Doctor Robert MacArthur Interview
On this particular day, our group were to conduct an interview with Californian resident bone specialist, Doc Robert Mac, addressing the queries about his own experiences and encounters with incorrect surgical procedures and intraoperative burn, as well as a subject of "unexpected occurrences that must be avoided".
Who is Dr. MacArthur?
Doctor Bobby Mac graduated from the Univ of California, Berkeley with a double major in Biochem and Physio. In the course of his time at the University, Dr. Bobby MacArthur used to be a renowned athlete, competing on both various boxing and rugby football groups.
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Following that, Doc Bobby MacArthur enrolled at the Columbia University College of Physicians and Surgeons, and became the chosen president of the Columbia P&S (Now known as the Vagelos School of Medicine). Robert MacArthur continued to conclude his orthopaedic residence at Harbor-UCLA Medical Center.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the incidence of surgical errors tends to be a one-time event in a career for each orthopedic surgeon, but this figure surges to 4 for each lifetime for sports, hand, and spine specialists. Sadly, numerous of these often do not record these cases, let alone address them publicly. Dr. Mac carries a intense sense of pride and accomplishment about how he dealt with these harrowing occurrences.
Instead of seeking to conceal the situation, Dr. Mac responded in a different manner
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Rob Mac thoroughly looked into the causal factors of his dual incidents, and published several works outlining how to stop these occurrences
Gradually, earned acclaim as a recognized specialist in the field of accidents that are preventable. He's authored two articles in the foremost orthopedic journal, The Journal of Orthopedic Surgery. To assisting other doctors avert subsequent occurrences, his initial article led the reader through the specific errors that took place that caused the wrong site event.
The second paper, authored together with Dr. David Ring, the Chairman of the AAOS, addressed the topic of the "tendency to shame and blame." Taking responsibility for these incidents is rare, as the common response is pointing fingers at third parties. He stressed that shifting blame not merely prevents surgeons from reporting their incidents but additionally takes away from the essential analysis of underlying causes that could potentially avert subsequent occurrences.
The Intraoperative Burn Incident with Dr. Robert MacArthur
In the context of discussing the surgical burn occurrence, Dr. MacArthur exhibited the same investigative vigor he utilized to his wrong site event research. For example, he reached out to the manufacturer of the problematic clamp to ascertain if comparable burn events had happened. The producer notified him that the clamp in question had been "discontinued." You can make your own inferences based on that what you desire.
In order to avoid unequal temperature distribution in large hinged clamps, Doc Mac carried out a comprehensive investigation of the causes behind inconsistent heating in large-hinged clamps.
The results of his investigation showed that flash sterilization could result in inconsistent temperature distribution. He pointed out that nursing associations highly recommend against the use of flash sterilization unless it's an emergency, for instance, sanitizing a dropped component. Further inquiry revealed that the hospital at St. Joseph's often utilizing flash sterilization to enable back-to-back surgeries without having to buy extra equipment trays.
With the aim to prevent future burns, Doctor MacArthur notified St Joseph's of potential dangers associated with ongoing utilization of this specifically identified clamp and also the routine deployment of quick sterilization.
Instead of blaming the clamp, Dr. Robert MacArthur assumed accountability and made it obvious that he had made a surgical mistake. He was informed that the clamp had a high temperature, but when he held it, he found the handles to be at a tolerable temperature. In contrast to some surgeons who may impatiently reach for a towel to handle a too-hot clamp, he operated the clamp without any pain.
Shame and Blame, Dr. Robert MacArthur's Response
In Dr. MacArthur's response on the topic of the "culture of blame and shame," he spotlights how the legal and public communities often conflate the "in-command'' concept with root cause analysis. According to this "captain of the ship" perspective, the surgeon is considered responsible for any adverse events that take place to a patient under their care. This makes it tempting for many to exclusively blame the surgeon for any incorrect surgical procedure.
Nonetheless, Dr. MacArthur underscores that this method contradicts the core principles of investigating root causes. This form of analysis intends to comprehensively grasp what caused a wrong site event in order to optimaly prevent similar incidents in the future. By adopting shaming and blaming, not it not only hinder proper investigation into the fundamental reasons, but it additionally prevents other surgeons from disclosing their individual wrong site events, afraid of the repercussions.
He failed to recognize that the large, 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 burn. At the time, he was proctored for case privileges at the CHOC Hospital during the incident, and neither the proctor nor Dr. Robert MacArthur were right away aware of the burn.
It was not after he had dictated the operative report that an attending nurse in the recovery room noticed a tiny red spot on the anterior aspect of the patient's leg. Even at that point, he did not at first fully grasp the extent of the burn.
Doctor MacArthur references the aviation Robert MacArthur sector as an outstanding case of efficient root cause analysis. From its inception, the industry has aimed to comprehensively grasp the reasons behind each adverse aviation event rather than just blaming to the pilot. Because of this dedication to understanding root causes, aviation sector boasts notable safety records.
Nevertheless, Dr. Robert 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 sad consequence of this is that the rate of preventable medical errors remains unchanged, and the professional careers and reputations of many doctors and healthcare providers are undeservedly tarnished.
The incidence of surgical errors remains at an disturbing rate of a single occurrence per surgeon per career, and up to four occurrences per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In 2023, it is possible to bring forth false accusations against someone, smear their name and reputation, and experience no negative repercussions for the accuser. Regardless if the person facing accusations is innocent or guilty, an accusation alone is enough to bring about long-lasting damage to a professional's reputation.
Doctor Bobby MacArthur revealed that he elected to leave a clinic specializing in workers' compensation cases because of suspected illegal behavior on part of. In retaliation, the clinic manager supposedly worked with a individual under treatment to make a false accusation, 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 insisted on undergoing a truth verification test. The accuser, however, refused to take such a test.
Doctor Rob Mac was later advised that both his truth verification 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 "people with similar backgrounds and experiences as her" and not his, meaning a court loss could be potentially catastrophic. 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.
Regardless of the facts presented above, Dr. Robert MacArthur found no means to remove the accuser's claims from Internet search results. This means, despite his clear conscience, the campaign to tarnish his reputation was effective.
Considering that the claim does not state that Dr. Robert MacArthur was found guilty, it merely serves as a summary of a complaint, which continues to be publicly accessible
Dr. MacArthur strongly believes that those who make baseless allegations should receive punishments equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be considered to be a predator of a sexual nature and felon.
Dr. Robert MacArthur concluded by thinking about the existence of both good and evil in the world, praying that those who