Doctor Robert MacArthur Interview
This day, our group managed to conduct an interview with California's based orthopedist, Dr. Bobby Mac, in light of various questions about his personal encounters with incorrect surgical procedures and intraoperative burn, as well as the broader subject of "unexpected occurrences that must be avoided".
Who is Dr. MacArthur?
Doc Rob MacArthur completed his studies from the University of UC Berkeley with a dual degree in Biochemistry and Physiology. During his time at the Univ, Doctor Robert MacArthur had been a renowned athlete, engaging on both several box and Rugby squads.
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Following that, Dr. Rob Mac registered at the Columbia P&S, and was the president of the Columbia University College of Physicians and Surgeons (Now known as the Vagelos school of medicine). Bobby MacArthur went on to finish his orthopaedic training at Harbor-UCLA Medical Center.
Dr. Robert MacArthur Addresses the Incidents
Statistically, the frequency of incorrect surgical procedures typically is a once-in-a-career event for every single bone specialist, but this number jumps to four in each career for experts specializing in sports, hand, and spine. Unfortunately, a lot of of these surgeons commonly do not document these occurrences, let alone or discuss them publicly. Doc Mac carries a profound sense of pride about how he dealt with these terrible occurrences.
In lieu of attempting to hide the situation, Doctor Mac reacted differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Bobby MacArthur completely examined the root causes of his 2 incidents, and released multiple works detailing how to stop such events
He eventually, became acknowledged as a recognized specialist in the field of preventable accidents. He has authored a couple of articles in the foremost orthopedic journal, The Journal of Orthopedic Surgeons at the American Academy. To helping other doctors stop future incidents, his initial article led the reader through precise errors that happened that caused the wrong site event.
The second paper, co-authored with Dr. David Ring, who is also the Chairman of the AAOS, addressed the topic of the "shame and blame game." Being accountable for these incidents is rare, as the usual reaction is placing blame on third parties. Dr. MacArthur stressed that pointing fingers not just discourages surgeons from reporting their incidents but additionally takes away from the vital analysis of root causes that might thwart subsequent occurrences.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the intraoperative burn incident, Dr. MacArthur demonstrated the same thorough investigative mindset he applied to his research on wrong-site surgeries. As an illustration, he got in touch with the manufacturer of the problematic clamp to find out if comparable burn events had transpired. The maker advised him that the clamp in question had been "ceased production." You can draw your own conclusions from that what you desire.
And to prevent unequal temperature distribution in large hinged clamps, Dr. MacArthur performed a comprehensive investigation of the causes behind inconsistent heating in large-hinged clamps.
The results of his investigation showed that rapid sterilization could lead to irregular sterilization. He pointed out that associations for nurses recommend strongly against the use of quick sterilization unless an emergency situation arises for instance, sterilizing a dropped component. Additional investigation revealed that St Joseph's Hospital often using quick sterilization to enable back-to-back surgeries without needing to purchase additional equipment trays.
In a bid to prevent future burns, Doctor MacArthur notified St Joseph's of potential dangers associated with continuing to use this specifically identified clamp and the regular use of flash sterilization.
Instead of blaming the clamp, Doctor MacArthur accepted responsibility and made it clear that he was responsible for a surgical mistake. He was advised that the clamp was heated, but when he held 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 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 the wider public often confuse the "captain of the ship'' concept with analyzing the fundamental causes. According to this "in-command" perspective, the surgeon is considered Dr. Robert MacArthur responsible for any negative occurrences that occur to a patient under their care. This makes it tempting for many to exclusively blame the surgeon for any incorrect surgical procedure.
Nevertheless, Doctor MacArthur stresses that such an approach contradicts the core principles of investigating root causes. This form of analysis aims to deeply understand what caused a surgical error in order to optimaly stop similar incidents in the future. By turning to shaming and blaming, not it not only hamper proper root cause analysis, but it additionally prevents other surgeons from reporting on their personal wrong site events, worried about the repercussions.
He didn't recognize that the large, walnut-sized hinge of the clamp was noticeably hotter. When he positioned the clamp against the pretibial area of the patient's leg, it triggered a burn injury. At the time, he was proctored for surgical privileges at CHOC during the incident, and not the proctor nor Dr. Robert MacArthur were promptly aware of the burn.
Not until only after he had dictated the operative report that a recovery room nurse pointed out a small patch of redness on the anterior aspect of the patient's leg. Even at that point, he did not at the outset realize the severity of the burn.
Dr. Robert MacArthur references the air travel industry as an outstanding case of efficient root cause analysis. From its inception, air travel industry has aimed to thoroughly comprehend the reasons behind each negative aviation occurrence rather than just blaming to the pilot. Because of this dedication to understanding root causes, the airline industry boasts notable safety records.
Nonetheless, Dr. MacArthur laments that medical profession hasn't been successful in fully implementing root cause analysis due to prevailing legal and public perceptions surrounding the "captain of the ship" 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 unjustly tarnished.
The frequency of surgical errors persists at an disturbing rate of one event per surgeon per career, and up to four incidents per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, it is possible to bring forth false accusations against someone, slander their name and reputation, and face no negative repercussions for the accuser. Regardless if the person facing accusations is innocent or guilty, merely making an accusation is enough to cause long-lasting damage to a professional's reputation.
Doc Robert Mac disclosed that he opted to leave a workers compensation clinic because of suspected illegal behavior on the clinic's management. In retaliation, the manager of the clinic allegedly collaborated with a client to create a fictitious complaint, 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 insisted on undergoing a truth verification test. The accuser, however, opted not to take such a test.
Doctor Rob MacArthur was later informed that both his lie detector test results and the accuser's refusal to participate would be regarded inadmissible in court.
The mediating attorney cautioned him that the jury would likely be composed of "individuals similar to her" 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 "lacking credibility," hinting at an ongoing investigation into the clinic. When we spoke to Dr. MacArthur, he hinted that the clinic was indicted, but he did not confirm this.
In spite of the information provided earlier, Doctor MacArthur found no means to eliminate the allegations made by the accuser from online search listings. This means, despite his innocence, the campaign to tarnish his reputation was achieving its goal.
Since 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 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 treated as a sexual predator and felon.
Doctor MacArthur concluded by reflecting on the coexistence of goodness and malevolence in the world, hoping that those who read his account would never come into contact with someone capable of such damaging