Inside French Surgical Culture: No Hierarchy, The Right to Disconnect

What if surgical training didn’t require fear, exhaustion, or constant availability?

In this episode of Surgeon, Interrupted, Frances Mei sits down with Paris-based neurosurgeon Dr. Samiya Abi Jaoude to explore how surgical culture in France differs radically from the U.S.—and what American medicine might learn from it.

They unpack the surprisingly flat hierarchy of French surgical training, where residents and attendings use first names, collaboration is the norm, and rigid power structures are less likely to enable bullying. Dr. Abi Jaoude also explains France’s legally protected “right to disconnect,” a cultural and institutional commitment that allows physicians to truly log off after hours—without penalty.

This conversation isn’t about romanticizing another system. It’s about asking harder questions:

What actually keeps surgeons safe, functional, and humane over a lifetime?

And what parts of American surgical culture are traditions—not necessities?

A candid, comparative look at hierarchy, boundaries, burnout, and what sustainable excellence could really look like in medicine.

Host: Frances Mei Hardin, MD

Guest: Samiya Abi Jaoude, MD, MSc

Connect with Samiya: @dr.samiya.abijaoude

Presented by: The Hippocratic Collective

Follow Frances Mei on Instagram & Tiktok @francesmeimd

And subscribe to ⁨@HippocraticCollective⁩ on Youtube for all of the other shows the Hippocratic Collective has to offer.