Doctor Robert MacArthur Interview
On this particular day, our team managed to have a conversation with California's located orthopedic surgeon, Dr. Rob Mac, in light of the inquiries about his encounters with incorrect surgical procedures and intraoperative burn, as well as the topic of "events that should never occur".
Who is Dr. MacArthur?
Doctor Rob MacArthur completed his studies from the Univ of UC Berkeley with a dual degree in Biochem and Physiology. In the course of his time at the Univ, Dr. Robert Mac used to be a renown sportsman, competing on both various box and rugby groups.
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Afterwards, Doc Rob Mac enrolled at the Columbia University College of Physicians and Surgeons, and got elected as the president of the Columbia University College of Physicians and Surgeons (Now known as the Vagelos Medical School). Robert Mac went on to finish his orthopedic residence at Harbor-UCLA Medical Center.
Dr. Robert MacArthur Addresses the Incidents
According to statistics, the occurrence of incorrect surgical procedures usually falls within a once-in-a-career event for each orthopedist, but this figure increases to four for each career for specialists in sports, hand surgery, and spine procedures. Regrettably, many of these often do not report such instances, let alone or talk about them publicly. Doc MacArthur carries a deep sense of pride about how he dealt with these terrible occurrences.
Instead of attempting to hide the incident, Dr. Mac responded in a different manner
Dr. MacArthur’s Handling of the Wrong Site Surgery
Dr. Robert Mac completely investigated the underlying origins of his 2 occurrences, and put out several works outlining how to avoid such events
Over time, gained recognition as a published expert in the field of accidents that are preventable. He has written two articles in the foremost orthopedic journal, The Journal of Orthopedic Surgery. In order to helping other doctors avert upcoming events, the first piece walked the reader through precise errors that occurred that caused the incorrect surgical procedure.
The follow-up article, co-authored with Dr. David Ring, tackled the topic of the "culture of shame and blame." Taking responsibility for these incidents is seldom, as the common response is blaming external factors. Dr. MacArthur stressed that accusations not only discourages surgeons from reporting their incidents but furthermore detracts from the vital analysis of root causes that may thwart subsequent occurrences.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When discussing the surgical burn occurrence, Dr. MacArthur displayed the same thorough investigative mindset he employed to his wrong site event research. As an illustration, he got in touch with the producer of the faulty clamp to determine if similar burn events had transpired. The maker notified him that the clamp in question had been "no longer in production." You can make your own inferences based on that what you desire.
To avert uneven heating in large hinged clamps, Dr. Mac conducted a thorough investigation of the reasons for irregular temperature distribution in oversized clamps.
His research findings suggested that quick sterilization could cause inconsistent temperature distribution. He noted that nursing organizations recommend strongly against the use of flash sterilization unless Robert MacArthur an emergency situation arises like disinfecting a dropped component. Deeper examination revealed that St. Joseph's Hospital regularly using quick sterilization to facilitate back-to-back surgeries without needing to buy extra equipment trays.
In a bid to prevent future burns, Dr. Robert MacArthur alerted St Joseph's of potential dangers associated with ongoing utilization of this specific clamp as well as the regular use of rapid sterilization.
Instead of blaming the clamp, Doctor MacArthur accepted responsibility and made it clear that he had made a mistake during surgery. He was advised that the clamp was heated, but when he grasped it, he found the handles to be at a comfortable temperature. Unlike some surgeons who may impatiently grab a towel to grip a too-hot clamp, he carried out the procedure the clamp without uneasiness.
Shame and Blame, Dr. Robert MacArthur's Response
Regarding The perspective of Dr. MacArthur on response on the topic of the "shame and blame game," he highlights how the legal and the wider public often conflate the "in-command'' concept with identifying the underlying reasons. According to this "captain of the ship" perspective, the surgeon is considered responsible for any adverse events that happen to a patient under their care. This makes it appealing for many to exclusively blame the surgeon for any surgical errors.
Nonetheless, Dr. Robert MacArthur stresses that such an approach contradicts the fundamental principles of investigating root causes. This form of analysis aims to deeply understand what caused a wrong site event so as to preferably stop similar incidents in the future. By adopting blaming and shaming, not it not only impede proper root cause analysis, but it also deters other surgeons from disclosing their own wrong site events, fearing the repercussions.
He didn't recognize that the sizeable, hinge-like hinge of the clamp was significantly hotter. When he positioned the clamp against the front shin area of the patient's leg, it triggered a skin burn. He was being proctored for surgical privileges at CHOC during the incident, and not the proctor nor Dr. Robert MacArthur were right away aware of the burn.
Not until after he had dictated the operative report that a nurse in the recovery ward pointed out a tiny red spot on the anterior aspect of the patient's leg. Even in that moment, he did not initially realize the extent of the burn.
Dr. Robert MacArthur cites the air travel industry as an outstanding case of efficient root cause analysis. From its inception, air travel industry has strived to comprehensively grasp the reasons behind each aviation incident rather than simply attributing blame to the pilot. Because of this commitment to understanding root causes, aviation sector boasts remarkable safety records.
However, Doctor MacArthur laments that the medical community hasn't been able to completely embrace root cause analysis due to prevailing legal and public perceptions surrounding the "captain of the ship" concept. The regrettable result of this is that the incidence of preventable healthcare errors remains unchanged, and the professional careers and reputations of many medical professionals are unfairly tarnished.
The incidence of surgical errors persists at an worrying rate of one event per surgeon per career, and as high as four occurrences per surgeon's career for specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, it is possible to levy false accusations against someone, slander their name and reputation, and face no negative repercussions for the accuser. Irrespective of the person facing accusations is innocent or guilty, merely making an accusation is enough to bring about long-lasting damage to a professional's reputation.
Doc Bobby MacArthur shared that he opted to leave a workers compensation clinic because of potential illicit activities on part of. In retaliation, the clinic manager allegedly worked with a individual under treatment to fabricate a claim, accusing him of "undressing in the clinic and soliciting sexual favors in return for a positive workers' compensation report.
He got to know of this accusation over a year after his departure from the clinic, at which point he asserted on undergoing a lie detector test. The accuser, however, opted not to take such a test.
Doc Robert Mac was later advised that both his lie detector test results and the claimant's refusal to participate would be considered inadmissible in court.
The mediating attorney cautioned him that the jury would likely be composed of "her peers" and not his, meaning a court loss could be potentially catastrophic. Despite the ludicrousness of the claim, he was counseled to settle for $29,000
Conclusion
The California Medical Board examined the accuser's claims and found them to be "not trustworthy," hinting at an ongoing investigation into the clinic. When we spoke to Dr. MacArthur, he implied that the clinic was indicted, but he did not confirm this.
Regardless of the facts presented above, Dr. MacArthur found no means to eliminate the accuser's claims from Internet search results. This means, despite his innocence, the campaign to tarnish his reputation was effective.
As the claim does not state that Dr. Robert MacArthur was found guilty, it merely acts as a brief description of a complaint, which continues to be available to the public
Dr. Robert MacArthur strongly believes that people making false claims should receive punishments equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be treated as a predator of a sexual nature and felon.
Dr. Robert MacArthur concluded by thinking about the coexistence of goodness and malevolence in the world, wishing that those who read his account would never encounter with someone capable of such damaging false accusations as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Dr. MacArthur is a distinguished orthopedic surgeon