Doctor Robert MacArthur Interview
Today, our group were able to interview Californian based orthopedic surgeon, Doctor Bobby Mac, in light of numerous queries about his personal experiences with surgical errors and burns during surgery, as well as a topic of "never should happen events".
Who is Dr. MacArthur?
Dr. Bobby MacArthur completed his studies from the University of UC Berkeley with a double major in Biochemistry and Physiology. Throughout his time at the Univ, Doctor Bobby Mac was a renowned athlete, participating on both several box and Rugby teams.
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Subsequently, Doctor Robert Mac entered at the Columbia P&S, and became the chosen leader of the Columbia P&S (Now known as the Vagelos school of medicine). Robert Mac went on to finish his orthopaedic residence at Harbor UCLA.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the frequency of incorrect surgical procedures tends to be a seldom happening occurrence for every orthopedic surgeon, but this number increases to fourfold for each career for specialists in sports, hand surgery, and spine procedures. Sadly, numerous of these frequently do not document such instances, let alone or address them openly. Doc MacArthur carries a profound sense of pride and accomplishment about how he confronted these unfortunate occurrences.
Instead of seeking to cover up the incident, Doctor Mac handled it differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Rob MacArthur thoroughly looked into the underlying causal factors of his dual events, and put out several works detailing how to prevent these occurrences
He eventually, earned acclaim as a recognized specialist in the field of accidents that can be avoided. He has written 2 articles in the foremost orthopedic journal, The Journal of Orthopedic Surgeons at the American Academy. With the aim of helping other doctors avert upcoming events, the first piece led the reader through precise errors that occurred that led to the wrong site event.
His second publication, co-authored with Dr. David Ring, the Chairman of the AAOS, broached the topic of the "culture of shame and blame." Being accountable for these incidents is rare, as the tempting course of action is pointing fingers at other parties. Dr. MacArthur stressed that shifting blame not only prevents surgeons from disclosing their incidents but furthermore detracts from the crucial analysis of primary reasons that could potentially thwart subsequent occurrences.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the incident of burns during surgery, Dr. Robert MacArthur exhibited the same investigative vigor he utilized to his wrong site event research. To illustrate, he contacted the maker of the faulty clamp to determine if similar burn events had happened. 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 wish.
And to prevent uneven heating in massive hinged clamps, Doctor Mac performed a comprehensive investigation of the reasons for irregular temperature distribution in oversized clamps.
His findings indicated that rapid sterilization could result in irregular sterilization. He observed that associations for nurses strongly advise against the use of quick sterilization unless there's an urgent need like sanitizing a item that has fallen. Additional investigation revealed that the hospital at St. Joseph's regularly utilizing quick sterilization to ease back-to-back surgeries without the necessity to buy extra equipment trays.
With the aim to stop further burns, Doctor MacArthur notified the hospital at St. Joseph's of the risks associated with ongoing utilization of this particular clamp and the frequent application of rapid sterilization.
In place of blaming the clamp, Doctor MacArthur took responsibility and made it clear that he had committed a surgical mistake. He was notified that the clamp had a high temperature, but when he took hold of it, he found the handles to be at a comfortable temperature. In contrast to some surgeons who might impatiently use a towel to grip a too-hot clamp, he performed surgery the clamp with no discomfort.
Shame and Blame, Dr. Robert MacArthur's Response
When discussing Doctor MacArthur's response on the topic of the "blame game," he spotlights how the legal and public communities often conflate the "captain of the ship'' concept with analyzing the fundamental causes. According to this "captain of the ship" perspective, the surgeon is considered responsible for any negative occurrences that take place to a patient under their Dr. Robert MacArthur care. This makes it enticing for many to solely blame the surgeon for any incorrect surgical procedure.
Nevertheless, Dr. Robert MacArthur stresses that this method goes against the fundamental principles of identifying underlying causes. This form of analysis strives to thoroughly comprehend what caused a wrong site event in order to ideally stop similar incidents in the future. By adopting blaming and shaming, not it not just impede proper analysis of the root causes, but it furthermore deters other surgeons from reporting on their individual wrong site events, afraid of the repercussions.
He didn't recognize that the sizeable, substantial-sized hinge of the clamp was noticeably 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 case privileges at the CHOC Hospital during the incident, and neither the proctor nor Doctor MacArthur were immediately aware of the burn.
It wasn't after he had dictated the operative report that a recovery room nurse noticed a small red area on the anterior aspect of the patient's leg. Even then, he did not at first fully grasp the extent of the burn.
Dr. Robert MacArthur references the aviation sector as an model case of effective root cause analysis. From its inception, aviation sector has sought to comprehensively grasp the reasons behind each negative aviation occurrence rather than just blaming to the pilot. Because of this focus on understanding root causes, the airline industry boasts remarkable safety records.
However, Dr. Robert MacArthur laments that healthcare field hasn't been successful in fully implementing root cause analysis due to prevailing legal and public perceptions surrounding the "in-command" concept. The unfortunate outcome of this is that the rate of preventable medical errors remains unchanged, and the careers and reputations of many healthcare practitioners are undeservedly tarnished.
The incidence of surgical errors persists at an alarming rate of one event per surgeon per career, and up to four events per surgeon's career for specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
As of 2023, it is possible to levy false accusations against someone, smear their name and reputation, and have no negative repercussions for the accuser. Regardless if the person facing accusations is innocent or guilty, just making an allegation is enough to cause long-lasting damage to a professional's reputation.
Doctor Robert MacArthur disclosed that he elected to leave a clinic specializing in workers' compensation cases because of potential illicit activities on part of. In retaliation, the clinic's manager allegedly worked with a client to create a fictitious complaint, accusing him of "undressing in the clinic and soliciting sexual favors in return for a positive workers' compensation report.
He received information of this accusation over a year after his departure from the clinic, at which point he insisted on undergoing a lie detector test. The accuser, however, refused to take such a test.
Dr. Bobby Mac was later advised that both his lie detector test results and her refusal to participate would be regarded 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 extremely detrimental. Despite the absurdity of the claim, he was counseled to settle for $29,000
Conclusion
The Medical Board of California 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 officially state this.
Regardless of the facts presented above, Dr. Robert MacArthur found no means to remove the accuser's claims from search engine results. Consequently, despite his clear conscience, the slander campaign was achieving its goal.
Since the claim does not state that Dr. Robert MacArthur was found guilty, it merely serves as a condensed version of a complaint, which continues to be available to the public
Dr. Robert MacArthur strongly believes that those who make baseless allegations should be subject to consequences equivalent to the consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be treated as a sexual predator and felon.
Dr. Robert MacArthur concluded by reflecting on the existence of both good and evil in the world, wishing that those who read his account would never cross paths with someone capable of such harmful baseless allegations as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
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