Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

A physician was fired for standing up for his beliefs

Jamie Katuna
Policy
June 17, 2018
Share
Tweet
Share

Dr. Eugene Gu. He is — was — a surgical resident at Vanderbilt University. His resume exemplifies academic perfection: valedictorian in high school, undergraduate degree from Stanford, medical degree from Duke, surgical residency at Vanderbilt. He also founded his own research company. Not once throughout the span of his academic or professional career would one have any reason question his capability or competency. But several weeks ago Vanderbilt fired him, citing “performance” issues.

Why?

Because Eugene is an outspoken advocate for social equity. And there seems to be no place for that in the authoritarian, monotonous, uninspiring world of medicine.

Medicine functions on tradition. It has been said that progress in health care moves “as fast as molasses,” and Eugene’s situation epitomizes why this is the case. A young surgeon who embraces advocacy, critiques a harmful president, and fights for his right to advance scientific knowledge should be celebrated, not silenced. (Eugene’s research involves using stem cells to grow organs in vitro to then transplant into newborns with organ failure. In Tennessee, where Vanderbilt is located, the use of stem cells is controversial so his research was halted. He contested that it has potential to save lives and that he has a right to continue.)

Physicians should be leaders in public discourse and public health. It is our duty to advocate for policies and support the people who improve our nation’s health; and to criticize policies and condemn the people who harm our nation’s health. That is the role Eugene accepted, and he was punished for it. He spoke up against racism and sexism and various other prejudices — constructs which have been shown repeatedly to harm the health of those who experience them. He publicly condemned Donald Trump. He fought for his right to conduct lifesaving research. However, the fear-based, hierarchical world of medicine did not praise or promote him for his efforts — they fired him. The message reverberated to all of us in health care who care about changing the status quo: Either get in line or get out.

I have faced backlash already simply for associating with Eugene. Imagine that: By acknowledging he is my friend and saying I support him, I am in dangerous territory. I have not done stem cell research, I have not filed a lawsuit against the president, I have not spoken out against my institution’s wishes. But the fear within health care is so pervasive that by supporting someone who has done these things, I receive warnings. One person wrote to me: “You should not be involved in controversial topics this extreme. Just a well-wisher’s advice.”

Here’s what is controversial: Physicians are silenced. They are incapable of expressing their views from within the system, even when those views pertain to public health advocacy. Physicians are expected to be assembly-line workers who keep their mouths closed, who do as they are told, who do not rock the boat. Individuality is removed piece-by-piece from brilliant young minds until they are reduced to machinelike robots operating under fear-mongering tactics like “professionalism.”

Eugene’s behavior is not inherently problematic. It stands out because in a strict culture where conformity was mandated of him, he refused. When he was in hot water with his research, we spoke about his unwillingness to conform and the pressures imposed upon him.

Here’s what he told me.

A conversation I had with Eugene when his research was being threatened.

His behavior is not antagonistic, it’s heroic. He doesn’t battle states or institutions or presidents for attention, as his detractors would say; he battles them because he stands for what he believes in. He has values. He has a moral compass and is courageous enough to advocate for what he thinks is right and to condemn what he thinks is wrong.

We shouldn’t be scared to associate with Eugene. Rather, we should learn from him. We should promote him, be inspired by him, and become an spokesperson for what we believe in — just like he has done.

By firing him, the culture of medicine let us down. It reinforces the notion that if we are to advocate for what we believe in, we will be punished and ostracized; and if we conform, we will be rewarded. But conformity to a healthcare system that produces high rates of suicide, depression, substance abuse, anxiety, and disillusion among physicians is illogical and unsafe. Refusing to conform, insisting on maintaining our identities, and standing up for what we believe in — behaviors Eugene has demonstrated — are ways we will transform the culture of medicine.

I appreciate you, Eugene. On behalf of those in medicine who want to overhaul the status quo, thank you.

Jamie Katuna is a medical student.  She can be reached at her self-titled site, Jamie Katuna, and on Facebook.

ADVERTISEMENT

Image credit: Jamie Katuna

Prev

Call suicide by what it is: the cause of death

June 17, 2018 Kevin 1
…
Next

It's time to create the safety net by normalizing psychiatric care

June 17, 2018 Kevin 1
…

Tagged as: Public Health & Policy

Post navigation

< Previous Post
Call suicide by what it is: the cause of death
Next Post >
It's time to create the safety net by normalizing psychiatric care

ADVERTISEMENT

More by Jamie Katuna

  • How to spark the attention of patients

    Jamie Katuna
  • How to foster and encourage genuine, curious learning in a medical student

    Jamie Katuna
  • While managing her schedule, a medical student learns 2 important concepts

    Jamie Katuna

Related Posts

  • Why this physician teaches health policy in medical school

    Kenneth Lin, MD
  • Why health care replaced physician care

    Michael Weiss, MD
  • Health care needs more physician CEOs

    Alexi Nazem, MD
  • A physician’s addiction to social media

    Amanda Xi, MD
  • Why this physician supports Medicare for all

    Thad Salmon, MD
  • An American physician in Sweden. Here’s what he thought about its health care.

    Richard Young, MD

More in Policy

  • Healing the doctor-patient relationship by attacking administrative inefficiencies

    Allen Fredrickson
  • The hidden health risks in the One Big Beautiful Bill Act

    Trevor Lyford, MPH
  • The CDC’s restructuring: Where is the voice of health care in the room?

    Tarek Khrisat, MD
  • Choosing between care and country: a dual citizen’s Independence Day reflection

    Kathleen Muldoon, PhD
  • How fragmented records and poor tracking degrade patient outcomes

    Michael R. McGuire
  • U.S. health care leadership must prepare for policy-driven change

    Lee Scheinbart, MD
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast
    • From stigma to science: Rethinking the U.S. drug scheduling system

      Artin Asadipooya | Meds
    • The gift we keep giving: How medicine demands everything—even our holidays

      Tomi Mitchell, MD | Physician
    • The promise and perils of AI in health care: Why we need better testing standards

      Max Rollwage, PhD | Tech
    • From burnout to balance: a neurosurgeon’s bold career redesign

      Jessie Mahoney, MD | Physician
    • Healing the doctor-patient relationship by attacking administrative inefficiencies

      Allen Fredrickson | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 24 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • How community paramedicine impacts Indigenous elders

      Noah Weinberg | Conditions
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • How medical culture hides burnout in plain sight

      Marco Benítez | Conditions
  • Recent Posts

    • From Founding Fathers to modern battles: physician activism in a politicized era [PODCAST]

      The Podcast by KevinMD | Podcast
    • From stigma to science: Rethinking the U.S. drug scheduling system

      Artin Asadipooya | Meds
    • The gift we keep giving: How medicine demands everything—even our holidays

      Tomi Mitchell, MD | Physician
    • The promise and perils of AI in health care: Why we need better testing standards

      Max Rollwage, PhD | Tech
    • From burnout to balance: a neurosurgeon’s bold career redesign

      Jessie Mahoney, MD | Physician
    • Healing the doctor-patient relationship by attacking administrative inefficiencies

      Allen Fredrickson | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

A physician was fired for standing up for his beliefs
24 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...