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This story from Saskatchewan of inhumanity in surgical training has sparked a lot of bad memories from docs all over 
of things they endured in training 
and I am hearing about it today.
A thread: 1/
of things they endured in training and I am hearing about it today. A thread: 1/
Stories of docs feeling powerless to advocate for themselves at the time, lest they be labelled a trouble maker and get penalized or end up unemployed as attendings. Better to keep your head down, suck it up, endure it. Complain?? You become the problem, not the perpetrators 2/
When this gets programmed into you over years, even when you come out the other side, speaking up and standing up to the power structure is counter cultural. In that context, turning the status quo on its head is almost impossible. 3/
And this is why we can’t have nice things, because we are programmed otherwise. It is time for surgeons propagating bad culture shape up or ship out - and this is only going to happen when hospitals, universities and the medical regulators get some teeth... but also: 4/
It is time for surgeons in positions of influence to risk being unpopular and stick their necks out, even if this risks losing some of their own influence in order to cause disruption to malignant power structures. 5/
