Sarah Medeiros, MD, MPH 🩺🎙️
@drsarahem.bsky.social
(she/her) 🐌
EM doc, podcaster, POCUS aficionado, fútbol mom, wannabe photographer, ally 🏳️🌈🏳️⚧️. Black lives matter.
#MedSky #EMedSky #SocialJustice #FOAMed #MedEd
@empulsepodcast.bsky.social
ucdavisem.com/em-pulse
EM doc, podcaster, POCUS aficionado, fútbol mom, wannabe photographer, ally 🏳️🌈🏳️⚧️. Black lives matter.
#MedSky #EMedSky #SocialJustice #FOAMed #MedEd
@empulsepodcast.bsky.social
ucdavisem.com/em-pulse
Pinned
There are now FIVE starter packs to help you connect with #womeninmedicine! 👩🏿⚕️🧑🏼⚕️👩🏽⚕️🧑🏻⚕️👩🏾⚕️
I am happy to keep making these so please let me know if you’d like to be added!
go.bsky.app/J1wqwu5
go.bsky.app/QWPZiaj
go.bsky.app/5iN8fLP
go.bsky.app/9HW9dAu
go.bsky.app/Uw3DnA5
I am happy to keep making these so please let me know if you’d like to be added!
go.bsky.app/J1wqwu5
go.bsky.app/QWPZiaj
go.bsky.app/5iN8fLP
go.bsky.app/9HW9dAu
go.bsky.app/Uw3DnA5
November 24, 2025 at 6:08 PM
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
November 24, 2025 at 8:40 AM
“Decades of rigorous and scientifically sound research have proven that vaccines do not cause autism…
…We need to quickly return to medical information and recommendations being based on sound science, not unverified opinions.”
💯
Thanks @idsainfo.bsky.social
#MedSky
…We need to quickly return to medical information and recommendations being based on sound science, not unverified opinions.”
💯
Thanks @idsainfo.bsky.social
#MedSky
November 24, 2025 at 2:24 AM
“Decades of rigorous and scientifically sound research have proven that vaccines do not cause autism…
…We need to quickly return to medical information and recommendations being based on sound science, not unverified opinions.”
💯
Thanks @idsainfo.bsky.social
#MedSky
…We need to quickly return to medical information and recommendations being based on sound science, not unverified opinions.”
💯
Thanks @idsainfo.bsky.social
#MedSky
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
So a big part of the Project 2025 goals hinges on forcing women out of the workforce. The Heritage Foundation knows that women voters hold the most power in terms of sheer numbers. If they can push you out of the workforce, they can push you out of your voting rights.
Digging into the data of what's taking place with Black women unemployment and this graph is pretty damning.
You can see the EXACT month Black women's unemployment begins to splinter and that what hit us FIRST is now coming for all other women. This is #TheDoubleTax.
#blacksky #news #econsky
You can see the EXACT month Black women's unemployment begins to splinter and that what hit us FIRST is now coming for all other women. This is #TheDoubleTax.
#blacksky #news #econsky
November 23, 2025 at 7:45 PM
So a big part of the Project 2025 goals hinges on forcing women out of the workforce. The Heritage Foundation knows that women voters hold the most power in terms of sheer numbers. If they can push you out of the workforce, they can push you out of your voting rights.
My whole world in his hand. Back when he was #small but seemed so big.
#BlueskyArtShow #EastCoastKin #mobilephotography
#BlueskyArtShow #EastCoastKin #mobilephotography
November 23, 2025 at 7:58 AM
My whole world in his hand. Back when he was #small but seemed so big.
#BlueskyArtShow #EastCoastKin #mobilephotography
#BlueskyArtShow #EastCoastKin #mobilephotography
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
FDA is approving a new form of nalmefene for “prophylaxis” for “opioid exposure,” specifically citing fentanyl.
“Fentanyl exposure” is not a thing. Fent has to be intentionally ingested to cause OD.
It’s being made by a “blockchain-focused digital finance company” whose “biotech arm” is only this…
“Fentanyl exposure” is not a thing. Fent has to be intentionally ingested to cause OD.
It’s being made by a “blockchain-focused digital finance company” whose “biotech arm” is only this…
November 18, 2025 at 9:26 PM
FDA is approving a new form of nalmefene for “prophylaxis” for “opioid exposure,” specifically citing fentanyl.
“Fentanyl exposure” is not a thing. Fent has to be intentionally ingested to cause OD.
It’s being made by a “blockchain-focused digital finance company” whose “biotech arm” is only this…
“Fentanyl exposure” is not a thing. Fent has to be intentionally ingested to cause OD.
It’s being made by a “blockchain-focused digital finance company” whose “biotech arm” is only this…
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
PLEASE SIGN!
I'm a physician who has cared for agricultural workers in the San Joaquin Valley.
They have been neighbors and friends who are among the hardest-working people I know.
Denying them jobs is unconscionable and will slash the income of all farm workers, no matter where they were born.
I'm a physician who has cared for agricultural workers in the San Joaquin Valley.
They have been neighbors and friends who are among the hardest-working people I know.
Denying them jobs is unconscionable and will slash the income of all farm workers, no matter where they were born.
Comment period ends Dec. 1: Stop Trump Admin’s H2A wage changes that could drastically reduce wages and jobs for US workers.
Sign on today and say “NO” to slashing wages for farm workers.
act.seiu.org/a/h2awagecom...
#WeFeedYou
Sign on today and say “NO” to slashing wages for farm workers.
act.seiu.org/a/h2awagecom...
#WeFeedYou
November 19, 2025 at 5:20 AM
PLEASE SIGN!
I'm a physician who has cared for agricultural workers in the San Joaquin Valley.
They have been neighbors and friends who are among the hardest-working people I know.
Denying them jobs is unconscionable and will slash the income of all farm workers, no matter where they were born.
I'm a physician who has cared for agricultural workers in the San Joaquin Valley.
They have been neighbors and friends who are among the hardest-working people I know.
Denying them jobs is unconscionable and will slash the income of all farm workers, no matter where they were born.
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
Evidence-based vaccination recommendations are about more than individual decisions
A child infected with measles as a baby “not old enough to be vaccinated at the time of infection” recently died of a complication 💔
Vaccines protect kids who receive them — & infants & others in their communities
A child infected with measles as a baby “not old enough to be vaccinated at the time of infection” recently died of a complication 💔
Vaccines protect kids who receive them — & infants & others in their communities
L.A. child dies from complication of measles infection contracted in infancy
The child died from subacute sclerosing panencephalitis, a fatal progressive brain disorder that strikes roughly 1 in 10,000 people infected with measles.
www.latimes.com
September 19, 2025 at 6:37 PM
Evidence-based vaccination recommendations are about more than individual decisions
A child infected with measles as a baby “not old enough to be vaccinated at the time of infection” recently died of a complication 💔
Vaccines protect kids who receive them — & infants & others in their communities
A child infected with measles as a baby “not old enough to be vaccinated at the time of infection” recently died of a complication 💔
Vaccines protect kids who receive them — & infants & others in their communities
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
NEW: An analysis finds that NIH funding cuts have disrupted at least 383 clinical trials, affecting over 74,000 participants that were enrolled in studies that were testing treatments for conditions including cancer, heart disease and brain disease.
November 17, 2025 at 7:55 PM
NEW: An analysis finds that NIH funding cuts have disrupted at least 383 clinical trials, affecting over 74,000 participants that were enrolled in studies that were testing treatments for conditions including cancer, heart disease and brain disease.
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
New paper reminds us yet again: HOMICIDE is the leading cause of death for pregnant women.
Gun violence & partner violence are related.
All-cause homicide & firearm homicide of pregnant women are higher, in states w/ higher calculated firearm ownership (1/x 🧵
jamanetwork.com/journals/jam...
Gun violence & partner violence are related.
All-cause homicide & firearm homicide of pregnant women are higher, in states w/ higher calculated firearm ownership (1/x 🧵
jamanetwork.com/journals/jam...
Firearm Homicide in Pregnant Women and State-Level Firearm Ownership
This cross-sectional study examines firearm homicide rates in pregnant compared with nonpregnant women and whether estimated state-level firearm ownership is associated with homicide deaths among preg...
jamanetwork.com
November 17, 2025 at 3:15 AM
New paper reminds us yet again: HOMICIDE is the leading cause of death for pregnant women.
Gun violence & partner violence are related.
All-cause homicide & firearm homicide of pregnant women are higher, in states w/ higher calculated firearm ownership (1/x 🧵
jamanetwork.com/journals/jam...
Gun violence & partner violence are related.
All-cause homicide & firearm homicide of pregnant women are higher, in states w/ higher calculated firearm ownership (1/x 🧵
jamanetwork.com/journals/jam...
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
‘Summers went on to describe what he saw as his "best shot": that the woman finds him
"invaluable and interesting" and concludes
"she can't have it without romance / sex."’
This is called quid pro quo, making career opportunities contingent on sexual favors. It’s the most severe form of…
"invaluable and interesting" and concludes
"she can't have it without romance / sex."’
This is called quid pro quo, making career opportunities contingent on sexual favors. It’s the most severe form of…
When former Harvard President Lawrence H. Summers was pursuing a romantic relationship with a woman he described as a mentee, he turned to a longtime associate for guidance: Jeffrey E. Epstein.
Dhruv T. Patel and Cam N. Srivastava report.
Dhruv T. Patel and Cam N. Srivastava report.
As Summers Sought Clandestine Relationship With Woman He Called a Mentee, Epstein Was His ‘Wing Man’ | News | The Harvard Crimson
When former Harvard President Lawrence H. Summers was pursuing a romantic relationship with a woman he described as a mentee, he turned to a longtime associate for guidance: convicted sex offender…
www.thecrimson.com
November 17, 2025 at 4:33 AM
‘Summers went on to describe what he saw as his "best shot": that the woman finds him
"invaluable and interesting" and concludes
"she can't have it without romance / sex."’
This is called quid pro quo, making career opportunities contingent on sexual favors. It’s the most severe form of…
"invaluable and interesting" and concludes
"she can't have it without romance / sex."’
This is called quid pro quo, making career opportunities contingent on sexual favors. It’s the most severe form of…
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
Working 🔗 to the full position statement (PDF): archive.org/details/posi...
This report explains why featuring Dr. Oz at the AMA undermines scientific integrity and pressures residents.
Please share with anyone attending tomorrow’s session.
#MedSky
This report explains why featuring Dr. Oz at the AMA undermines scientific integrity and pressures residents.
Please share with anyone attending tomorrow’s session.
#MedSky
![REPORT OF THE AD HOC WORKING GROUP ON PHYSICIAN WORKFORCE CONDITIONS, SCIENTIFIC INTEGRITY, AND RESIDENT ORGANIZING IN THE POST-2020 POLICY ENVIRONMENT
Position Statement on the Dr. Mehmet Oz Event:
Threats to Scientific Integrity and the Coercion of Resident Physicians
Executive Summary
The American medical profession is undergoing a structural realignment driven by three converging forces: the accelerating unionization of resident physicians (1]; the collapse of scientific and public-health norms in the United States due to the political capture of federal agencies (2); and a widening gap between the priorities of organized medicine's legacy institutions and the lived reality of trainees. Medical students and residents now occupy the most precarious position in the physician workforce while simultaneously holding the greatest leverage to redirect the profession's trajectory.
The present moment is shaped by the consolidation of political power by the current Republican administration and the placement of high-profile COVID-19 contrarians-individuals whose pandemic-era claims were repeatedly discredited- into leadership roles within federal science and health agencies [3]. This shift has destabilized traditional assumptions about evidence-based governance, regulatory oversight, and the civic role of physicians.
Meanwhile, the resident workforce-the backbone of the U.S. hospital system -faces unprecedented strain: declining inflation-adjusted wages, chronic understaffing, escalating retaliation risks, and high levels of burnout. Residents organizing through CIR/SEIU have secured major gains across the country [4], while the AMA has only recently adopted policies supportive of collective bargaining for residents.
This report outlines the structural dynamics shaping the profession, the interaction between political disinformation and medical licensure, the implications for trainees, and recommendations for coordinated action between CIR, medical students, and aligned p…](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:nqarhi3oedy4dv6uv5sdoi4r/bafkreiabzpuw56kyzpv2y5yt2sgzu7q6dymnthz43ljh4upjytkh76w5he@jpeg)
![1997 Balanced Budget Act [6]. These decisions often relied on the belief that physician oversupply would reduce quality or compress income.
COVID-19 exposed the fragility of this system. Several U.S.-licensed physicians-including some with academic affiliations-used their credentials to oppose public-health measures and promote unproven treatments. Their claims were amplified by political networks and media ecosystems, contributing to public distrust and increased mortality [7].
Disciplinary action against these physicians was rare. State medical boards were slow or unwilling to intervene [8]. Meanwhile, prominent contrarian physicians consolidated political influence and now occupy key federal health leadership roles.
Il. Recent Developments Affecting Trainees
Residents have responded to worsening conditions by organizing at an unprecedented rate.
CIR/SEIU now represents tens of thousands of residents across major academic systems.
Recent wins include wage increases, due-process rights, parental-leave expansions, and improved safety provisions [9].
Medical students increasingly view collective action as the only viable mechanism for improving training conditions. This generational shift is redefining the culture of medicine and the relationship between physicians and institutional authority.
The AMA, historically ambivalent toward physician unionization, adopted policy in 2024 recognizing the legitimacy of resident collective bargaining [10]. However, the AMA's primary legislative focus remains national scope-of-practice battles and physician payment reform, leaving trainees without a national body focused primarily on workplace safety, retaliation protections, or fair compensation.
III. Scientific Integrity Under Political Pressure
The integration of discredited COVID-19 contrarian physicians into federal leadership represents a fundamental change in the environment for scientific practice [11]. Their elevation undermines the authority of evidence-based institutio…](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:nqarhi3oedy4dv6uv5sdoi4r/bafkreidzdbcqp2mtbqhxfcghpvwuwkni7ifw4fgkjnufm4rrfjhosaq23e@jpeg)
![Third, trainees who advocate for evidence-based care may face institutional retaliation, while physicians spreading disinformation face minimal consequences. This asymmetry distorts the professional environment and pushes trainees toward organized collective protection.
IV. Areas of Alignment and Conflict Between AMA Policy and Trainee Needs While the AMA and resident unions share interest in scientific integrity and physician well-being, their priorities diverge significantly. Residents require safe staffing, fair compensation, due-process protections, and freedom from retaliation. The AMA has historically prioritized national legislative battles (such as scope-of-practice) over the day-to-day realities of residency training.
However, the rise of political interference in scientific institutions creates an emerging area of alignment: both trainees and segments of organized medicine recognize that defending evidence-based practice is essential to the profession's future.
V. Risk Assessment for Trainees in the Current Environment
Trainees now operate in a structurally unstable ecosystem shaped by political capture of federal science agencies [12], increasing right-wing disinformation targeting medicine [13], academic-center fragility, declining public trust, weak state board enforcement, and widespread vulnerability to employer retaliation.
These forces combine to create a historic level of risk for trainees, and senior leadership has not adequately communicated these stakes to medical students or residents.
VI. Recommendations for Residents, Students, and CIR Leadership Residents must assert themselves as central actors in the profession's future.
Recommendations include strengthening organizing capacity across academic centers, building communication channels independent of employer oversight, establishing reporting pathways for retaliation or scientific interference, coordinating with allied organizations (including the AMA when aligned), creating educational reso…](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:nqarhi3oedy4dv6uv5sdoi4r/bafkreib72p32eotolwoybq6ma6pmdarkq2nnfbokqs5fael2wqgm5kt6yy@jpeg)
November 16, 2025 at 10:04 PM
Working 🔗 to the full position statement (PDF): archive.org/details/posi...
This report explains why featuring Dr. Oz at the AMA undermines scientific integrity and pressures residents.
Please share with anyone attending tomorrow’s session.
#MedSky
This report explains why featuring Dr. Oz at the AMA undermines scientific integrity and pressures residents.
Please share with anyone attending tomorrow’s session.
#MedSky
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
Powerful.
NEW: Epstein survivors release the most powerful PSA I have ever seen.
Make this go viral so every member of the House of Representatives sees it.
Make this go viral so every member of the House of Representatives sees it.
November 16, 2025 at 11:46 PM
Powerful.
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
Remember: The richest 1% evade over $160 billion in taxes every year.
That amount would fund SNAP for a year with money to spare.
Ask yourself who the real freeloaders are.
That amount would fund SNAP for a year with money to spare.
Ask yourself who the real freeloaders are.
October 29, 2025 at 8:30 PM
Remember: The richest 1% evade over $160 billion in taxes every year.
That amount would fund SNAP for a year with money to spare.
Ask yourself who the real freeloaders are.
That amount would fund SNAP for a year with money to spare.
Ask yourself who the real freeloaders are.
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
Shameful, but not surprising.
“Harvard Medical School postponed an online course on transgender healthcare after the National Review, a conservative news outlet, contacted the school about the legality of offering fee waivers to transgender and “gender diverse” participants.”
“Harvard Medical School postponed an online course on transgender healthcare after the National Review, a conservative news outlet, contacted the school about the legality of offering fee waivers to transgender and “gender diverse” participants.”
Harvard Medical School Postpones Transgender Healthcare Course After Inquiry Into Fee Waiver Legality | News | The Harvard Crimson
Harvard Medical School postponed an online course on transgender healthcare after the National Review, a conservative news outlet, contacted the school about the legality of offering fee waivers to tr...
www.thecrimson.com
October 28, 2025 at 4:17 AM
Shameful, but not surprising.
“Harvard Medical School postponed an online course on transgender healthcare after the National Review, a conservative news outlet, contacted the school about the legality of offering fee waivers to transgender and “gender diverse” participants.”
“Harvard Medical School postponed an online course on transgender healthcare after the National Review, a conservative news outlet, contacted the school about the legality of offering fee waivers to transgender and “gender diverse” participants.”
Happy #blueskymonday! Appreciate the subtle beauty all around us.
October 27, 2025 at 6:16 PM
Happy #blueskymonday! Appreciate the subtle beauty all around us.
October 27, 2025 at 5:52 AM
October 26, 2025 at 6:14 AM
I took this nearly 20 years ago #inside the British Museum. Not bad for a cheap flip phone!
#BlueSkyArtShow #EastCoastKin
#BlueSkyArtShow #EastCoastKin
October 26, 2025 at 1:02 AM
I took this nearly 20 years ago #inside the British Museum. Not bad for a cheap flip phone!
#BlueSkyArtShow #EastCoastKin
#BlueSkyArtShow #EastCoastKin
October 25, 2025 at 8:55 PM
Reposted by Sarah Medeiros, MD, MPH 🩺🎙️
“Immunizations work, they are very effective and safe, and they save lives. Vaccines are among the most rigorously studied and effective tools in public health.”
Kudos to AAFP, AAP, ACOG, ACP, IDSA for this.
www.statnews.com/2025/06/26/v...
Kudos to AAFP, AAP, ACOG, ACP, IDSA for this.
www.statnews.com/2025/06/26/v...
We will not stay silent on vaccines, say leaders of five major U.S. medical associations
“We cannot and will not gamble with our patients’ health or the health of our communities,” write the presidents of the AAFP, AAP, ACP, ACOG, and IDSA.
www.statnews.com
June 26, 2025 at 8:30 PM
“Immunizations work, they are very effective and safe, and they save lives. Vaccines are among the most rigorously studied and effective tools in public health.”
Kudos to AAFP, AAP, ACOG, ACP, IDSA for this.
www.statnews.com/2025/06/26/v...
Kudos to AAFP, AAP, ACOG, ACP, IDSA for this.
www.statnews.com/2025/06/26/v...
June 7, 2025 at 9:25 PM
Just under the wire for #Scape Friday! Here’s my contribution this week - a farmscape near my home on one of those beautifully warm evenings.
#EastCoastKin #mobilephotography
#EastCoastKin #mobilephotography
June 7, 2025 at 6:12 AM
Just under the wire for #Scape Friday! Here’s my contribution this week - a farmscape near my home on one of those beautifully warm evenings.
#EastCoastKin #mobilephotography
#EastCoastKin #mobilephotography