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Docs Outside The Box

Effective Strategies for Dealing with Bullies in Medicine Successfully. #454 Part 3

Docs Outside The Box

Dr. Nii Darko

Black, Mindset, Investing, Job, Lifestyle, Career, Careers, Finance, Medicine, Premed, Business, Education, Health & Fitness, Money, Doctor

4.9516 Ratings

🗓️ 1 April 2025

⏱️ 22 minutes

🧾️ Download transcript

Summary

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! Bullying during residency has become normalized through what Dr. Bilbrew calls a "trauma response," where attending physicians justify harsh treatment with the familiar refrain: "I survived, so you should too." Dr. Bilbrew then shares powerful strategies for handling bullying in medical residency while preserving your dignity and mental health. Have you or someone you know experienced bullying in residency...

Transcript

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0:00.0

I got what you're saying about how to step in and make sure that nobody steals your cornbread.

0:03.7

How to step in and make sure that nobody messes with you from the get-go.

0:06.5

I missed that episode.

0:08.0

I'm two years in.

0:09.4

How do I get out?

0:10.2

How do I turn a page?

0:11.2

I can't take this.

0:12.1

How do I make a 180-degree change?

0:14.0

Boom.

0:14.6

Fix that one, Dr. Bellroom.

0:15.7

So here's the thing, like, and I'm a realist. You can't. If you three years in and now you're being bullying, I think there's two ways. And so you're being bullied, but you're a strong resident. There's no risk of you being held back, of you being fired. Hey, you're going to get through this program. But it's just, it's terrible. And you still have another two years left. You have to make it through at this point. So you just see you just accept it?

0:56.3

I'm not saying to accept it. You have to accept that it is a part of your process. It's like giving birth. You know you're like seven hours into labor and you're like, dang, I got another like 10 hours to go. There's nothing you can do to speed it up. Embrace the suck. You embrace the suck and say, I'm here. I'm a focus on my education. I'm a focus on maybe using these experiences for the person that's coming behind me at the next stage of where I'm going, that this is not going to happen to me again.

1:02.3

Let's switch the bullying and persisting in residency. Why we think, why does it still exist?

1:08.5

It's a cultural thing. You know, you do what was done to you. It's a trauma response, essentially. I survive, so you should too. Exactly. And I've been told that by attendings. Like, I got through it so you can get through it. And I'm like, but it seems like you're scarred, right? And it takes when I say, like, you got to be a martyr. And I hate that because it means it like you died. But like sometimes you have to be that trendsetter and you have to take those whips and those licks to really be like, no, we're not, you're not going to do this to the people after me. For me, it was once I got to be, you know, a fourth year and a fifth year where I'm teaching, I made sure I didn't teach out of fear, you know, like, okay, I got to make sure y'all do good because if I don't do good and the attending is going to be upset. No, we don't take our time and learn how to do this the right way. because if I teach them that patience, that kindness, that empathy, they're going to do the same.

2:05.2

But if I teach them the same way I'm taught, what if they don't have the same, you know, emotional intelligence and then it's worse, right?

2:13.5

And I think that's what happens in programs like the Yeager Meister, is that you just had these

2:17.7

emotionally unintelligent men.

2:20.5

But no, seriously, who it was, it was on it almost got worse generation after generation.

2:26.3

Because it just got more and more malignant.

2:28.3

And you hear that word with programs of malignancy.

2:32.2

Like it's a malignant.

2:33.4

It's a toxic program. Like in medical terms,

...

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