“They consequently ‘create a cycle of abuse in which residents who endure bullying become supervisors who reciprocate this behavior upon the next generation of residents.’” – The Vicious Cycle of Bullying, “Hospital Bullies in the Philippines Clerkship and Residency Training”

 

Many people have faced various forms of bullying. Like in the corporate setting, the toxic behavior at the top inevitably filters down, devouring those at the bottom who can't fight back. Many felt its sting firsthand and dared to challenge the status quo. It’s a case of “you either quit them or become one of them.”  Bullying is not only confined to the office—it also happens in hospitals, schools, relationships, friendships, and even family. Erwin L. Manzano, M.D. “Hospital Bullies in the Philippines Clerkship and Residency Training” is an insightful and courageous examination of a deeply ingrained issue within the Philippine medical training system. It sheds light on the dark and often ignored corners of the medical training environment in the Philippines. This volume zeroes in on the systemic issues and failures of leadership that allow such toxic behavior to persist.

 

The book’s aim is clear: to spotlight and address the incompetence of hospital leaders and consultants who have either failed to foster positive relationships between trainees and mentors or have neglected to uphold discipline against bully physicians. Manzano doesn’t just highlight the problems; he offers a beacon of hope for those who might be feeling overshadowed or mistreated. His goal? Empower these individuals to stand up for themselves and advocate for a better training environment. He calls for a return to the Hippocratic Oath’s fundamental principles—especially the non-maleficence (do no harm)—urging his colleagues to heal themselves from within before attempting to lead others.

 

The book doesn’t just criticize—it’s a call for reform. It’s about inspiring change and improving the system rather than perpetuating negativity. If you’re navigating the rough seas of medical training, and want a dose of motivation and a clearer perspective, this volume could be your guide to finding strength and clarity amidst the chaos and can help you overcome obstacles. “Hospital Bullies in the Philippines Clerkship and Residency Training” by Erwin L. Manzano is a must-read. A must for those who are committed to fostering a healthier, more supportive environment for the next generation of healthcare professionals.