Thread by @raghurajs_hegde

I've been fortunate to have found incredible mentors in residency & Fellowship. They treated me like colleagues not sub-ordinates/slaves. I was lucky but anyone entering residency shouldn't need to be lucky.

This culture of bullying in medicine doesn't stop just at residency. 1/

Though I have only good things to say about my own residency, I've heard enough of the experiences of my friends/ Srs/Jrs who've come through the various medical college residencies around India. Toxic culture in an average Indian medical college residency is almost a given. 2/

One of the weirdest things I've heard and know it for a fact is that there is/was one HOD who put a daily roster for his surgical residents to watch over his house being built. Residents were counting cement bags instead of treating patients. 3/n

Not to mention the internal hierarchy among residents where seniors ill-treat their juniors the same way their seniors ill-treated them earlier. This vicious cycle is difficult to break. The residency is 3years and the professors know how to keep this cycle intact. 4/n

Like I said earlier. This toxic culture carries on beyond residency to fellowship and then to their job environment. This is considered almost a rite of passage for most doctors entering any particular field. 5/n

But not everything is so bad. There are enough good people in the messy world. I found great mentors during my residency and later at my 2nd fellowship who could tap into my raw energy and polish me into something good. I just hope every resident is as lucky as I was. 6/

I've experienced some of this toxic culture for some periods of my career. 18 years is a long time not to have had a toxic boss or a terrible job environment. Maybe some of these stories for another day!

I hope we turn the tide on bullying in medicine. 7/7.