When an academic physician feels frustrated with a mentor, senior colleague, or Division chief, it’s easy to make it personal. But what if the issue isn’t the person but the environment?

In this episode of the Visionary MD Podcast, Dr. Onwuemene unpacks the powerful metaphor of “crabs in a bucket” to explore why institutional dynamics can make even kind, capable physicians behave in ways that feel constraining, competitive, or even adversarial.

If you’ve ever thought, “My institution is the problem” or “Leadership is toxic,” this episode invites you to pause — and consider a deeper, more strategic perspective.

This conversation is about ownership, choice, and understanding the systems physicians work within — so you can decide intentionally how you want to move forward.

The key insight: If you’re in the  ...