or wellness in their new doctors.

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This Is What Passes As “Continuous Knowledge” at the American Board of Family Medicine

The American Board of Family Medicine (ABFM) offers Self-Assessment and Lifelong Learning in a number of topics that many physicians use to obtain and maintain their family medicine board certification. Individual modules in the “Knowledge Self-Assessment” section also provide continuous medical education (CME) credits to maintain a medical license. One such tool is the Continuous Knowledge Self-Assessment (CKSA). Launched in 2017, the CKSA delivers 25 multiple-choice questions to the ABFM member portal on a quarterly basis throughout the year.       

Do No Harm obtained a copy of a recent practice question on the CKSA:

A 13-year-old who was assigned female at birth has been diagnosed with gender dysphoria. His parents fully support their child and affirm his gender as male. One examination the patient has a sexual maturity rate of Tanner stage 3. Which one of the following steps would be appropriate for optimal support and therapy for this patient?

The appropriate approach is to conduct psychosocial assessments, followed by family counseling. None of the answer choices reflect the course of action that is aligned with a family physician’s duty to minimize the risk of harm to the child, rather than prescribing “gender-affirming” treatments. While incorrect, the most conservative response is “Recommending delaying any gender-affirming treatment until he is at least 18 years old to prevent adverse psychosocial outcomes of puberty suppression.”

Figure 1. Practice question on the ABFM CKSA.

However, the ABFM has a different idea of appropriate care for children, and the answer is appalling. The CKSA shows “recommending GnRH analogue treatment” (puberty blockers) as the correct choice for this question.        

Figure 2. ABFM’s indication of the correct answer to the CKSA practice question.

Why is the ABFM endorsing the use of puberty blockers in children? Even if commonly cited guidelines are accepted by the physician, this is still an erroneous response. The World Professional Association for Transgender Health (WPATH) guidelines, which the CKSA cites, lists the summary criteria for adolescents. The first intervention listed is “a comprehensive biopsychosocial assessment including relevant mental health and medical professionals” (WPATH Standards of Care for the Health of Transgender and Gender Diverse People, version 8, appendix D).

Figure 3. From WPATH Standards of Care, Version 8.

The ABFM’s rationale for this answer says it refers to the WPATH guidelines and asserts there is “consistent evidence” in the treatment of “gender incongruence.” Adolescents who receive puberty blockers, it says, “have improved mental health outcomes,” so family physicians must “recognize the indications for timely treatment or referral.” The explanation goes on to say, “Puberty suppression is reversible,” and prescribing it “allows transgender adolescents, their families, and the care team to determine appropriate gender-affirming care as the patient approaches adulthood.” Plus, the references they use are flawed, as noted by the Society for Evidence Based Gender Medicine (SEGM) in a recently published study.

Figure 4. Rationale for the ABFM’s correct answer.

But it gets worse. The final paragraph of the rationale states:

It is unethical and against recommended guidelines for a physician to attempt to convert a person’s gender identity to the sex assigned at birth.

Figure 5. Rationale for the ABFM’s correct answer.

In other words, the ABFM is compelling family physicians to agree with prescribing so-called “gender affirming care” to minors as the correct answer on its practice exam and self-assessment for members.

Doctors who are taking advantage of the continuing education resources the ABFM is giving them are being coached with incorrect information regarding the safest course of treatment and advocating for preventing harm to their adolescent patients with “gender dysphoria.” The ABFM holds all the power with family physicians who are seeking the credential of board certification. They, and others who are committed to protecting children from potentially catastrophic harm, are the ones who must fight back against this alarming stance by the American Board of Family Medicine.

Is your accrediting or certifying organization pushing gender ideology? Please let us know via our secure portal. You may remain anonymous if you wish.

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A Truly Disgusting Display in a Nursing Continuing Education Webinar

In November 2022, Dr. Stanley Goldfarb published Maternal Mortality in the U.S. – Media Narratives and Reality to explain the metrics and reporting systems used in the United States that contribute to maternal mortality rates that are higher than in other developed nations. But not all presentations on this topic are intended to bring clarity to maternal health concerns.

Planned Parenthood of Central and Western New York, in collaboration with the Rochester Black Nurses Association (RBNA), hosted a virtual discussion for Black Maternal Health Week titled Unpacking Racial Disparities in Maternal Health Outcomes and Identifying Solutions. However, it quickly became clear that “identifying solutions” wasn’t even close to being on the agenda.

Celia McIntosh, one of the founders of the RBNA, presented “Black Maternal Health: The Tragic Truth.” McIntosh, who is a neurology nurse practitioner, set the tone early by quoting a statement from Malcolm X about “the most disrespected…unprotected…neglected person in American is the black woman.” Her response was, “Fifty years later, that still rings true.”

Figure 1. From “Black Maternal Health: The Tragic Truth” by Celia McIntosh.

In addition to the “social determinants of health” that are commonly cited, McIntosh included “other community factors that play here: Police, laws, property, racism.” When discussing education as a contributing factor, she stated, “Higher education still does not improve racial differences in maternal mortality, and is not protective for black mothers in the way that they are for white women.”

Figure 2. From “Black Maternal Health: The Tragic Truth” by Celia McIntosh.

McIntosh went on to list other problems in the care of black mothers, such as “nurses not answering call bells” and “making slick, smart remarks, not responding to their questions.” And, of course, “structural racism” is included, because “all roads essentially lead to racism when you start looking at the literature.”

Figure 3. From “Black Maternal Health: The Tragic Truth” by Celia McIntosh.

She continued by providing examples of “women impacted by maternal mortality,” such as:

  • Felicia West died in 2019 of a stroke and she was told by a provider, “Ok, we will…it will be a while before I can see her because I have a lot of patients.”
  • Kira Johnson died in 2016, leaving two children and a husband behind; died of postpartum hemorrhage and basically her husband was told, “Sir, your wife just isn’t a priority right now.”

McIntosh followed those statements by declaring “the system is rigged” because education and improved access to healthcare are not viable solutions. “There’s something inherently wrong with the system that’s not valuing the lives of black women equally to white women,” she said.

Near the conclusion of her presentation, McIntosh displayed “a little picture I found on Facebook” which depicts doctors in white coats and hoods standing over a woman in a bed. “We talk about the KKK with the police,” she explained, “but we need to also talk about the KKK in the hospitals and the doctors.”

Figure 4. From “Black Maternal Health: The Tragic Truth” by Celia McIntosh.

Is this really what maternal health professionals are looking for in continuing nursing education? Is a nurse practitioner who doesn’t even practice in the field of obstetrical nursing qualified to present the “evidence” related to maternal health? Is displaying a repulsive KKK cartoon an effective method for opening a dialogue and “identifying solutions?” Of course not. Activists like McIntosh are using their platforms to promote divisive and inflammatory messages that only contribute to the pool of misinformation.

Have you seen an over-the-top presentation in your healthcare continuing education courses, virtual discussions, or professional seminars? Do No Harm wants to hear from you – securely and confidentially.

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These Civil Rights Violations Are Shocking – Even for the University of Washington

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A federal civil rights complaint has been filed against the University of Washington School of Medicine (UW Medicine) for illegal discrimination and segregation with its Affinity and White Antiracism Groups. By offering this affinity group program, UW Medicine is violating Title VI of the Civil Rights Act of 1964 and Title IX of the Education Amendments of 1972.

The complaint was filed with the U.S. Department of Education’s Office for Civil Rights by Mark Perry, senior fellow for Do No Harm, and included an email from Dr. Paula Houston, Chief Equity Officer in the UW Medicine Office of Healthcare Equity. The email, addressed “To the UW Medicine Community,” invites faculty, staff, and students to join one or more of six new groups. Membership to five of the groups are based on race/ethnicity or sexual orientation/gender identity. The “White Antiracism Group (WAG)” session are “for white colleagues who want to support our collective work to become a more equitable, inclusive, and antiracist organization.”

Figure 1. Information regarding Affinity and White Antiracism Groups at UW Medicine.

Additional information and registration for the WAG is available from the Office of Healthcare Equity on its website.

Figure 2. White Anti-Racist Groups information from UW Medicine Office of Healthcare Equity.

The WAG groups are scheduled to meet several times through mid-June, with the first meeting on February 15, 2023. “WAGs are important as an explicit opportunity for our white colleagues who want to stand in solidarity with and support our BIPOC colleagues,” the description states. The description also confirms the intent to segregate group members based on race/ethnicity or sexual orientation/gender identity:

The Office of Healthcare Equity will be convening affinity groups for our Black, LatinX, Asian and Pacific Islander, and LGBTQIA colleagues, to provide supported and protected spaces for members of different groups to connect and support each other.

In the complaint, Perry cites Title VI regulation section § 100.3 (b iii) Discrimination prohibited, which expresses that “Subject[ing] an individual to segregation or separate treatment” on the basis of race, color and/or national origin is strictly prohibited. The “White Antiracist Groups” are a clear violation of federal law. Perry’s complaint calls for an investigation of UW Medicine for this violation, as well as the Title IX violation for segregating faculty, students, and staff on the basis of sexual orientation and gender identity.

Have you seen affinity group activities at your school or workplace that support segregation of students or employees in violation of federal law? Do No Harm wants to hear from you – securely and confidentially.

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The Governor’s Institute in North Carolina Pushes Wokeness Onto Addiction Medicine Professionals

The Governor’s Institute in Raleigh is a non-governmental organization founded by former North Carolina governor James Martin. It serves as a continuing medical education (CME) resource for healthcare professionals in the discipline of addiction medicine. One of those resources is a bi-annual Addiction Medicine Conference, funded by state and federal health services administrations. Do No Harm obtained a copy of some of the materials presented at the April 2022 conference, and you won’t believe what passes as “top-notch” CME in North Carolina.

Dr. Jessica Isom, clinical instructor in the Department of Psychiatry at Yale University and owner of Vision for Equity, LLC presented Can You See Us? Providing Equity-minded Treatment for Racialized Minorities at the April 2022 Addiction in Medicine conference. After “naming the elephants in the room” by explaining terms such as “social positionality” and “the centering of a subjugated counternarrative,” Dr. Isom ventured into “the taboo nature of the topic of race, racism, and whiteness.”

Figure 1. From “Can You See Us? by Dr. Jessica Isom.

Dr. Isom provided examples of “the wisdom and insight that can be found” on social media with the images titled What White Privilege in Addiction and Recovery Looks Like and Racism Experienced in Addiction and Recovery. In this illustration, she claimed that racialization in substance use disorder means you are “vulnerable to criminalization if you are not white,” whereas “white opens up doors to medicalization.” She equates the impact of “racialized minorities’” relationship with drugs to “oppression” and “specifically racial trauma.” These include “current race-based manifestations that affect their behavioral health.”

Conference on Addition Medicine, video 1.

Dr. Isom explained that Americans are “socialized” into concepts that are inaccurate, “such as colorblind racial ideology.” CBRI, as she puts it, “will convince you we are in a post-racial society,” but she countered that the roots of the nation’s problems are in structural and cultural racism. “A whole PhD – probably multiple – could be obtained on structural racism,” she stated. “Cultural racism” refers to things like “implicit bias and microaggressions.” She referred to “really big topics” at the bottom of her slide, which are shown as “white supremacy” and “racialized inequities.”

Figure 2. From “Can You See Us? by Dr. Jessica Isom.
Conference on Addiction Medicine, video 2.

The second half of Dr. Isom’s presentation centered on “equity-mindedness.” This concept, coupled with an “organizational commitment to equity,” provides a solution to inequities in the treatment of addiction. This means working on individual “implicit and explicit biases we hold” and “growing our equity muscles” so issues of race and bias issues can be tolerated “without having a meltdown,” she explained.

Figure 3. From “Can You See Us? by Dr. Jessica Isom.

Equity-minded people are “race-conscious, not in race denial,” such as “that colorblind stuff” Dr. Isom previously mentioned. “Race is there. It’s always there,” she said, adding that discrimination “is happening all the time. Every single day.”

Conference on Addiction Medicine, video 3.

In addressing “organizational equity-mindedness, Dr. Isom discussed “racial anxiety and racial stereotype threat” when working with clients. One party might be concerned about experiencing racial discrimination and is experiencing anxiety about that, while the other party might be concerned about confirming “the stereotype that all white people, for example, are racist.” She advised the participants to prepare clients who “don’t have a choice about where they go” that it’s possible that they will receive some “discriminatory treatment.”

Finally, Dr. Isom used an image that suggests racism has an impact on every element of addiction and treatment. “If you want a condensed, concise summary of this topic, this is a good place to start:”

Figure 4. From “Can You See Us? by Dr. Jessica Isom.
Conference on Addiction Medicine, video 4.

The April 2022 Addiction Medicine conference is not the only symposium to promote topics in medical wokeness. The November conference included plenary sessions on “Clinical Strategies that Address Equity” and “Addressing Reproductive Health in Substance Use Disorder Treatment through a Harm-Reduction and Trauma-informed Lens.” The spring Addiction Medicine Conference in March 2023 continues these themes and offers a 90-minute workshop titled “Diversity, Equity, and Inclusion Focused Topic.”

Why is the Governor’s Institute promoting and hosting discussions and speakers with materials that push anti-racism and radical ideologies? Addiction medicine professionals and the residents of North Carolina who seek their services won’t benefit from a constant spotlight on racial identity politics as part of the treatment plan.

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S1E7: The Healthcare System’s Two Paths

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Dr. Stanley Goldfarb and Dr. Benita Cotton-Orr examine the two paths that our healthcare system can take as we move ahead to the future, including considerations for access and how improving access leads to better outcomes. 

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The Latest Transgender Study Is Fatally Flawed

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A recent and well-publicized article in the New England Journal of Medicine (NEJM) declares that juveniles begun on sex-characteristic altering hormones experience increased satisfaction with their physical appearance and improved psychosocial functioning. Yet this isn’t the full story. An accompanying editorial outlines the continued uncertainties about the potential adverse effects of these drugs on adolescents going through puberty. In fact, there are many uncertainties and weaknesses of this study that should be addressed.

The researchers and four clinics featured in this study have a well-publicized history of radical activism and advocacy for the medical transition of children. For example, Boston Children’s Hospital posted and later removed a video on its YouTube channel that endorsed the idea that some children know their gender identity “from the womb.” As we noted in our recently released study, the UCSF website endorses the idea that naturopathic providers are well-suited to prescribe gender-affirming hormones. Lurie Children’s Hospital of Chicago has disseminated “educational” materials to local schools that recommends that schools “automatically ‘affirm’ students who announce sexual transitions, and ‘communicate a non-binary understanding of gender’ to children in the classrooms…to disrupt the ‘entrenched [gender] norms in western society.'” One co-author of the paper based at Children’s Hospital Los Angeles told CNN in 2014 that “We’re definitely in the middle of a gender revolution and it’s exciting.” 

Given this obvious bias, there is a high likelihood that study participants were steered toward responses that align with the activism promoted by these clinics. This phenomenon – known as “demand characteristics” – is a remarkably well-documented threat to the validity of survey-based scientific inquiry, even for researchers who do their best to conduct studies dispassionately and objectively. 

The study suffers from other major flaws, as well. Its results indicate that the only meaningful improvement over time was participant scores for “appearance congruence.” Improvement in positive affect, life satisfaction, depression and anxiety only improved by the smallest margins. Notably, their study does not include comparison groups that received psychotherapy or no intervention, so whether these modest improvements are superior to alternative approaches is impossible to assess. 

The researchers observe extremely modest self-reported mental health improvement among participants who began taking gender-affirming hormones later in puberty, but static measures among those who started taking these hormones early in puberty. They explain that “These observations align with other published reports that earlier access to gender affirming medical care is associated with more positive psychosocial functioning.” In other words, they assert that the lack of improvement among this subsample constitutes evidence in support of their radical worldview. It’s a “heads I win, tails you lose” proposition.

This study, despite the headlines it has received, is fatally flawed and borderline unscientific. Like other studies on the topic, it obfuscates rather than clarifies questions around the medical transition of children. Policymakers must accept that elite gatekeepers have become cheerleaders and that their recommendations on politicized topics warrant healthy skepticism. Rather than follow their lead, policymakers should emulate European countries that increasingly prohibit access to these experimental treatments for minors, largely due to acknowledgement that the evidence base fails to establish that these treatments are beneficial on balance.

American children deserve better than risky medical treatments justified by activism cloaked as research. Until reform comes, the “adults in the room” might just be on another continent.

 

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The AMA’s Woke Litmus Test for Future Physicians

The American Medical Association (AMA) promoted its January 28-29, 2023 “Physicians of the Future Summit” as an opportunity “to learn essential skills to become leaders in organized medicine.” So why did the summit help medical students “promot[e] equity”?

The opening speaker of the plenary session was Dr. Camara Phyllis Jones, who is “well-known for her allegories on race and racism.” Her presentation, Achieving Health Equity: Habits of Mind for Social Justice Warriors, promised to give medical students the skills and tools necessary “to navigate valuing and prioritizing social justice work.” Apparently, that’s essential for the physicians of the future.

Figure 1. Registration flyer for AMA’s “Physicians of the Future Summit” 2023.

She has written about this topic in other publications and has presented it in various venues. The “Dual Reality” allegory refers to the two-sided nature of the “open/closed” signs seen at restaurants everywhere. Dr. Jones claims that “racism creates two-sided signs in our society” and therefore, a dual reality. She states, “It is difficult for White people in the United States to recognize white privilege and racism.” How is this information helpful to medical students?

Figure 2. From “Actions and Allegories” by Dr. Camara P. Jones.

The AMA needs to return to its stated mission “to promote the art and science of medicine.” Leave the woke indoctrination out of professional development events for medical students – present and future alike.

Have you received promotional materials from professional healthcare associations that promote wokeism? Let us know via Do No Harm’s secure portal.

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In a DICE Inventory Clean Sweep, SUNY Downstate College of Medicine Scores a “Perfect” 100%

Just how woke is the State University of New York (SUNY) Downstate Health Sciences University College of Medicine (HSU COM)? The wokest of all, as it just confirmed to Do No Harm.

Here’s the background. In November 2022, the Association of American Medical Colleges released a report showing that the vast majority of medical schools have embraced identity politics, despite their divisive and even discriminatory nature. The report was based on surveys of specific medical schools, which the AAMC didn’t name.

For the sake of transparency and accountability, Do No Harm submitted freedom of information requests to public medical schools nationwide, including SUNY Downstate College of Medicine. We asked for a copy of its survey response, so that New York taxpayers and policymakers could learn the truth about this institution.

Here’s what the SUNY Downstate HSU COM has self-reported:

  • It has adopted racially discriminatory admissions practices under the guise of “affirmative action.” This means it’s potentially lowering standards in the name of diversity, thereby threatening patient health. “The COM has a comprehensive plan for promoting diversity and inclusion in the medical admissions process,” the school reported to AAMC. “There is also an extensive tracking process.”
  • It has a “dedicated office, staff, or resources” dedicated to DEI. This means there’s a permanent woke bureaucracy pushing ideology on faculty and students. The College of Medicine proudly noted that there is “an established Office of Diversity Education and Research,” as well as an Office of Diversity and Inclusion. The school’s website lists the Office for Institutional Equity as “the central hub for unifying and coordinating” all the DEI initiatives at SUNY Downstate HSU. Plus, SUNY has proven its devotion to DEI and social justice with its recently announced mandate for racial equity courses as a condition of graduation.
  • It lobbies for woke policies at the federal, state, and/or local levels. This means it’s wading into toxic public debates instead of fully focusing on educating future physicians. The COM also works closely with the Association of Medical Schools in New York “to advocate for DEI policies.”
  • It offers tenure and promotion to faculty who prove their commitment to extreme identity politics and woke priorities. This is a litmus test that requires faculty to toe the party line instead of teaching medicine at the highest level. The COM has an established “plan for diversity recruitment that is based on our mission-driven needs for diversity.” Department chairs regularly report to the Dean on “faculty hiring, retention, and promotion and tenure.”
  • Its administrators are active within local, regional, and national forums to promote equity, diversity, and inclusion. This means it’s wasting resources that would be better spent on real medical education. The College of Medicine “is very supportive” of its faculty’s national presence and presentations at national meetings of its DEI efforts.
Figure 1. SUNY Downstate HSU College of Medicine DICE Inventory overall score.

All told, the SUNY Downstate Health Sciences University College of Medicine has instituted 100% of the divisive and discriminatory woke policies listed by the AAMC – the first perfect score we have seen. And you can bet it will respond to pressure from activists and outside groups to go even further down the radical rabbit hole – doing even more damage to faculty, medical students, and ultimately, the millions of patients they’ll see.

New York taxpayers help fund the SUNY Downstate HSU COM. They, and the policymakers who represent them, should ask why they’re giving so much money to an institution that’s putting divisive and discriminatory ideology at the heart of medical education. More importantly, they should ensure the COM stops, and soon.

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A New Study Exposes Flaws In the Dutch Research on Pediatric Gender Medicine

The Society for Evidence Based Gender Medicine (SEGM) recently announced the publication of a new study titled The Myth of Reliable Research in Pediatric Gender Medicine. This research examined two well-known Dutch studies that strongly influenced the practices that came to be known as “gender affirming care” for minors.

The Dutch studies contain “three methodological biases” that undermine the research, the authors said. First, only the “most successful cases” were included in the outcomes. Second, the finding of “resolution of gender dysphoria” was based on faulty measurement methods pre-/post-treatment. Finally, the authors noted that the simultaneous use of psychotherapy, hormone therapy, and surgery “made it impossible to separate the effects” of each intervention.

SEGM says that the new study “demands urgent attention from the medical community” due to the risk of harm to youth in the United States and worldwide, particularly in the Western world. “The authors highlight how far the field of gender-medicine has drifted from the core principles of evidence-based medicine,” the organization said in a statement published on its website. “The gender medicine field has a limited time to self-correct before public health authorities, and increasingly, elected officials who do not understand medicine but do understand the risks of harm to youth, step in to curb the damage.”

Because the circumstances are so critical, Do No Harm recently launched its Protecting Minors from Gender Ideology initiative. This effort serves to educate policymakers, healthcare professionals, and the public on the disastrous consequences of inflicting unproven interventions onto children in the name of “gender-affirming care.” We are fighting back against the narrative of misinformation and attempts to discredit the actual scientific evidence that gender ideologues engage in. Exposing the errors and defects of long-accepted “research” is an early step in protecting children from these dangerous practices.

SEGM is a non-profit organization and a group of more than 100 clinicians and researchers with a mission to raise the bar on the quality of evidence in gender medicine, with a focus on children, adolescents, and young adults.

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The Purdue University School of Nursing Shows its Woke Credentials

The Purdue College of Health and Human Sciences is home to several departments and schools dedicated to health professions, including the School of Nursing. And, as a tipster recently informed us, it is also home to a robust program that is dedicated to diversity, equity, and inclusion. In fact, DEI is “core to the mission and values” of the College of Health and Human Sciences.

Figure 1. Purdue College of Health and Human Sciences: Diversity, Equity, & Inclusion mission statement.

Not to be outdone, the School of Nursing builds upon that mission by claiming, “Nursing stands at the intersectionality of healthcare and social justice” and that “systemic racism is still pervasive” in the profession.

Figure 2. Purdue School of Nursing: Diversity, Equity, & Inclusion.

To address these issues, the Purdue School of Nursing created a council for students, faculty/staff, and community members with the aims of “eliminating systemic racism and promoting DEI.” The school embeds this agenda into its curriculum, including an “emphasis” on DEI in courses that are traditionally among the fundamentals of undergraduate nursing education, such as:

  • Essentials of Nursing Practice II
  • Health Alterations in Adults I & II
  • Pediatric Nursing
  • Public Health Nursing

This emphasis carries over into graduate nursing courses like Clinical Application of Pharmacotherapeutics and Acute Illness: Pediatric Health Preceptorship. Are the actions of medications in the human body now a legitimate target of the woke mob?

The need for appropriately trained nurses in the healthcare industry is well documented. Depending on residency status, the cost of attendance to Purdue University ranges from almost $10,000 to more than $28,000 per year. Students who are paying these tuition rates to enter a much-needed profession deserve to receive an education that actually prepares them to advocate for patients, not for woke ideologies.

Is your nursing school or academic program being invaded by wokeness? Do No Harm wants to hear from you via our secure platform.

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Even Veterinarians Are Being Indoctrinated

Does Fluffy or Furball need a woke veterinarian? At Tennessee’s Lincoln Memorial University, the answer is apparently yes. A tipster recently sent us details about a faculty and staff workshop from its Richard A. Gillespie College of Veterinary Medicine. It shows that divisive and discriminatory ideology has infected this part of health care, too.

The workshop was entitled “Inclusivity,” and according to the accompanying press release, it was “designed to educate the veterinary community on diversity, equity, inclusion, [and] belonging.” What any of this has to do with caring for animals is left unstated, but then that’s the point. This is about indoctrination more than veterinary education.

Naturally, Lincoln Memorial University doesn’t stop there. It also has so-called “BLEND Diversity Training” as part of its “Master of Veterinary Clinical Care” program. It’s filled with typical woke assertions about the lack of diversity and the need to fixate on people’s skin, especially in recruitment:

“The veterinary profession is one of the least diverse professions in the country,” said Associate Professor and MVCC Director Bonnie Price. “The U.S. population is becoming more diverse, and Gen Z is the most diverse generation in history. Veterinary medicine must diversify and support our workforce, build our professional knowledge… and tailor veterinary health care to the cultural needs of all pet owners.”

Figure 1. BLEND certification program at LMU-CVM in Tennessee.

It’s a safe bet that Tennessee’s Lincoln Memorial University’s veterinary school isn’t alone. Such is the nature of the woke takeover of health care. It won’t rest until it has complete control over every facet of medicine – even veterinarians who treat dogs and cats.

Have you seen woke ideology in your corner of health care, from acupuncture to physical therapy to anything in between? Please let us – securely and anonymously.

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Utah Protects Vulnerable Children From Radical Gender Treatments

Three cheers for Utah: The Beehive State just protected children from radical transgender treatments. This common-sense policy is compassionate and evidence-based, and more states should take up this issue for the sake of vulnerable kids.

Utah’s new law, authored by Sen. Mike Kennedy and Rep. Katy Hall, overwhelmingly passed the state legislature last week. Gov. Spencer Cox signed it on Saturday. It prohibits all gender-reassignment surgeries for children and ends hormone therapies, as well. These treatments are known to be invasive and are often irreversible, while potentially causing serious health challenges, including strokes, heart attacks, and cancer. The law creates strong legal protections for children who are harmed by these treatments.

The new law also calls on the executive branch to conduct a systematic review of the evidence on hormone therapies on minors. If this review is conducted properly, it will undoubtedly conclude that the risks outweigh the benefits, and that children should be protected from these harmful procedures.

Sure enough, that’s what the most progressive European countries have already concluded, as Do No Harm has shown. Gox. Cox acknowledged this fact when signing the law: “More and more experts, states, and countries around the world are pausing these permanent and life-altering treatments for new patients until more and better research can help determine the long-term consequences.”

Thanks to this new law, Utah children who believe they are transgender are much more likely to receive the medical care they need, including psychotherapy sessions. That stands in stark contrast to typical American approach – pushed by radical activists – of treatments and surgeries as quickly and as early as possible. Research has shown that most children who believe they are transgender do not maintain that belief into adulthood, while existing mental health issues that contribute to this feeling deserve to be addressed in therapy.

Naturally, trans activists are savaging Utah and trying to stop other states from following its lead. But policymakers nationwide should ignore them and look to Utah for inspiration. Vulnerable children deserve better than radical gender ideology. They deserve compassion and caution, and Utah deserves praise for giving it to them.

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Physician Guest Post: I Didn’t Take A Job – Because of Mandatory Woke Training

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A North Carolina doctor reached out to us with this story – a story that should both worry fellow physicians and inspire them to action. We are keeping the doctor’s identity anonymous for the sake of the individual’s protection.

One of the things I love about medicine is its collaborative nature. That’s why I applied for hospital privileges as an adjunct clinical faculty member at my local medical school. I wanted to help train the next generation of physicians, using my years of experience in medical practice to guide others in our life-saving work.

But it wasn’t to be. I ended up refusing the position – because I would have been forced to take radical woke training.

After I applied, I was quickly accepted and then directed to the orientation process. The very first training I was told I had to take was, you guessed it, about “diversity, equity, and inclusion.” I looked through the materials, and it was clear that a political agenda was being shoved down my throat. It was obsessed with race and skin color – not medical care and patient well-being.

That’s bad enough, but the fact that it was literally the first training is even worse, to my mind. My local medical school is sending a dangerous message to faculty: You’re here to be a political activist first, and a physician second. I can’t think of anything more inappropriate in the medical field. And that mindset will infect everything medical students learn and ultimately do as physicians. The quality of care will suffer if medical training focuses on anything other than treating patients.

I refuse to be a part of this. Within minutes of receiving the training, I decided to turn down hospital privileges. I emailed the Department Chair about my decision and gave my reasons. Weeks later, I have yet to hear a response.

Health care leaders may be silent and complicit, but I won’t be. And I hope my fellow physicians will speak out, too. The only way to stop the woke takeover of medicine is to stand up and say “not me.” If enough of us fight back, we have a chance to win the war for the heart of health care. Our patients are counting on us to stop this woke onslaught before it’s unstoppable.

Have you been forced to take woke training, or even refused to do so? Please let us know – securely and anonymously.

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Woke Medical Schools Hate That US News Has Standards

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Why are so many elite medical schools leaving the famous US News and World Report rankings?

In recent weeks, the medical schools affiliated with Harvard, Pennsylvania, Stanford, Columbia, and many other prestigious institutions have taken this strange path. The reason is as simple as it is concerning: These schools are more committed to woke ideology than medical excellence.

These medical schools are more-or-less honest about what they’re doing. The Icahn School of Medicine at Mount Sinai said its commitment to “commitment to anti-racism” and “outreach to diverse communities” compel it to leave the rankings. The University of Pennsylvania Perelman School of Medicine said the rankings “measure the wrong things.”

Really? US News and World Report rankings are based in large part on MCAT scores and grade point averages of accepted medical school applicants. These measures are the best known indicator of students’ ability to excel in medical school, which is why US News started ranking them in the first place. The whole point is to help medical schools select and train the best possible future physicians.

Yet these institutions are less concerned with training the best physicians because of woke demands for diversity. Penn put it bluntly when announcing its decision. It stated: “The USNWR measures encourage the acceptance of students based upon the highest grades and test scores… The Perelman School of Medicine aims to serve the needs of a changing world, including diverse communities and stakeholders ranging from prospective students to the patients who rely on the physicians, scientists, and leaders we train.”

In other words, merit doesn’t matter. Academic achievement doesn’t matter. Subjective criteria apparently do. Yet that inevitably means that Penn will recruit students who don’t perform as well on academic and testing criteria. Eliminating the rankings allows them to take in less-qualified students.

Penn is not alone. Elite medical schools are now obsessed with skin color, and they want to recruit more lower-performing minority students without having their rankings hurt. Therefore, they left the rankings, so they can pretend to be elite while lowering standards.

This turn of events should worry every patient – which means every American. The nation’s top medical schools are deliberately downplaying merit in recruiting future physicians. Lowering standards is a surefire path to lower the quality of care that patients receive for decades to come. As Penn said, “The USNWR rankings perpetuate a vision for medical education and the future physician and scientist workforce that we do not share.” It should be deeply concerning that elite medical schools don’t share the vision of training the best possible medical professionals.

When Americans look at a medical school that isn’t participating in the US News and World Report rankings, they should think to themselves: This medical school is a threat to my health.

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The ACGME Wants Residency Program Directors to Prove Their DEI Credentials

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The Accreditation Council for Graduate Medical Education (ACGME) in a non-profit organization that “sets and monitors” educational standards in medical residency and fellowship programs. Accreditation is granted by ACGME’s Institutional Review Committee, which evaluates the data provided by the graduate medical education programs it oversees.

One method the ACGME uses for collecting those data points is by sending questionnaires to the program directors of various residencies in the United States. We obtained a copy of the “Diversity in Emergency Medicine Questionnaire,” which aims to “identify the current state of gender, ethnic, and racial distribution” of residency programs across the country. It also wants to know what program directors are doing to “increase racial/ethnic and gender diversity” in their recruitment efforts. Those who received a link to the questionnaire were assured that the study was approved by the Baylor College of Medicine Institutional Review Board, and 25 participants had the chance to receive a $100 Amazon gift card.

For assistance with their responses, program directors were instructed to refer to their “ERAS data.” ERAS® is the Electronic Residency Application Service® from the Association for American Medical Colleges (AAMC) and is said to “support the transition to residency in a fair and equitable way.”

Figure 1. Introduction to the ACGME Diversity in Emergency Medicine Questionnaire.

After determining which region of the country the program is in, the survey asked for “the number of residents in your program who are each gender.” A choice of “non-binary/gender non-conforming” is included.

Figure 2. Question #4 of the Diversity in Emergency Medicine Questionnaire.

The next question inquires about the number of residents by race/ethnicity, including “American Indian or Alaska Native; Asian; Black or African-American; Hispanic/Latinx; Native Hawaiian or Other Pacific Islander; White; Bi-racial/Multiracial; Other.”

Figure 3. Question #5 of the Diversity in Emergency Medicine Questionnaire.

The ACGME seeks to further slice and dice the data by requesting the gender and race/ethnicity totals for the program’s chief residents.

In a series of required responses, the rest of the Diversity in Emergency Medicine Questionnaire focused on recruitment and initiatives to increase diversity. Program directors were asked to rank the importance of several elements of the “process of screening/interview selection of applicants” to the residency program, such as grades, test scores, “Underrepresented in Medicine (URiM) Status,” and “gender/gender identity.” Choices of strategies to promote DEI initiatives included:

  • Holistic review
  • Use of the ACGME DEI Curriculum
  • Scholarships for “underrepresented in medicine” students
  • Dedicated DEI budget
  • DEI council and/or designated DEI leader
  • Section of the residency program’s website “that specifically highlights Diversity, Equity, and Inclusion”

To complete and submit the questionnaire, the program manager was asked to provide an answer for his or her race/ethnicity and gender.

Figure 4. Final questions of the Diversity in Emergency Medicine Questionnaire.

Why is the ACGME so obsessed with conducting research on the demographic data of the residency programs it accredits? The Program Director Guide to the Common Program Requirements provides some context:

It is expected that programs, in partnership with their Sponsoring Institutions, have and implement policies and procedures related to recruitment and retention of individuals underrepresented in medicine and medical leadership in accordance with the Sponsoring Institution’s mission and aims. The population of individuals considered underrepresented in medicine will include racial and ethnic minority individuals reflective of the program’s service area but may also include others the program deems underrepresented in medicine in the service area or in the discipline in general. 

Further, the Guide directs readers to the ACGME Equity Matters™ initiative for “continuous learning and process improvement” in DEI and anti-racism. The resources in this program include “commitments to equity for making meaningful change,” and are intended to demonstrate “historical and current injustices in the medical education system.”

Figure 5. ACGME Equity Matters initiative.

Clearly, the ACGME seeks to impress upon its residency program directors that advancing DEI and anti-racism over merit is of greater importance than providing the best emergency medicine training experience to new doctors.

Are you seeing a greater emphasis on DEI than medical learning in your residency program? Let us know – anonymously and securely.

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IUSM Makes The Woke Bureaucracy Even Bigger

Medical school deans are supposed to focus on teaching students to be the best physicians. The Indiana University School of Medicine has a different vision. IUSM just named its first “first executive associate dean for diversity, equity, inclusion and justice,” who will also serve as “Chief Diversity Officer.” The whole point of this job is to embed woke ideology even deeper at IUSM.

The new dean is Chemen M. Neal, who has already spent significant time promoting divisive ideas since her hiring in 2011. Yet now she’ll take this work to an unprecedented level. IUSM has announced that she will “lead an existing team of faculty and staff and have direct responsibility for a variety of areas, including”:

  • Developing and guiding implementation of DEIJ strategic plans
  • Defining and monitoring DEIJ key performance indicators
  • Performing climate assessments
  • Organizing affinity group, learner development and support programs
  • Engaging and supporting schoolwide councils that advise DEIJ initiatives
  • Ensuring impactful co-curricular training and development programs are in place
  • Collaborating with diversity leadership across the university, campus and health systems
  • Monitoring implementation of department and dean’s office unit diversity plans
  • Developing programs to enhance diversity recruitment and retention
  • Represent IU School of Medicine in diversity affairs at national organizations and in the community

Note the complete lack of focus on medical education. There’s also significant overlap among these tasks, which points to the bureaucratic nature of the work. IUSM is growing a massive bureaucracy that will likely influence everything the medical school does.

What’s more, Neal has made clear that her goals include “establishing metrics to help school leadership gain a greater understanding of key areas like retention and belonging, as well as a focus on the diversification of faculty.” Translation: She wants to hire faculty based on skin color, instead of medical and teaching expertise. Medical students – and the patients they will treat – deserve better.

IUSM is already one of the most woke medical schools in America. We’ve documented how faculty must prove their woke credentials in order to get tenure or promoted. Now, with this new executive associate dean, IUSM is doubling down on the politicized transformation of medical education. Indiana policymakers may want to look into what IUSM is doing – and ask its leadership why such corruption of mission is justified.