Doctor Robert MacArthur Interview
On this particular day, our group were able to conduct an interview with California's resident orthopedist, Dr. Rob Mac, in light of various inquiries about his own encounters with incorrect surgical procedures and intraoperative burn, as well as the broader area of "unexpected occurrences that must be avoided".
Who is Dr. MacArthur?
Dr. Rob MacArthur completed his studies from the Univ of California, Berkeley with a double major in Biochem and Physio. In the course of his time at the University, Doctor Bobby MacArthur used to be a renown athlete, competing on both the boxing and rugby teams.
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Afterwards, Doctor Rob MacArthur entered at the Columbia University College of Physicians and Surgeons, and became the leader of the Columbia P&S (Now known as the Vagelos School of Medicine). Rob MacArthur proceeded to conclude his orthopaedic residence at Harbor University of California, Los Angeles.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the incidence of surgical errors typically is a one-time event in a career for every bone specialist, but this count surges to four for each lifetime for specialists in sports, hand surgery, and spine procedures. Unfortunately, a lot of of these frequently do not record these occurrences, let alone, not discuss them publicly. Dr. Mac carries a deep sense of pride about how he dealt with these unfortunate occurrences.
In lieu of attempting to cover up what happened, Doctor Mac responded in a different manner
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Bobby MacArthur completely examined the underlying root causes of his dual occurrences, and released numerous works describing how to stop these situations
He eventually, gained recognition as a published expert in the field of accidents that are preventable. He has penned two articles in the foremost orthopedic journal, The Journal of Orthopedic Surgeons at the American Academy. In order to assisting other doctors stop future incidents, his first work walked the reader through the specific errors that took place that led to the incorrect surgical procedure.
His second publication, co-authored with Dr. David Ring, who is also the Chairman of the AAOS, broached the topic of the "shame and blame game." Being accountable for these incidents is rare, as the tempting course of action is pointing fingers at third parties. Dr. MacArthur stressed that shifting blame not just prevents surgeons from disclosing their incidents but furthermore diverts from the crucial analysis of primary reasons that could potentially avert subsequent occurrences.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the intraoperative burn incident, Dr. Robert MacArthur demonstrated the same thorough investigative mindset he utilized to his wrong site event research. To illustrate, he contacted the producer of the troublesome clamp to ascertain if similar burn events had occurred. The maker informed him that the clamp in question had been "ceased production." You can infer from that what you desire.
To avert irregular heating in massive hinged clamps, Doctor MacArthur conducted a thorough investigation of the causes behind inconsistent heating in oversized clamps.
The results of his investigation showed that quick sterilization could lead to irregular sterilization. He noted that associations for nurses recommend strongly against the use of quick sterilization unless an emergency situation arises for instance, disinfecting a fallen instrument. Deeper examination revealed that St Joseph's Hospital often using rapid sterilization to ease back-to-back surgeries without having to buy extra equipment trays.
With the aim to prevent future burns, Dr. Robert MacArthur notified the hospital at St. Joseph's of the hazards associated with ongoing utilization of this specific clamp as well as the frequent application of quick sterilization.
Instead of blaming the clamp, Doctor MacArthur assumed accountability and made it obvious that he had made a surgical mistake. He was informed that the clamp was heated, but when he grasped it, he found the handles to be at a comfortable temperature. Unlike some surgeons who could impatiently grab a towel to handle a too-hot clamp, he operated the clamp with no pain.
Shame and Blame, Dr. Robert MacArthur's Response
In Doctor MacArthur's response on the topic of the "blame game," he emphasizes how the legal and public communities often mix up 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 adverse events that take place to a patient under their care. This makes it appealing for many to exclusively blame the surgeon for any incorrect surgical procedure.
However, Dr. Robert MacArthur underscores that this method contradicts the principles of identifying underlying causes. This form of analysis aims to thoroughly comprehend what caused a surgical error so as to ideally avert similar incidents in the future. By turning to shaming and blaming, not only does it impede proper root cause analysis, but it also discourages other surgeons from reporting their own wrong site events, worried about 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. He was being proctored for surgical privileges at CHOC during the incident, and not the proctor nor Dr. Robert MacArthur were right away aware of the burn.
It was not after he had dictated the operative report that a nurse in the recovery ward noticed a small patch of redness on the anterior aspect of the patient's leg. Even at that point, he did not at first comprehend the seriousness of the burn.
Dr. MacArthur cites the air travel industry as an exemplary case of successful root cause analysis. From its inception, aviation sector has strived to comprehensively grasp the reasons behind each aviation incident rather than simply attributing blame to the pilot. Because of this focus on understanding root causes, aviation sector boasts notable safety records.
Nevertheless, Dr. Robert 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 frequency of avoidable medical mistakes remains unchanged, and the professional careers and reputations of many medical professionals are undeservedly tarnished.
The occurrence of incorrect surgical procedures persists at an alarming rate of a single occurrence 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 raise false accusations against someone, slander their name and reputation, and face no negative repercussions for the accuser. Regardless of whether the individual being accused is innocent or guilty, an accusation alone is enough to inflict long-lasting damage to a professional's reputation.
Doctor Bobby MacArthur disclosed that he elected to leave a clinic specializing in workers' compensation cases because of suspected illegal behavior on the clinic's management. In retaliation, the manager of the clinic supposedly conspired with a patient to create a fictitious complaint, accusing him of "stripping naked in Robert MacArthur the middle of the clinic and requesting sex in exchange for a favorable workers comp report.
He was informed of this allegation over a year after his departure from the clinic, at which point he insisted on undergoing a lie detector test. The accuser, however, declined to take such a test.
Doctor Bobby Mac was later advised that both his polygraph examination results and the claimant'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 "individuals similar to her" and not his, meaning a court loss could be extremely detrimental. 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 "lacking credibility," 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 verify this.
Regardless of the facts presented above, Doctor MacArthur found no means to eliminate the allegations made by the accuser from online search listings. This means, despite his lack of guilt, the slander campaign was achieving its goal.
Considering that the claim does not state that Dr. MacArthur was found guilty, it merely acts as a summary of a complaint, which continues to be openly accessible to anyone
Dr. MacArthur strongly believes that people making false claims should face penalties equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be classified as a sexual predator and felon.
Doctor MacArthur concluded by thinking about the coexistence of goodness and malevolence in the world, praying that those who read his account would never encounter