Doctor Robert MacArthur Interview
This Dr. Robert MacArthur day, our group managed to have a conversation with California's resident orthopedic surgeon, Doctor Rob Mac, in response to numerous questions about his encounters with incorrect surgical procedures and burns during surgery, as well as a area of "never should happen events".
Who is Dr. MacArthur?
Doctor Rob MacArthur graduated from the Univ of Cal Berkeley with a double major in Biochem and Physiology. In the course of his time at the University, Doc Bobby Mac used to be a renown sportsman, participating on both several box and Rugby squads.
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Afterwards, Doctor Robert Mac entered at the Columbia University College of Physicians and Surgeons, and became the president of the Columbia P&S (Now known as the Vagelos school of medicine). Robert MacArthur continued to finish his orthopaedic residency at Harbor University of California, Los Angeles.
Dr. Robert MacArthur Addresses the Incidents
According to statistics, the occurrence of wrong site surgery typically is a once-in-a-career event for every orthopedist, but this count increases to four per lifetime for experts specializing in sports, hand, and spine. Regrettably, numerous of these surgeons frequently do not report these cases, let alone address them openly. Dr. MacArthur carries a deep sense of pride about how he dealt with these unfortunate occurrences.
Instead of seeking to hide the situation, Dr. MacArthur handled it differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Rob Mac extensively examined the fundamental root causes of his 2 incidents, and put out several works detailing how to stop these occurrences
He eventually, gained recognition as a published expert in the field of preventable accidents. He has written 2 articles in a prominent orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. In order to helping other doctors stop future incidents, his initial article guided the reader through the exact errors that happened that caused the incorrect surgical procedure.
The follow-up article, jointly written with Dr. David Ring, tackled the topic of the "shame and blame game." Taking responsibility for these incidents is uncommon, as the common response is pointing fingers at other parties. Dr. MacArthur stressed that pointing fingers not merely prevents surgeons from reporting their incidents but also diverts from the vital analysis of underlying causes that could potentially prevent future incidents.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When discussing the intraoperative burn incident, Dr. MacArthur exhibited the same thorough investigative mindset he utilized to his research on wrong-site surgeries. For example, he got in touch with the manufacturer of the faulty clamp to ascertain if comparable burn events had transpired. The manufacturer informed him that the clamp in question had been "ceased production." You can infer from that what you desire.
And to prevent uneven heating in large hinged clamps, Doc Mac conducted a thorough investigation of the causes behind uneven heating in oversized clamps.
The results of his investigation showed that quick sterilization could result in uneven heating. He noted that nursing associations highly recommend against the use of rapid sterilization unless there's an urgent need such as disinfecting a fallen instrument. Additional investigation revealed that St. Joseph's Hospital regularly utilizing flash sterilization to enable back-to-back surgeries without having to purchase additional equipment trays.
In an effort to stop further burns, Dr. Robert MacArthur notified St. Joseph's of the hazards associated with the continued use of this particular clamp as well as the regular use of quick sterilization.
Rather than blaming the clamp, Doctor MacArthur took responsibility and made it clear that he was responsible for a surgical error. He was notified that the clamp was hot, but when he took hold of it, he found the handles to be at a comfortable temperature. Differing from some surgeons who may impatiently reach for a towel to grip a too-hot clamp, he performed surgery the clamp with no pain.
Shame and Blame, Dr. Robert MacArthur's Response
In Dr. MacArthur's response on the topic of the "shame and blame game," he emphasizes how the legal and general public communities often confuse the "in-command'' concept with identifying the underlying reasons. According to this "captain of the ship" perspective, the surgeon is held accountable for any unfavorable outcomes that occur to a patient under their care. This makes it tempting for many to only blame the surgeon for any surgical errors.
Nonetheless, Dr. MacArthur underscores that this method contradicts the fundamental principles of identifying underlying causes. This form of analysis strives to thoroughly comprehend what caused a wrong site event so as to optimaly avert similar incidents in the future. By resorting to blaming and shaming, not it not only hamper proper root cause analysis, but it additionally deters other surgeons from disclosing their personal 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 pretibial area of the patient's leg, it triggered a burn. At the time, he was proctored for procedural privileges at the CHOC Hospital during the incident, and none of the proctor nor Dr. Robert MacArthur were promptly aware of the burn.
It was not 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 at first comprehend the severity of the burn.
Dr. MacArthur cites the aviation sector as an outstanding case of successful root cause analysis. From its inception, the industry has sought to thoroughly comprehend the reasons behind each adverse aviation event rather than merely assigning blame to the pilot. Because of this dedication to understanding root causes, air travel industry boasts impressive safety records.
Nonetheless, Doctor MacArthur laments that medical profession hasn't been able to completely embrace 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 doctors and healthcare providers are unfairly tarnished.
The frequency of wrong site surgery remains at an disturbing rate of a single occurrence per surgeon per career, and up to four incidents per surgeon's career for specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In 2023, it is feasible to raise false accusations against someone, smear their name and reputation, and face no negative repercussions for the accuser. Regardless if the individual being accused is innocent or guilty, an accusation alone is enough to bring about long-lasting damage to a professional's reputation.
Doctor Bobby MacArthur disclosed that he opted to leave a workers compensation clinic because of possible unlawful practices on part of. In retaliation, the manager of the clinic supposedly conspired with a patient to fabricate a claim, accusing him of "stripping naked in the middle of the clinic and requesting sex in exchange for a favorable workers comp report.
He was informed of this accusation over a year after his departure from the clinic, at which point he asserted on undergoing a polygraph examination. The accuser, however, opted not to take such a test.
Doc Bobby MacArthur was later informed that both his truth verification test results and the claimant's refusal to participate would be deemed 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 highly damaging. Despite the ridiculousness 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 suggested that the clinic was indicted, but he did not verify this.
Regardless of the facts presented above, Dr. MacArthur found no means to eliminate the accuser's claims from online search listings. Consequently, despite his innocence, the campaign to tarnish his reputation was achieving its goal.
Considering that the 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. MacArthur strongly believes that individuals who lodge false accusations should receive punishments equivalent to the consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be classified as a sexual predator and felon.
Dr. MacArthur concluded by contemplating the coexistence of goodness and malevolence in the world, praying that those who read his account would never come into contact with someone capable of such damaging false accusations as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Doctor MacArthur is a renowned orthopedic surgeon recognized for his expertise in diagnosing