RACIST Attending - What do I do ?

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arleen

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I have this Racist Attending that every time I have to work with him, he makes personal comments ( I am black and he is white ) i am sick of this . I am working extremely hard like most of doctors on here but this is getting out of hand , he will get upset with me only.. no matter what I do , he is not happy and i detest working with him. i could work 18 hour shift and do everything right and double check all my work.. but if he on then I am in trouble,, he is rude and racist.

i am scared even to bring this up with the program director because I know that he is well placed in the hospital and I will only get into more trouble..

WHAT DO I DO ?.. ( I don't want this as*** ruin this for me,. I have worked very hard to get here !.. ) 🙁😡

any advise would be appreciated.. has anyone gone thru this ??

arleen
 
What exacly makes you think this attending is racist? I'm not sure what comments he's made to you, so I was just wondering. Just because he singles you out unfairly, even if you are black, doesn't necessarily make him racist. Maybe he doesn't like something you are doing even though you don't realize it?
 
What exacly makes you think this attending is racist? I'm not sure what comments he's made to you, so I was just wondering. Just because he singles you out unfairly, even if you are black, doesn't necessarily make him racist. Maybe he doesn't like something you are doing even though you don't realize it?

ditto, delta👍

to the OP, it's very hard for anyone to give you advice when you make such blanket statements. be very careful about throwing around the term "racist," unless you have specific examples to back them up.

i know that sometimes we (as people of color) can use that term as a way to deflect any personal accountability for whatever defects we have, when someone else criticizes us..i'm definitely not saying that you do this, but am just pointing out an impt. fact.
 
Hey Arleen,

I know exactly how u feel. I am black, grew up in a big city (in the south) and ended up doing my residency in backwoods, usa. I hated every minute of living in this backwards city. At times I wished I never even ranked that program. I honestly didnt think living there would be that bad, but believe me when I say the mentality of this place is stuck in the 1950's. The hospital environment was not that bad because it was a beacon of diversity as MOST of the doctors working there had come from other cities and some from other countries. However there was one attending in particular (surgeon) who was THE most racist person I have ever met. Being around him was SHOCKING. I didnt even know people like him still existed. The slurs he would CASUALLY use to describe other races, cultures, religions were the stuff of legends. I dont know if i can repeat them here but believe me I was often left thinking to myself..really??who says this? Luckily, I only had to be around him for a 3 surgery rotations at the VA. I was doing my prelim for anesthesia at the time. I never got a "direct hit" prob b/c being an off service surg prelim I was beneth slurs..i dunno. However my senior surg resident on service was black and female. The nicest person, calm, cool, smart and a great surgeon. Had transferred from a top notch surgery program to hell to be closer to a sick parent. He would routinly call her slurs in and out of the OR (ie buckwheat..who says that?) and a slew of others. I overheard him one day taking to the CHIEF of SURGERY and in the course of 2 minutes used slurs to describe blacks, hispanics, asians and jews and they both laughed. For me it was shock and awe. I felt helpless. I watched my senior resident many days just hold it togeather and try to make it through the day so she could one day get off that service. I could see in her face she was mad as hellll and felt helpless like I did. Mabey even more so. Really it felt like there was no where to go, his behavior seemed to be just accepted there. Once she filed a complaint with the "Chief of Surgery" at the VA but of course nothing was done. I know you are in a tough spot. I can tell you what both I and my friend did, we sucked it up and pushed through. We are both out of residency now enjoying great careers in spite of that douche. And mabey we are stronger and wiser because of that douche. Was it the right thing to do? I dunno because im sure he is still there behaving in the same manner to other people who are just trying to do their job and learn. People who dont derserve to be demeened. Residency is hard enough without that. I would advise, whatever you do dont let it break you. If you only have to put up with it for a short period of time then focus on doing what you have to do to get out of there. If there is someone in a position of power who can and will help you then confide in that person. If its affecting you and your mental stablity to the point you cant take it any more, find another program before you let this ruin you. There were many days when I was close to searching for another program myself. I wish you luck. Feel free to contact me.
 
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i am scared even to bring this up with the program director because I know that he is well placed in the hospital and I will only get into more trouble..

WHAT DO I DO ?.. ( I don't want this as*** ruin this for me,. I have worked very hard to get here !.. ) 🙁😡

And?

There are rules that protect workers in the workplace. It's a tough situation because it's hard to separate the emotional/irrational component to it.

If I were you, I would gather information. I'd write down incidences on a piece of paper and the context they were in. Because, as you know, everyone wants to know about context and may think you may have taken words/ideas out of context. So document.

I'd reality check. I would ask the other students/residents/fellows in a non-accusatory way. Maybe over lunch or dinner or in a casual setting ask, "So what do y'all think about this guy?" and listen to what people have to say. "How is he like to work for?" and listen. "Super smart guy, but... do any of you feel uncomfortable when you work with him?" "I don't know about y'all, but every once in a while, he'll say stuff that really gets under my skin. Maybe it's just me." And just listen to what other people have to say. It may just be you. Or it may just be everyone, but it's been left unsaid.

Then, I'd reality check at the attending level. Most residents/students have a mentor or a faculty person who helps guide you. And the way I would do it is say, "Can I ask you for some personal advice? I've been having a real tough time at work and I don't know exactly what it is." "Every once in a while, I get real uncomfortable at work because my attending does XYZ. I don't know if it's just me, but it's really distracting." And see what happens. I wouldn't expect action on a 1 time report, but if you keep going back to the mentor and give them follow up, it'll get attention.

It'd be interesting to hear if people say, "oh yea, he's like that with everyone." And I would never use the word "racist" (because you'll lose your audience). I would describe what's going on, say that it makes the "workplace very uncomfortable/distracting/stressful" and let the listener interpret.

Then if I want something done, I'd talk with the PD. Because they're obligated to act. But I would start off the conversation to get some feedback on your performance. You want to know that you're doing a good job at work. Once you've established you're doing well, then the PD will listen to you. If you're underperforming, I doubt they'll take you seriously (again, the context issue), but still... And I would approach it the same way as the above conversation with the attending... "Can I ask for advice?... etc."

PD's have the responsibility to act and investigate. I don't know if your PD will throw you under the bus by saying "well... your black resident is uncomfortable with you." Or if he'll keep it vague and say "some of the staff recently have been uncomfortable..." So, a good relationship with open honest conversation with the PD is key.

And realize that a talking-to may be all that's need to bring attention to behavior change. Or, you may be rotated off the service. Or, it may be the 100th billion time a complaint has been made and something will be done.

I think what's key for you is to make sure you're doing the best job with your work as possible. With a smile. Because no one will take your complaints seriously if you're a screw up and there has already been 100 complaints against you for poor work. Because there is a difference between, according to the OP, "personal comments" and "work". That's why the peer & faculty reality check is so important.

I don't know if any of this is good advice. But it's the way I would do it.

Like you said, you've worked hard to get to this point.
 
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And?

There are rules that protect workers in the workplace. It's a tough situation because it's hard to separate the emotional/irrational component to it.

If I were you, I would gather information. I'd write down incidences on a piece of paper and the context they were in. Because, as you know, everyone wants to know about context and may think you may have taken words/ideas out of context. So document.

I'd reality check. I would ask the other students/residents/fellows in a non-accusatory way. Maybe over lunch or dinner or in a casual setting ask, "So what do y'all think about this guy?" and listen to what people have to say. "How is he like to work for?" and listen. "Super smart guy, but... do any of you feel uncomfortable when you work with him?" "I don't know about y'all, but every once in a while, he'll say stuff that really gets under my skin. Maybe it's just me." And just listen to what other people have to say. It may just be you. Or it may just be everyone, but it's been left unsaid.

Then, I'd reality check at the attending level. Most residents/students have a mentor or a faculty person who helps guide you. And the way I would do it is say, "Can I ask you for some personal advice? I've been having a real tough time at work and I don't know exactly what it is." "Every once in a while, I get real uncomfortable at work because my attending does XYZ. I don't know if it's just me, but it's really distracting." And see what happens. I wouldn't expect action on a 1 time report, but if you keep going back to the mentor and give them follow up, it'll get attention.

It'd be interesting to hear if people say, "oh yea, he's like that with everyone." And I would never use the word "racist" (because you'll lose your audience). I would describe what's going on, say that it makes the "workplace very uncomfortable/distracting/stressful" and let the listener interpret.

Then if I want something done, I'd talk with the PD. Because they're obligated to act. But I would start off the conversation to get some feedback on your performance. You want to know that you're doing a good job at work. Once you've established you're doing well, then the PD will listen to you. If you're underperforming, I doubt they'll take you seriously (again, the context issue), but still... And I would approach it the same way as the above conversation with the attending... "Can I ask for advice?... etc."

PD's have the responsibility to act and investigate. I don't know if your PD will throw you under the bus by saying "well... your black resident is uncomfortable with you." Or if he'll keep it vague and say "some of the staff recently have been uncomfortable..." So, a good relationship with open honest conversation with the PD is key.

And realize that a talking-to may be all that's need to bring attention to behavior change. Or, you may be rotated off the service. Or, it may be the 100th billion time a complaint has been made and something will be done.

I think what's key for you is to make sure you're doing the best job with your work as possible. With a smile. Because no one will take your complaints seriously if you're a screw up and there has already been 100 complaints against you for poor work. Because there is a difference between, according to the OP, "personal comments" and "work". That's why the peer & faculty reality check is so important.

I don't know if any of this is good advice. But it's the way I would do it.

Like you said, you've worked hard to get to this point.


Awesome advice. Just because he's an ass to you and you're black doesnt prove he's a racist. I'm sure he deals with plenty of minority patients and dont treat them like sub-human beings.
 
Thank You everyone for all your comments.. to be specific here we go :

1) One day I didn't do my hair properly and after 18 hour shift I had to fly home, this guy comes in and makes a comment that 'if you look like this at the airport, i would certainly stop and search you '

2)
I was on an overnight shift, and had a load of work, more then my fair share, the other 3 intern are all white and they had half my load for the night .. he comes in next morning and right off the bat "start banging his fist on the desk, throwing clipboards around, etc and was very very mad at me that i don't want to learn, i am not doing much work, i need to pull my weight around, how did you ever become a doctor etc etce...' NOT ONE comment to the other 3 white resident who all left 5 hours before i did !..
I can go on and on.. but you get the idea, it's this attending and his friend, they both behave like that with me ALL the times.. and yes I have talked to other interns, the one of color said they are treated the same way... in fact one Indian intern told me that he have overheard this very attending saying that 'this hospital is getting very colored and we need to do something about it and they all laughed "


obviously i will hang in there and put up with this but it's not right !@'

thanks..
arleen
 
That sounds pretty bad. Esp the comment about the hospital becoming colored, ugh.

Just a student, so I don't have any great advice, but I'm sorry there are still @ssholes like him out there. Residency is hard enough without adding this crap to it.
 
you have to be careful as others people have said about when to use the word racist.

example number #1 is not a very good example, since it can be used against any race. After a 30 hour call everybody looks like ****.

About what an Indian resident told you, you have to be careful since you didnt hear it personally. A lot of people can hear alot of things.

And about him been tough on you while been nice on the other 3 residents well that's just wrong from him.

You should take this to your chief resident or program director but do not use the word racist, is going to backfire on you, until you have concrete evidence. You can at least tell your chief resident the situation where he was yelling at you but not at the other 3 residents.

and by the way im hispanic so Im neutral here!!
 
First, I want to say that I'm very sorry you're going through this. Whether he is racist or not, it seems pretty clear from what you've said that he actively dislikes you.

I'm a med student, so feel free to take my advice or not with that caveat. But I would suggest that you not go to your PD unless you have solid and overwhelmingly convincing evidence to present. For example, have other people witnessed these exchanges, or does he only do it in private when the two of you are alone? If there are witnesses, would they be willing to go with you to the PD and report what they saw on the record? Writing down incidences is all well and good, but if there are no witnesses, it is easy for him, as the more powerful person, to turn this into a he-said, she-said kind of thing and convince others that you were just overreacting. It would also be easy for him to retaliate and look to find extra fault with you even though you're just trying to do your job.

But that doesn't mean you can't do anything; you just might have to be more clever than he is in vying for public opinion to be on your side. The next time he is giving you undeserved grief, what about if you try asking him to give you some specific examples of what you could do to improve? Ideally, try to do this in front of a witness. Stay calm and say to him, "You know, I'm so glad you're bringing this up, because I would really like to get more of your input on how I could do a better job. I know you've been going out of your way to help me the past couple of weeks, and I hope you know how much I appreciate that. But I think what I need is some more concrete advice from you. Could you, the chief, and I meet and write down a few specific goals that I could work on for the rest of this rotation?" Getting the goals written down is essential, because that gives you some kind of leg to stand on if he blasts you on your eval but you've met them all. It also gives you some ammo if he's being totally ridiculous and asking things of you that are far above and beyond your training level and position in the hospital. Having the chief there gives you a witness and makes it more difficult for him to change the rules later. At the end of the meeting, make sure you smile and thank him for his "help." I would also make sure that the PD finds out that you're doing this. Maybe mention to the PD in passing about how Dr. So-and-so is being so generous with his time and going out of his way to mentor you.

You probably can't beat him by butting heads with him, but you can certainly make it harder for him to treat you badly. Publically treat him like he's your ally and doing all of this because he wants to help you. Thank him for taking such an interest in your education and putting himself out so much to help you succeed every time he bashes you, especially when other people are around to hear. Don't ever talk badly about him with other residents or anyone else in the hospital, and act as if you truly like and respect him. He and you will of course both know that it's not true. But unless he is willing to make a total a** of himself in front of everyone by announcing that he doesn't like you and isn't actually trying to help you, what choice will he have but to play along when you consistently sing his praises to him and to anyone else in earshot every time he tries to put you down?

Best of luck to you. 🙂
 
Agree with Q of Qimica and Lowbudget. I don't think there is much better advice I could give. My only comment is to be very careful before you go to the PD...you don't know whose side he will take but in my experience it's usually the faculty member's. After all, the attending will be there likely years from now and you will be gone in 1-3 years, regardless. Also, the PD likely has a longstanding relationship with this attending and you do not.

You also may not be realizing some deficiencies that you have. Even if you have them, the attending is approaching this all wrong by calling you out in public when you have been working hard - that isn't the way to improve a resident's performance. You may indeed be carrying more patients than other interns and that can cause things to get done slower. Unfortunately, in my experience usually the attending does not notice or allow for this and often will criticize the intern/resident regardless. I have had this happen to me when I was an intern as well. I just put my head down and worked even harder, and eventually things got better.
Also, if all else fails, remember that all rotations end 🙂
It's kind of like that old surgery joke that "All bleeding stops".

My only other advice is that success is the best revenge. If there is an upper level resident around (like your PGY 2 or 3 resident, or even the chief resident if he/she seems helpful and friendly) you could try getting his/her advice as to what to do to impress this particular attending. I know you can't stand him, and that's fine, but regardless you are stuck working with him at least for this month. All attendings have their little things that they think are important - is it the oral presentations, the notes, getting everything done really fast, discharging people early in the day? What are the thing(s) he/she fixates on and thinks are important.

The comment about your hair is just a typical thoughtless comment by an attending who may have poor social skills...not sure there is necessarily any racist intent there. I'm white and have had attendings make similar comments to me after overnight shifts ("You look tired, Dr. Dragonfly...need some coffee?" ....duh you a-hole, I've been up x 30 hours!!!!). If you really do hear him make any comments that are specifically racist, that would totally suck...but I don't think you can report hearsay (i.e. what an Indian resident says he heard) to the PD or anyone else. Perhaps if you are an IMG there is some anti-IMG bias going on, but that could be more cultural bias and/or bias against foreigners vs. just plain old racism...any of those suck for you pretty much equally, if that's what is going on.
 
Discrimination happens to everyone: black, white, men, women, foreign, GLBT, Catholic, Jews, Muslims, whatever. We need to figure out how to live together and work together.

This is the time of the year for interns where "people stop being polite and start getting real... the Real World..." And based on your #2, it sounds like there're performance issues involved (whatever there may be). You're in a tough position and unfortunately, we can see where this may be leading.

**** has a tendency to stink the whole room, and you don't want this attending to affect your reputation and start affecting other people who believe in you or have no opinion of you. And, I'm not all-knowing or a specialist or a lawyer or whatever, but if it were me, I would be proactive.

You're not going to change him (racist) and he's not going change you (black)... but at the end of the day, all you care about is for the behavior to STOP. To cease and desist. If it were me, I'd try to nail him on UNPROFESSIONAL behavior: the fist banging, clipboard throwing, the intimidation. That by itself should be enough for the PD to get this guy to shape up without even using the racism argument.

But, I would somehow slip it in that when "he's on his tirade that he makes comments that make me uncomfortable" and demonstrate to the PD the words he uses to make this point. You haven't called him a racist, you see. Calling him a racist is your interpretation of the events, and unfortunately, to an objective 3rd person, they may not accept your interpretation on face value. So you need to illustrate it so that the listener makes that interpretation for you. (Otherwise, you'll lose your credibility)

I would protect myself by creating a paper trail and talk to faculty and the PD. And I'd be consistent with it so that it's out in the open that it's been talked about.

I don't know what your personality is like. But if it were me, I would be so pissed off underneath... but on the surface, I'd laugh with/at him regarding #1: "Hahaha... yea, tough night last night. Looks like you had a tough night too... because if I saw you at the airport, I'd search you because you're wearing that tie with those shoes. Hahahaha..."

See, with the performance issue, you have a bridge to connect with this guy. If it were me, I'd confront him and say, "My goal is to have a perfect call night. What can I do to improve my patient management... or, be more efficient..." or whatever he's yelling at you for... (as QofQuimca said above)...

And this way, you force him to man up, and put substance in front of style. And this way, you can evaluate whether this guy truly is a racist or if he's just trying to teach you something. AND this way, you man up... and maybe he'll start respecting you as a resident who's interested in improving.

If he has nothing substantive to say, then good... you have even more firepower.

You can then say to the PD, "Look, I even TRIED to ask for a mid-rotation performance feedback, and he wouldn't even look me in the eye. He said I was doing fine, and yet he dresses me down every morning with his inappropriate comments." You have then illustrated to the PD that this attending is inappropriate.

If this attending is truly racist and acts out inappropriately, you want all of it documented in the eyes of the PD & faculty BEFORE they move to FIRE you for poor performance, you at least have a paper trail with conversations with the PD & faculty about this attending and his actions that they will think twice before they fire you. At that point in time, the racism argument has more credibility. So protect yourself.

Again, I'm no lawyer myself and it's free internet BS advice for what it's worth.

(On a separate note, if you truly *are* having performance issues, get your mind right and fix them. And if someone truly is trying to help you and give you feedback, swallow your pride and accept it.

And if their behavior is inappropriate, you don't have to bend over and take it. Have some respect for yourself and deal with the issues in a professional manner. You may be the one who can make some positive changes.)
 
I'm not quite where you see racism in those examples.

You seem to be overly sensitive.

If this type of simple ball-busting upsets you, then you are in a long, hard career.



Thank You everyone for all your comments.. to be specific here we go :

1) One day I didn't do my hair properly and after 18 hour shift I had to fly home, this guy comes in and makes a comment that 'if you look like this at the airport, i would certainly stop and search you '

2)
I was on an overnight shift, and had a load of work, more then my fair share, the other 3 intern are all white and they had half my load for the night .. he comes in next morning and right off the bat "start banging his fist on the desk, throwing clipboards around, etc and was very very mad at me that i don't want to learn, i am not doing much work, i need to pull my weight around, how did you ever become a doctor etc etce...' NOT ONE comment to the other 3 white resident who all left 5 hours before i did !..
I can go on and on.. but you get the idea, it's this attending and his friend, they both behave like that with me ALL the times.. and yes I have talked to other interns, the one of color said they are treated the same way... in fact one Indian intern told me that he have overheard this very attending saying that 'this hospital is getting very colored and we need to do something about it and they all laughed "


obviously i will hang in there and put up with this but it's not right !@'

thanks..
arleen
 
I'm not quite where you see racism in those examples.

You seem to be overly sensitive.

If this type of simple ball-busting upsets you, then you are in a long, hard career.

I thought the same thing when I read those examples.
 
I think the OP feels as if the attending is discriminating against her due to his unexposed, but intuitively probable, racial bias against people who have a similar phenotype to hers. Pour politically-correct whitewash all over the garrulous language, but it is usually true when a highly educated and experienced adult, such as the OP, (who has likely experienced discrimination based upon race), recognizes implied acts of racial discrimination. It is likely that the attending is adept at using his power to cloud the issue and make it appear as though his complaints are based upon lack of performance; otherwise, he would have been called out on it legally by someone long ago. He likely walks a fine line between legal and illegal behavior. I think I would capture the moment with a recording device, several times over, and see if the treatment is objectively viewed as appropriate and merit-based. Perhaps you will catch an overt act, and your evidence will help quickly solve the problem. In the mean time, I would make sure you have everyone on board as allies, so that it is clear that you are a team player who works hard and gets the job done. Best of luck.

discrimination=treatment or consideration of, or making a distinction in favor of or against, a person or thing based on the group, class, or category to which that person or thing belongs rather than on individual merit: racial and religious intolerance and discrimination.
 
You are making a lot of assumptions here.

The true test would be asking whether the OP would have assumed racism if the attending were black, too.

As for your "definition" of discrimination, it is actually the definition of prejudiced discrimination, which is totally different than treating a resident like an inept slave (which is the accepted protocol in medical culture).

For all YOU know, the OP in incompetent and is being properly discriminated based on merit, or lack thereof.



I think the OP feels as if the attending is discriminating against her due to his unexposed, but intuitively probable, racial bias against people who have a similar phenotype to hers. Pour politically-correct whitewash all over the garrulous language, but it is usually true when a highly educated and experienced adult, such as the OP, (who has likely experienced discrimination based upon race), recognizes implied acts of racial discrimination. It is likely that the attending is adept at using his power to cloud the issue and make it appear as though his complaints are based upon lack of performance; otherwise, he would have been called out on it legally by someone long ago. He likely walks a fine line between legal and illegal behavior. I think I would capture the moment with a recording device, several times over, and see if the treatment is objectively viewed as appropriate and merit-based. Perhaps you will catch an overt act, and your evidence will help quickly solve the problem. In the mean time, I would make sure you have everyone on board as allies, so that it is clear that you are a team player who works hard and gets the job done. Best of luck.

discrimination=treatment or consideration of, or making a distinction in favor of or against, a person or thing based on the group, class, or category to which that person or thing belongs rather than on individual merit: racial and religious intolerance and discrimination.
 
Whether or not this physician is racist, his actions are inappropriate. However, as has been noted above, the medical system is stacked against residents. First and foremost, don't do anything that is going to make your life more miserable. I agree that documentation and quietly finding out how others feel are reasonable steps. This may sound overly paranoid, but making it through residency is goal #1.
 
You are making a lot of assumptions here.

The true test would be asking whether the OP would have assumed racism if the attending were black, too.

As for your "definition" of discrimination, it is actually the definition of prejudiced discrimination, which is totally different than treating a resident like an inept slave (which is the accepted protocol in medical culture).

For all YOU know, the OP in incompetent and is being properly discriminated based on merit, or lack thereof.
Most of what we do when we post here is based upon assumption, as there is often little to go by, except for the few clues we obtain via someone's words. We have to trust that their perception is accurate in most cases. While it is agreed that this person's perception may be off, and this changes this issues entirely, I chose to provide advice based upon the assumption that the OP was accurate in her perception of this attending. The fact that she uses the word, racism, without providing exact and sound examples as such, makes the accusation incredible to a certain extent. But even so, I think her question remains, "What is the best way to handle an attending who is discriminating against me (mainly because said attending does not like me--which is solely based upon his racist beliefs/views/attitudes)?"

edit: We could even generalize the application of the OP's question and ask, "What is an intern to do when they clearly are the target of an attending who doesn't like them, has the power to get them fired, and is actively making a case for doing so?" (And this is assuming the intern is solid, has no serious flaws, etc.)
 
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Fair enough. You make a sound argument.

Most of what we do when we post here is based upon assumption, as there is often little to go by, except for the few clues we obtain via someone's words. We have to trust that their perception is accurate in most cases. While it is agreed that this person's perception may be off, and this changes this issues entirely, I chose to provide advice based upon the assumption that the OP was accurate in her perception of this attending. The fact that she uses the word, racism, without providing exact and sound examples as such, makes the accusation incredible to a certain extent. But even so, I think her question remains, "What is the best way to handle an attending who is discriminating against me (mainly because said attending does not like me--which is solely based upon his racist beliefs/views/attitudes)?"
 
I have this Racist Attending that every time I have to work with him, he makes personal comments ( I am black and he is white ) i am sick of this . I am working extremely hard like most of doctors on here but this is getting out of hand , he will get upset with me only.. no matter what I do , he is not happy and i detest working with him. i could work 18 hour shift and do everything right and double check all my work.. but if he on then I am in trouble,, he is rude and racist.

i am scared even to bring this up with the program director because I know that he is well placed in the hospital and I will only get into more trouble..

WHAT DO I DO ?.. ( I don't want this as*** ruin this for me,. I have worked very hard to get here !.. ) 🙁😡

any advise would be appreciated.. has anyone gone thru this ??

arleen

My suggestion: Tape the B..**** anonymously and expose him.

I would have someone (not traceable to me) buy me the smallest lapel camera there is.

I would tape him as often as I can preferably including incidents when others are present, so it again does not point to you.

I would post the tapes on You Tube, send links to the local TV and print media, the department chair and the residents committee.
Contact your elected officials, remember hospitals receive public funds, but most of all contact the NAACP with your documentation.

The NAACP still carries a lot of weight, especially if you want him exposed. No one uses the media like the NAACP chapters and I am almost certain that they will understand your reluctance to go public.

No one should have to tolerate that type of abuse in the name of not ruining their career.

Good luck
 
My suggestion: Tape the B..**** anonymously and expose him.

I would have someone (not traceable to me) buy me the smallest lapel camera there is.

I would tape him as often as I can preferably including incidents when others are present, so it again does not point to you.

I would post the tapes on You Tube, send links to the local TV and print media, the department chair and the residents committee.
Contact your elected officials, remember hospitals receive public funds, but most of all contact the NAACP with your documentation.

The NAACP still carries a lot of weight, especially if you want him exposed. No one uses the media like the NAACP chapters and I am almost certain that they will understand your reluctance to go public.

No one should have to tolerate that type of abuse in the name of not ruining their career.

Good luck

Be careful with this, there are laws regarding recording individuals without their knowledge.
 
My suggestion: Tape the B..**** anonymously and expose him.

I would have someone (not traceable to me) buy me the smallest lapel camera there is.

I would tape him as often as I can preferably including incidents when others are present, so it again does not point to you.

I would post the tapes on You Tube, send links to the local TV and print media, the department chair and the residents committee.
Contact your elected officials, remember hospitals receive public funds, but most of all contact the NAACP with your documentation.

The NAACP still carries a lot of weight, especially if you want him exposed. No one uses the media like the NAACP chapters and I am almost certain that they will understand your reluctance to go public.

No one should have to tolerate that type of abuse in the name of not ruining their career.

Good luck

That sounds absolutely crazy. And I believe the OP that the attending is in fact saying racist crap and treating him/her badly because of race.

But, medicine is very hierarchical and I think you'd get further by going through the proper channels (in the ways other people have suggested) than by calling up the NAACP. 😱 I see no way of involving the media without it getting linked back to you, and doing more harm to your career than anything this one jerk can do to you.
 
That sounds absolutely crazy. And I believe the OP that the attending is in fact saying racist crap and treating him/her badly because of race.

But, medicine is very hierarchical and I think you'd get further by going through the proper channels (in the ways other people have suggested) than by calling up the NAACP. 😱 I see no way of involving the media without it getting linked back to you, and doing more harm to your career than anything this one jerk can do to you.

I completely agree - while something like that might be very satisfying to think about, the repercussions of actually doing it could be huge.
 
Thank You everyone for all your comments.. to be specific here we go :

1) One day I didn't do my hair properly and after 18 hour shift I had to fly home, this guy comes in and makes a comment that 'if you look like this at the airport, i would certainly stop and search you '

2)
I was on an overnight shift, and had a load of work, more then my fair share, the other 3 intern are all white and they had half my load for the night .. he comes in next morning and right off the bat "start banging his fist on the desk, throwing clipboards around, etc and was very very mad at me that i don't want to learn, i am not doing much work, i need to pull my weight around, how did you ever become a doctor etc etce...' NOT ONE comment to the other 3 white resident who all left 5 hours before i did !..
I can go on and on.. but you get the idea, it's this attending and his friend, they both behave like that with me ALL the times.. and yes I have talked to other interns, the one of color said they are treated the same way... in fact one Indian intern told me that he have overheard this very attending saying that 'this hospital is getting very colored and we need to do something about it and they all laughed "


obviously i will hang in there and put up with this but it's not right !@'

thanks..
arleen

That's pretty weak stuff on which to base an accusation of racism.

And I'm calling bull**** on the what you claim to have overheard. Your indian Intern friend is making it up and you have a huge chip on your shoulder. Dude, every intern gets treated like crap.
 
To the OP, please don't take this the wrong way, but based solely on the information you provided, it's difficult for me to see how that supports an accusation racism (a very serious term that can seriously affect a labeled person's career). Just because the other 3 residents happened to be white and left early doesn't necessarily mean that their work was of a lesser quality than yours, nor that in the time they spend, they didn't perform more closely to the level of expectation that attending had for the residents. But, as others on this forum said, most of us here probably aren't there, and so we simply don't have enough information to determine whether what this attending is doing is truly racist, so in answering your questions, we default to your evaluation.

As others may have suggested, it may not be a bad idea to get a high fidelity recorder with a moderately large hard drive, and carry it around turned on in a lab coat (or fannie pack). Some of these can record continuously for 20 hours or so, which would be enough to record what has been said to you in an average work day. At that point, if you did decide to go to a PD, you'd have some evidence to corroborate your position. If you're confronted about "secretly" recording your exchanges, you can just claim that you were carrying it around to help with your note writing at the end of the day, and just "forgot" to turn it off. Hopefully things will work out in the end. 🙂
 
OP, is this attending of yours going to be with you for years to come or just someone you are working under for this rotation? If this is something you can work through just don't bring it up. Think of it as an initiation process. I don't know if he's racist or not, but I think for you it's more important that you make it through intern year and residency. By making an issue out of this may do more harm to you. What if everyone, including the attending, finds out and start holding grudges against you. That would even worsen your current situation.

I wouldn't do anything if this thing doesn't get out of hand. On the other side, I would actually try to be nice to everyone and carry with you everyday the best attitude and work ethic. People are influenced by others around them. If couple of attendings or residents really like you, it's hard for others to say bad things about you.

Stay strong my friend.
 
To the OP,

I know the feeling. I am a minority in my program-one of three in a program of twenty. I feel like the prog director calls me out on stuff and holds me to a higher level than my colleagues. At times, I have been flat out called stupid for stuff that the others would have slid by on.

Agree with the other. Avoid using the term racist-it will only dig you into a hole. Realize that the attendings have all the power. You as a resident are expendable and you have little rights. I guarantee that your future employment at that hospital will be in jeopardy if you challenge these guys. It took me a while to learn this, but the best thing you can do is to keep your head down, keep a low profile and work-hard. I know this is what you have been doing, but the best way to stick it to these Mo-Fos is to finish your residency and succeed.

If they wanted to, they would have fired you by now. Trust me, they can and WILL dig up stuff on you and build a case. It has happened to a good friend of mine. Dont give them an excuse by letting them know you are a threat.

On a personal note, I echo the others. This is sick. I thought medicine was supposed to be about helping others in need-not trying to dodge bullets at work. Turns out that doctors are like any other group of people-not everyone is going to like you or be nice to you. The sooner you accept this nihilistic view of our lives as residents, the sooner you will rise above your (and our) dilemma.
 
By the way, dont ever underestimate the connections your malignant attending may have with your program director, your program chair, and other big-wigs in the hospital. Be careful.
 
[ Dude, every intern gets treated like crap.[/QUOTE]

That is a blanket statement that is incorrect. EVERY intern does not get treated like crap. I dont know what program you are in, but most attendings clearly have thier favorites and they would rather destroy those they dont like. Residency is like any other job-the bosses have their golden boys.
 
Just report him..

you know you are in a white place when all the janitors are white..
 
Realize that the attendings have all the power. You as a resident are expendable and you have little rights. I guarantee that your future employment at that hospital will be in jeopardy if you challenge these guys. It took me a while to learn this, but the best thing you can do is to keep your head down, keep a low profile and work-hard.

I thought medicine was supposed to be about helping others in need-not trying to dodge bullets at work. Turns out that doctors are like any other group of people-not everyone is going to like you or be nice to you. The sooner you accept this nihilistic view of our lives as residents, the sooner you will rise above your (and our) dilemma.

I agree with this.
 
Just report him..

you know you are in a white place when all the janitors are white..

It's funny because its true. I'm Canadian, and on my travels to the USA I'm always amazed at the Black/White divide. If there's a job that pays poorly and is some sort of servitude, its a black person doing it (or Hispanic if you're on the West coast).

BUT...

I HATE when people pull the race card for their own personal gain. Arleen, you never once provided any examples of true racism. What you did illustrate is that your attending does not like you. Do not try to get revenge by labeling him a racist. That's a strong accusation, eclipsed in weight only by rapist and murderer.

Reasons he does not like you include the following:

1. He's miserable
2. He finds you annoying
3. You're not pulling your weight and are more of a liability than an asset
4. He's racist
5. He randomly picks one intern to yell at every year. You won the draw.
6. You remind him of his ex-wife.
7. You remind him of his current wife
8. You remind him of the bitch who wouldn't date him in college, despite numerous advances
9. You never iron your clothes
10.You're late all the time
11.He overheard you saying something mean about him or someone else he respects, and this is his way of acting about it.
12. It really isn't as bad as you're making it out to be - you're just sensitive.

....


You've done nothing to prove any of these.
 
Yes, THIS!

See here before you decide to put yourself in a potentially civil and criminally liable position:
http://www.rcfp.org/taping/index.html

Better yet, talk to an attorney (discretely!) about how to proceed if you're really upset enough to do so.

-X

Be careful with this, there are laws regarding recording individuals without their knowledge.
 
In some states it is legal to tape a conversation as long as ONE party knows about it. However, this idea of taping the attending is all silly as far as I'm concerned...that's James Bond stuff and we all live in the realy world. It's going to get you nowhere, unless he is saying blatant things like using the n-work or something, which you would/should definitely report. I'm not saying he is racist or he is not...I wasn't there so I don't know. I doubt you can prove it one way or another. He has power and you don't. More importantly, you are there to get an education so don't let anyone or anything or any problem get in the way of that. Redouble your efforts to work hard and do the right things for your patient.

Even if the attending is a jerk, try to absorb any and all helpful feedback...if he has none, then try to get some from your resident or other attendings who ARE helpful. I am sure you are doing some things well and probably others not so well, like most all interns. It is unfortunate when attendings aren't able to or don't want to teach in a constructive way, but you have to rise above that. Some people just don't mesh well together either. The good thing about residency/med school though is that usually you aren't with an attending for >1 month, so just try and survive to fight another day. Don't put yourself in an untenable position and don't walk out on a limb where you have no support. If there is conflict very likely YOU will be the one to go down, not him.
 
I know the feeling. I am a minority in my program-one of three in a program of twenty. I feel like the prog director calls me out on stuff and holds me to a higher level than my colleagues. At times, I have been flat out called stupid for stuff that the others would have slid by on.

Not to make light of this situation, because racism is a serious allegation and completely inappropriate, but in terms of what I quoted above, almost every resident feels this at various points during their residency. This is part of being human - when we are criticized, we feel like we are the only ones who "get caught" or who are singled out for whatever we are being accused of. We also feel like we are being held to a higher level. But if you are truly being held to a higher level - in my experience this is usually a COMPLIMENT, not a negative. The attending knows you are beyond the level of a normal resident and is challenging you to get better. Not all residents are treated the same because truly not all residents are equal. Those with promise often get harsher treatment at times.

Now, if you are truly being called "stupid" then that is inappropriate. But if it's "you can do a better job than this," or "you should be better prepared," then that is not inappropriate and most of us have encountered that at some point.

As serious an issue as racism is, it is vitally important to only consider it as a factor when it really is an actual factor. Otherwise, it trivializes the whole concept, which is a shame. If I was in the position of being criticized for job performance or whatever, the very first thing I would do is ask myself whether the criticisms have merit and whether I can be doing a better job. More often than not, the answer is yes. And if not, there will always be attendings for whom certain personality styles do not gel. The difficulty is in determining whether these conflicts are due to personality conflicts or different styles or whether they are due to outright bias or prejudice. The latter is distinctly more uncommon than the former.

In my experience as a white american, english speaking graduate of an allopathic med school, the most prejudice I see from an attending level is directed towards foreign graduates, generally those with a problem with the english language or american culture. Outright racial prejudice I have only rarely witnessed, and that was generally from patients, not physicians.
 
almost every resident feels this at various points during their residency. This is part of being human - when we are criticized, we feel like we are the only ones who "get caught" or who are singled out for whatever we are being accused of.

In my experience as a white american, english speaking graduate of an allopathic med school, the most prejudice I see from an attending level is directed towards foreign graduates, generally those with a problem with the english language or american culture. Outright racial prejudice I have only rarely witnessed, and that was generally from patients, not physicians.

True-this is part of being a resident, but when you are the scapegoat almost every time despite crossing yout t's and dotting your i's, you cannot help but wonder "why me". If you have noticed a similar pattern throughout the years in your department with people of a different ethnicity/background/culture being ridden-despite being good residents, then what conclusion do you draw?




If you have never been discriminated against growing up, how would you know what to look for? Racism doesnt have to be overt and in your face. It can be subtle and hard to recognize if you havent been on the receiving end.

That being said, you cant toss the term racism around without consequences or retribution. The way to beat it is tolerance because as mentioned in another thread ("getting fired") you have little recourse and power as a resident to change things. When you become staff, you can set an example by treating your residents well. Until then, it should be "yes sir, yes ma'am, please and thank you".
 
Fair enough. Although I could counter that with, "How are you sure it's discrimination?" Discrimination, conversely, is very easy to recognize if you are looking for it everywhere. I agree though that the way to beat it is to be tolerant yourself, as well as confident and hard working. The isolated racist will have a more difficult time of making your life miserable or marginalizing you if you aren't a problem to anyone else, and if you don't give them much reason to treat you that way.
 
I think I agree with the idea of soft, gentle deflection of predjudice/hostility/scapegoat-ness.

It's the Ghandi principle or the MLK idea. I know that when someone is trying to bait me and I react, then I lose the battle. If I am detached and soft, gentle and un-reactive then I survive the war and the battle.

Someone above posted about surviving and then thriving after a brutal residency. It can be done. And what is predjudice? it can be any race or gender or sexual preference, it can just be a poor group dynamic.

Don't react; be calm and professional at all times. Be gentle and even - loving. What I mean is, like the old idea of praying for those you dislike. It is a great skill to learn, and it will come in very handy as you move through residency and into practice. People usually stop bothering you if you don't respond in a gratifying way. Sometimes, they even begin to respect you. 🙂
 
Fair enough. Although I could counter that with, "How are you sure it's discrimination?" Discrimination, conversely, is very easy to recognize if you are looking for it everywhere. I agree though that the way to beat it is to be tolerant yourself, as well as confident and hard working. The isolated racist will have a more difficult time of making your life miserable or marginalizing you if you aren't a problem to anyone else, and if you don't give them much reason to treat you that way.
I once thought as you do. Until, on my first intern rotation, I was called to meet with an attending 3 days into the rotation and told I was "not fitting in with the residents...had all the wrong motivations to be a doc...didn't have the stamina to be a resident...probably shouldn't be here...get out while you can...I'm just trying to be supportive of you... I [the attending] am burned out in my career and I'm only 35, and you're a couple of years older than I am, I just don't see how you can do it."

Innocent enough words, and easily ignored for those who are by nature lacking in guile. I had what I thought was a reasonable conversation refuting what was said, and thought that was the end of it. Later I heard this same crock of crap from the recently anointed PD, as did every other resident in this program over the ripe old age of 35, all of whom were selectees.

It wasn't until years later, when I was having lunch with a good friend who is a very well respected labor lawyer and I recounted this conversation with him. His comment: They aren't usually that blatant. It's usually far more subtle. I had my snoops look at the program the next year and found that all the new residents were fresh young things. I guess they were easier to housebreak as housestaff than the old dogs.
 
I think I agree with the idea of soft, gentle deflection of predjudice/hostility/scapegoat-ness.

It's the Ghandi principle or the MLK idea. .....If I am detached and soft, gentle and un-reactive then I survive the war and the battle.

Yes it worked for MLK and Ghandi, and by "worked" I mean got them both asssassinated.

Personally I never have been and never plan to be anyones punching bag, verbally or otherwise. IF they can punch me out, thats the way it is - but I did not learn to let myself be a punching bag without a fight. Gets me in a lot of trouble but...... I may go down, and have gone down before, but when I went down nobody was calling me Pu**y or coward. I think a person can only take it so long without losing self respect
 
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I brought the tape recorder idea up a long time ago right after joining here and it was one of the first things people attacked me over - its a sensitive issue.

It has saved my butt several times and provided lots of laughs. I have always lived in a state in which its legal for me to record. Twice it helped me when I owned businesses - once against a rabid employee, and once against a patient who threatened malpractice if I did not drop their bill.

I have taught public school a few years and its helped me there also. I had a student tell me in class they were going to punch me in the face, which I got on tape. This school had some problems - a parent got stabbed in the parking lot during school hours by a student, a couple of gun incidents, several 5 or 10 on 1 fights etc. While waiting for security I told them not to move, or if they moved a muscle I would take them down hard - I am not big, but at 6'1" 210, with a 365 LB free weight bench press, 6th degree black belt, having appeared in virtually every martial arts magazine in the USA,certified law enforcement trainer, 2 times state martial arts champion, one time state wrestling champion, with a few years of working bar security I would not want to take a minor down without something to substantiate why I acted that way - valid threat, cannot retreat due to my obligation for the security of other students, etc.

Can you imagine how that would look in court? : Me taking as minor student down hard, if the prosecuting attorney painted me to look like some sort of trained killer maliciously attacking some sweet innocent student heck no.... I don't plan on letting some attorney play their little games of twisting facts.

I played the tape for security and they were expelled. Luckily for everyone the student froze and did not move, as I certainly would have made sure they were not a threat to other students or to myself - I just don't plan on being peoples punching bags.
 
Yes it worked for MLK and Ghandi, and by "worked" I mean got them both asssassinated.

Personally I never have been and never plan to be anyones punching bag, verbally or otherwise. IF they can punch me out, thats the way it is - but I did not learn to let myself be a punching bag without a fight. Gets me in a lot of trouble but...... I may go down, and have gone down before, but when I went down nobody was calling me Pu**y or coward. I think a person can only take it so long without losing self respect

This is actually an attitude physicians need to learn more during training. There seems to be a culture of sheep/goat compliance during medical training that is quite frankly disgusting at times. Did nobody read the part where OP said the attending makes "black white" comments? In any other setting, this would be grounds enough for suspension if found to be true. Most people whom are abused typically turn arround and abuse others, and there is no better example of this than medicine. Now what is the end product? When physicians are faced with issues that require standing up against authority to fight for their rights(malpractice, government cuts, residents work conditions, midlevel encroachment etc.) you look arround and realize no one has the balls to fight because the training teaches you to bend over and take it.
 
I have this Racist Attending that every time I have to work with him, he makes personal comments ( I am black and he is white ) i am sick of this . I am working extremely hard like most of doctors on here but this is getting out of hand , he will get upset with me only.. no matter what I do , he is not happy and i detest working with him. i could work 18 hour shift and do everything right and double check all my work.. but if he on then I am in trouble,, he is rude and racist.

i am scared even to bring this up with the program director because I know that he is well placed in the hospital and I will only get into more trouble..

WHAT DO I DO ?.. ( I don't want this as*** ruin this for me,. I have worked very hard to get here !.. ) 🙁😡

any advise would be appreciated.. has anyone gone thru this ??

arleen

I guess that it really is easy pulling the race card, and it is certainly possible that your attending has discriminatory thoughts against blacks (if not likely), however, I think that you need to consider whether or not there is ANY truth to his statements. I know that you're working hard, but is there any possibility that your work is sub-par? Are you missing important diagnoses, are you inefficient relative to your peers (you said that you had to stay 5 hours later than your colleagues one night-- why did they get their work done so much earlier? Is this a frequent occurrence?), is your fund of knowledge insufficient?

He might not like you partially for reasons of race, but he might dislike you for reasons greater than that-- he might dislike you more because he thinks that you're not the resident that he thinks you could be. And he might not be the kind of warm, fuzzy attending who wants to reach out and help you improve. That's up to you.
 
To th OP,when you are working under someone who is just plain rude and mean. You can't scream or shout at them, complaining usually doesnt work. So what can you do? Sarcasm! It's the best defense of down-trodden folk.
Sarcasm is always done with a smile and laugh and is a subtle art.
EX:
Attending: With hair like that I would........etc

YOu: "HAHAHA, Yeah I would pull me out too! Yeah but maybe if you came with me they would let me go! With all your local buddies (read=rednecks or hill billy) I would have no problem."

Notice you haven't said anything direct or mean/rude. It takes time to come up with answers like this on the fly, but you will get used to it. And trust me when i say that people are taken aback and don't know what to say. But remember, don't ever let them see that it affected to you. Always smile and be glib. I know it sucks, but you will survive. And NEVER say anything that can be used as verbal proof against you that! These are bullies, on the street you would clobber them ( I do), but in the hospital you can only be sugary sweet and poisonous!

DISCLAIMER: This does not work in any situation. Use with caution. The bully is missing stuff in his life, you are not. Make more friends in the program, outside hospital etc to help vent steam. 🙂
 
Or ignore him and use the anger to increase your bench at the gym. Use the negative and turn it into positive. U will look and feel better and the attending will be providing you with fuel!
 
Personally I never have been and never plan to be anyones punching bag, verbally or otherwise. IF they can punch me out, thats the way it is - but I did not learn to let myself be a punching bag without a fight. Gets me in a lot of trouble but...... I may go down, and have gone down before, but when I went down nobody was calling me Pu**y or coward. I think a person can only take it so long without losing self respect

Doowai said:
I am not big, but at 6'1" 210, with a 365 LB free weight bench press, 6th degree black belt, having appeared in virtually every martial arts magazine in the USA,certified law enforcement trainer, 2 times state martial arts champion, one time state wrestling champion, with a few years of working bar security.
Oh, I'm willing to bet that your strategy for dealing with verbal abuse would be a bit different if you were a foot shorter and 100 pounds lighter with no martial arts training, my friend. Fortunately for those of us without the wherewithal to fight fire with fire, fighting fire with water can work, too. 🙂
 
Oh, I'm willing to bet that your strategy for dealing with verbal abuse would be a bit different if you were a foot shorter and 100 pounds lighter with no martial arts training, my friend. Fortunately for those of us without the wherewithal to fight fire with fire, fighting fire with water can work, too. 🙂

I don't think so. Considering my mom gave me a girls name, and was VERY unathletic in grade school I took alot of ass kickings, got held down and spit on , had a pencil stuck in my neck,thrown down stairs etc etc etc by alot of older kids. My least favorite was getting punched in the stomach - that cramping pain where you can't breathe - seriously I liked getting kicked in the balls better than being punched in the stomach. There was this one older douche in the neighborhood who is now a osteopath, he was a mutant mix of body hair, muscle and testosterone at an early age.

I fought back and got beat down numerous times - until I bought a weight set, started wrestling and martial arts and became very athletic myself around 7th grade. I did not take up martial arts because of a natural proclivity to it - I started because everyone in my house/family, neighborhood and school took great delight in kicking my ass until I could keep them from doing it. No, I would fight back.... even if the only foreseeable outcome was getting beat up and laughed at. In my 20's when I did bar security on a few occassions I was outnumbered 2 or 3 to one, uncertain of how it would go, and although I mostly came out winner I also took my fair share of shots and the next day enjoyed a variety of contusions in deepening colors. Never lost a tooth, never got stabbed and never got hit in the head from behind with a baseball bat though

I guess if I would continue your metaphor I would not recommend they fight fire with fire or water, but with gasoline and let the racist perish in their own flames. In their case I might act like I truthfully enjoyed their comments (making sure nothing I did to encourage them could be heard on tape - silently smiling nodding, giving them the thumbs-up sign and "laughing" without making any real noise), encouraging them to go on and hopefully even grow bolder in the things they say- while recording it, - then use it to try and end the racist comments. But at least know you value myself enough to know you did not just lay down and take it -
Its just my opinion but if you can't or won't leave the situation I think you have to try and change it.
 
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no one has the balls to fight because the training teaches you to bend over and take it.

This will never change unless residents get a lobby group or a union. People have accepted taking it in the arse because the few that do have the balls to fight get a nasty little surprise. Some areas of medicine are extremely close knit like the surgical subspecialties. It doenst take more than a couple of phone calls from an attending that youve pissed off to ruin your career. If you get labeled as an instigator and a troublesome resident, programs will be reluctant to pick you up. That is why residents have learned to take it up the arse.

Do I like fighting fire with fire, agression with aggression. Heck yeah! Instant gratification. Nothing NOTHING will make me happier than to see these a-holes burn in thier own flames knowing that I made it happen. But think about what youre doing. You are going up against a machine that has meticulous documentation, paper trails and lawyers. You will lose playing thier game, so you have to play YOUR game. Its all about Machiavellian politics. Kissing a little ass, influencing others, making sure ancillary staff like you. Thats how you stay alive.

ps. bring plenty of lube
 
This will never change unless residents get a lobby group or a union. People have accepted taking it in the arse because the few that do have the balls to fight get a nasty little surprise. Some areas of medicine are extremely close knit like the surgical subspecialties. It doenst take more than a couple of phone calls from an attending that youve pissed off to ruin your career. If you get labeled as an instigator and a troublesome resident, programs will be reluctant to pick you up. That is why residents have learned to take it up the arse.

Do I like fighting fire with fire, agression with aggression. Heck yeah! Instant gratification. Nothing NOTHING will make me happier than to see these a-holes burn in thier own flames knowing that I made it happen. But think about what youre doing. You are going up against a machine that has meticulous documentation, paper trails and lawyers. You will lose playing thier game, so you have to play YOUR game. Its all about Machiavellian politics. Kissing a little ass, influencing others, making sure ancillary staff like you. Thats how you stay alive.

ps. bring plenty of lube

Quite true.
 
Arleen,
I have thought. Go to your PD and complain about this SOB. Trust me. This crap will not go away and it will end up ruining all your nights. So, if are an average resident who pulls her own weight, then there is no issue. Just go to your PD and blast this dude. However be forewarned, you PD maybe less than amicable with your request. Thats what we get in residecy (i.e. slavery). Another thing to consider is that has this attending been in trouble with other residents. If he has, than its a lot easier to badmouth him. Otherwise, its going to be an uphill battle (unfortunately).
 
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