We cannot keep training scientists, doctors, and professionals on a foundation of fear, burnout, and abuse.
The transformation must be systemic and collective.
Grief is not enough.
Reform is overdue.
This moment should be a call to reexamine our professional training systems:
🔹 Dignified working conditions
🔹 Mental health as a priority
🔹 Real reporting mechanisms
🔹 Institutional cultures rooted in care—not submission
Punishing those directly involved is not enough.
Without structural change, tragedies like this will continue.
Academic systems must be reformed. What’s often framed as “rigorous training” is, in many cases, institutionalized violence.
The problem is not unique—it’s structural:
• Rigid hierarchies
• Normalized mistreatment
• No safe channels for reporting
• Mental health neglected
• Precarity framed as “passion”
The case is tragic, but not isolated. It reflects a broader systemic issue—one that affects not only the medical field, but academic and professional training across disciplines:
A model that normalizes abuse under the guise of “rigor.”
This thread is inspired by a letter published by medical residents at CMN 25 Hospital (IMSS) in Mexico, following the suicide of one of their colleagues.
They describe a toxic work environment: abuse, public humiliation, threats, and chronic overwork.
The outcomes?
Fairer evaluation
More reproducibility
Real inclusion
Stronger science-society link
Faster social impact
Open Science isn’t just about open access. It’s about fixing the system. #SystemicChange #ScienceForThe21stCentury
The model draws inspiration from the Center for Open Science's Open Science Framework, UK's Octopus, t
UNESCO's Open Science Recommendation and the open-source movement. It proposes decentralized infrastructure, responsible metrics, and interoperable protocols. #OpenInfrastructure #ScienceReimagined
Peer review remains central—but reviews are also reviewed. Only when enough reviews are approved is the contribution published. Transitioning from having 2 or 3 max reviews to having a minimum requirement. This builds a more reliable and accountable ecosystem. #TrustInScience #OpenReview
This system would recognize everyone who contributes: students, technicians, researchers, even citizens and administrative personnel. It fosters collaboration, improves transparency, and makes the full process of science visible. #InclusiveScience
This publishing reform must go hand in hand with research assessment reform. We need systems that give real credit to all agents contributing to the knowledge stack—not just authors on a paper. #ReformEvaluation #ScienceEquity
We propose an open publishing model where every step—hypotheses, methodologies, data, analyses, and scientists' main contributions: interpretation and peer review—is an independent, traceable, and peer-reviewed contribution. #OpenScience #FairEvaluation
The current model hides key contributions: advice, method design, raw data, interim analysis, negative results. It also discourages collaboration, limits reproducibility, and excludes those who don’t fit the "paper author" mold. #AcademicReform #OpenResearch
The way we publish science is broken. The scientific article, as the ultimate research output, no longer reflects the complexity of the research process. We need a deep reform of research assessment and the scientific publication system. Here's a proposal. #OpenScience #ScienceReform
Dr. Yensi Flores Bueso and colleagues from Global Young Academy have collaborated to publish one of the most comprehensive studies on how institutions advance and promote academics. www.nature.com/articles/d41...
Open access is a step, but not the destination. Paywalls are a symptom. The real issues? Perverse incentives, exclusion, opacity, and profit-driven publishing. Reform means rethinking the whole system. #OpenAccess #OpenScience #AcademicReform
Open Science isn’t just about sharing papers. It’s about rethinking how we do research: transparency, collaboration, equity, and relevance to society. It's a blueprint for fixing broken parts of the system. #OpenScience #ScienceReform
Science drives progress—but its institutions are stuck. From funding to publishing to incentives, much of it needs change. I want to use this space to share ideas for reform & connect with others thinking the same. #ScienceReform #OpenScience
Just joined #Bluesky to connect with others who care about science—not just the discoveries, but how the whole system works (or doesn’t). I believe we need deep reform in science & academia. Let’s talk about how we can make research more open, fair & impactful. #ScienceReform