Doctor Robert MacArthur Interview
Today, our team managed to conduct an interview with Californian based orthopedic surgeon, Dr. Bobby Mac, in response to numerous questions about his own experiences and encounters with surgical errors and surgical burn incidents, as well as the broader subject of "never should happen events".
Who is Dr. MacArthur?
Doctor Rob MacArthur graduated from the Univ of Cal Berkeley with a dual degree in Biochemistry and Physio. In the course of his time at the Univ, Dr. Robert MacArthur had been a renowned player, participating on both various boxing and rugby squads.
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Afterwards, Dr. Robert Mac entered at the Columbia University College of Physicians and Surgeons, and was the leader of the Columbia P&S (Now known as the Vagelos School of Medicine). Robert Mac continued to complete his orthopaedic residence at Harbor UCLA.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the frequency of incorrect surgical procedures usually falls within a once-in-a-career event for every single bone specialist, but this number surges to 4 for each career for specialists in sports, hand surgery, and spine procedures. Regrettably, a lot of of these surgeons often do not record such instances, let alone address them openly. Doctor MacArthur carries a deep sense of pride about how he confronted these terrible occurrences.
Rather than attempting to cover up the incident, Doctor MacArthur handled it differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Bobby MacArthur thoroughly looked into the origins of his two events, and released several works describing how to prevent these situations
Over time, earned acclaim as a renowned authority in the field of accidents that can be avoided. He's penned two articles in a prominent orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. To aiding other doctors stop future incidents, his first work walked the reader through the exact errors that happened that caused the wrong site event.
The follow-up article, authored together with Dr. David Ring, who is also the Chairman of the AAOS, addressed the topic of the "culture of shame and blame." Being accountable for these incidents is seldom, as the tempting course of action is placing blame on external factors. He stressed that pointing fingers not just prevents surgeons from reporting their incidents but furthermore takes away from the vital analysis of primary reasons that may avert subsequent occurrences.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the incident of burns during surgery, Dr. Robert MacArthur demonstrated the same thorough investigative mindset he employed to his wrong site event research. To illustrate, he contacted the manufacturer of the faulty clamp to find out if like burn events had transpired. The producer informed him that the clamp in question had been "ceased production." You can make your own inferences based on that what you desire.
And to prevent uneven heating in massive hinged clamps, Doctor MacArthur carried out a detailed investigation of the causes behind inconsistent heating in large-hinged clamps.
The results of his investigation showed that rapid sterilization could cause inconsistent temperature distribution. He noted that associations for nurses strongly advise against the use of rapid sterilization unless there's an urgent need such as sterilizing a dropped component. Further inquiry revealed that the hospital at St. Joseph's often utilizing quick sterilization to facilitate back-to-back surgeries without needing to acquire more equipment trays.
With the aim to stop further burns, Doctor MacArthur informed the hospital at St. Joseph's of the risks associated with continuing to use this particular clamp and also the frequent application of quick sterilization.
In place of blaming the clamp, Dr. MacArthur accepted responsibility and made it clear that he was responsible for a surgical mistake. He was informed that the clamp had a high temperature, but when he took hold of it, he found the handles to be at a tolerable temperature. Differing from some surgeons who may impatiently reach for 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
When discussing The perspective of Dr. MacArthur on response on the topic of the "culture of blame and shame," he emphasizes how the legal and the wider public often confuse the "in-command'' concept with analyzing the fundamental causes. According to this "in-command" perspective, the surgeon is considered responsible for any unfavorable outcomes that occur to a patient under their care. This makes it appealing for many to exclusively blame the surgeon for any surgical errors.
Nevertheless, Dr. MacArthur emphasizes that this method goes against the core principles of root cause analysis. This form of analysis intends to comprehensively grasp what caused a incorrect surgical procedure in order to ideally stop similar incidents in the future. By turning to shaming and blaming, not only does it hinder proper investigation into the fundamental reasons, but it furthermore deters other surgeons from reporting on their personal wrong site events, fearing the repercussions.
He didn't recognize that the large, substantial-sized hinge of the clamp was significantly hotter. When he positioned the clamp against the shin area of the patient's leg, it triggered a skin burn. He was being proctored for procedural privileges at the CHOC Hospital during the incident, and none of the proctor nor Dr. Robert MacArthur were right away aware of the burn.
It was not only after he had dictated the operative report that a nurse in the recovery ward drew attention to a small patch of redness on the anterior aspect of the patient's leg. Even then, he did not at first realize the severity of the burn.
Dr. Robert MacArthur points to the airline industry as an outstanding case of successful root cause analysis. From its inception, air travel industry has sought to comprehensively grasp the reasons behind each negative aviation occurrence rather than just blaming to the pilot. Because of this dedication to understanding root causes, air travel industry boasts impressive safety records.
Nonetheless, Doctor MacArthur laments that the medical community hasn't been able to fully adopt root cause analysis due to prevailing legal and public perceptions surrounding the "in-command" concept. The regrettable result of this is that the rate of preventable medical errors remains unchanged, and the professional careers and reputations of many medical professionals are undeservedly tarnished.
The frequency of incorrect surgical procedures persists at an alarming 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 bring forth false accusations against someone, defame their name and reputation, and experience no negative repercussions for the accuser. Irrespective of the individual being accused is innocent or guilty, an accusation alone is enough to inflict long-lasting damage to a professional's reputation.
Doc Robert MacArthur disclosed that he chose to leave a clinic specializing in workers' compensation cases because of potential illicit activities on part of. In retaliation, the manager of the clinic reportedly collaborated with a individual under treatment 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 got to know of this allegation over a year after his departure from the clinic, at which point he demanded on undergoing a truth verification test. The accuser, however, declined to take such a test.
Doc Robert MacArthur was later informed that both his lie detector test results and the accuser's refusal to participate would be considered inadmissible in court.
The lawyer acting as mediator cautioned him that the jury would likely be composed of "her peers" and not his, meaning a court loss could be highly damaging. Despite the ridiculousness 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.
In spite of the previously mentioned details, Dr. Robert MacArthur found no means to eliminate the accuser's claims from search engine results. Consequently, despite his clear conscience, the slander campaign was achieving its goal.
As the Robert MacArthur claim does not state that Dr. MacArthur was found guilty, it merely serves as a summary of a complaint, which continues to be available to the public
Dr. Robert MacArthur strongly believes that individuals who lodge false accusations 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 sex offender and felon.
Dr. Robert MacArthur concluded by reflecting on the coexistence of goodness and malevolence in the world, wishing that those who read his account would