{
    "success": true,
    "data": {
        "id": 1716255,
        "msgid": "death-of-young-doctors-the-strength-of-supervision-culture-and-toxic-seniority-1777877585",
        "date": "2026-05-04 13:00:00",
        "title": "Death of Young Doctors: The Strength of Supervision Culture and Toxic Seniority",
        "author": "Ferril Dennys",
        "source": "KOMPAS",
        "tags": "",
        "topic": "Social Policy",
        "summary": "The article highlights the alarming rise in deaths, severe depression, and extreme burnout among young doctors and medical specialists in Indonesia, attributing these tragedies to structural failures in medical education and hospital management. It critiques the toxic culture of seniority and inadequate supervision that treats interns as cheap labour without proper legal protections, drawing on ILO guidelines and the concept of 'hidden curriculum' to underscore the normalisation of psychological violence and excessive workloads. This irony in healthcare institutions calls for urgent reforms to redefine intern rights and ensure humane working conditions.",
        "content": "<p>The medical profession is always framed in narratives of noble\ndedication and boundless sacrifice. However, behind this dedication lies\na dark reality that has increasingly claimed victims in recent times:\ndeaths, severe depression, and extreme burnout among interns and\nspecialist trainees. These tragedies affecting young doctors are not\nmere coincidences or normal physical fatigue that can be excused or\nnormalised. These incidents are the result of structural failures in our\nmedical education system and hospital governance. When healthcare\ninstitutions, which should be centres of healing, instead become spaces\nof exploitation, we are confronted with an irony of humanity that\nurgently demands serious critique. Legally and conceptually, we need to\nreposition the definition and rights of an intern worker in healthcare\nfacilities. Based on the International Labour Organization (ILO)\nguidelines on Decent Work, interns (apprentices\/interns) are individuals\nin a transitional phase from education to the professional world, where\ntheir basic rights must not be ignored. Unfortunately, in our medical\necosystem, young doctors are often treated merely as \u2018cheap labour\u2019 to\nfill shortages in hospital healthcare personnel, without adequate labour\nlaw protections. The roots of this exploitation are deeply embedded in a\ntoxic seniority culture that has taken hold. Medical education globally,\nincluding in Indonesia, is often overshadowed by what is known in the\nsociology of medical education as the hidden curriculum, a concept\npopularised by sociologist Frederic Hafferty (1998). In this unwritten\ncurriculum, practices of hazing, verbal bullying, and the imposition of\nworkloads beyond reasonable limits are passed down across generations\nunder the guise of \u2018mental formation\u2019. Such hierarchical structures make\npsychological violence seem normal, with seniors holding near-absolute\npower. As a result, medical interns are often forced to endure extreme\nfatigue\u2014even more than 30 hours of consecutive duty\u2014to ensure their\ngraduation. This oppressive hierarchical culture is further exacerbated\nby the poor clinical supervision system in the field.<\/p>",
        "url": "https:\/\/jawawa.id\/newsitem\/death-of-young-doctors-the-strength-of-supervision-culture-and-toxic-seniority-1777877585",
        "image": ""
    },
    "sponsor": "Okusi Associates",
    "sponsor_url": "https:\/\/okusiassociates.com"
}