Doctor Robert MacArthur Interview
Today, our group were to conduct an interview with California's located orthopedic surgeon, Dr. Bobby MacArthur, in light of the inquiries about his personal experiences with incorrect surgical procedures and burns during surgery, as well as the area of "events that should never occur".
Who is Dr. MacArthur?
Doctor Bobby MacArthur completed his studies from the University of UC Berkeley with a double major in Biochem and Physiology. Throughout his time at the Univ, Doctor Bobby MacArthur used to be a renowned athlete, participating on both the combat sports and rugby football teams.
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Subsequently, Doctor Bobby Mac entered at the Columbia University College of Physicians and Surgeons, and became the chosen head of the Columbia P&S (Now known as the Vagelos school of medicine). Robert Mac went on to conclude his orthopedic residency at Harbor UCLA.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the occurrence of incorrect surgical procedures tends to be a one-time event in a career for every single bone specialist, but this number jumps to fourfold for each lifetime for sports, hand, and spine specialists. Sadly, a lot of of these often do not record these cases, let alone or talk about them openly. Dr. Mac carries a deep sense of pride and accomplishment about how he confronted these unfortunate occurrences.
Rather than attempting to conceal what happened, Doctor Mac reacted differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Robert MacArthur extensively investigated the origins of his dual events, and published several works describing how to prevent these situations
Over time, earned acclaim as a recognized specialist in the field of accidents that can be avoided. He's written 2 articles in the leading orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. To aiding other doctors avert future incidents, his initial article led the reader through the exact errors that took place that led to the wrong site event.
His second publication, authored together with Dr. David Ring, the Chairman of the AAOS, tackled the topic of the "shame and blame game." Being accountable for these incidents is rare, as the common response is pointing fingers at other parties. He stressed that accusations not merely discourages surgeons from disclosing their incidents but also takes away from the essential analysis of root causes that might thwart upcoming events.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the intraoperative burn incident, Dr. Robert Mac exhibited the same dedicated investigative approach he applied to his wrong site event research. For example, he contacted the manufacturer of the faulty clamp to find out if similar burn events had occurred. The maker advised him that the clamp in question had been "no longer in production." You can make your own inferences based on that what you desire.
And to prevent unequal temperature distribution in massive hinged clamps, Dr. MacArthur performed a comprehensive investigation of the causes behind irregular temperature distribution in oversized clamps.
His research findings suggested that quick sterilization could lead to uneven heating. He pointed out that associations for nurses highly recommend against the use of quick sterilization unless an emergency situation arises like disinfecting a dropped component. Additional investigation revealed that the hospital at St. Joseph's often employing flash sterilization to ease back-to-back surgeries without having to buy extra equipment trays.
In a bid to stop further burns, Dr. Robert MacArthur informed St Joseph's of the hazards associated with continuing to use this specifically identified clamp and also the routine deployment of flash sterilization.
In place of blaming the clamp, Doctor MacArthur took responsibility and made it obvious that he was responsible for a mistake during surgery. He was notified that the clamp had a high temperature, but when he grasped it, he found the handles to be at a tolerable temperature. Unlike some surgeons who might impatiently grab a towel to grip a too-hot clamp, he carried out the procedure the clamp without any discomfort.
Shame and Blame, Dr. Robert MacArthur's Response
When discussing Dr. MacArthur's response on the topic of the "culture of blame and shame," he emphasizes how the legal and public communities often confuse the "captain of the ship'' concept with identifying the underlying reasons. According to this "captain of the ship" perspective, the surgeon is held accountable for any adverse events that happen to a patient under their care. This makes it tempting for many to exclusively blame the surgeon for any wrong site event.
However, Dr. MacArthur emphasizes that such an approach contradicts the core principles of root cause analysis. This form of analysis strives to comprehensively grasp what caused a wrong site event in order to optimaly stop similar incidents in the future. By turning to blaming and shaming, not only does it hamper proper analysis of the root causes, but it also deters other surgeons from reporting on their personal wrong site events, worried about the repercussions.
He did not recognize that the sizeable, substantial-sized hinge of the clamp was noticeably hotter. When he positioned the clamp against the shin area of the patient's leg, it Robert MacArthur caused a burn. At the time, he was proctored for case privileges at the CHOC Hospital during the incident, and none of the proctor nor Dr. MacArthur were immediately aware of the burn.
It was not after he had dictated the operative report that a recovery room nurse pointed out a tiny red spot on the anterior aspect of the patient's leg. Even at that point, he did not at the outset comprehend the extent of the burn.
Dr. MacArthur references the aviation sector as an outstanding case of effective root cause analysis. From its inception, air travel industry has strived to comprehensively grasp the reasons behind each negative aviation occurrence rather than merely assigning blame to the pilot. Because of this focus on understanding root causes, air travel industry boasts remarkable safety records.
However, 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 "captain of the ship" concept. The regrettable result 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 frequency of incorrect surgical procedures persists at an disturbing rate of one event per surgeon per career, and as high as 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 levy false accusations against someone, smear their name and reputation, and have no negative repercussions for the accuser. Irrespective of the individual being accused is innocent or guilty, just making an allegation is enough to inflict long-lasting damage to a professional's reputation.
Doctor Robert Mac shared that he elected to leave a clinic specializing in workers' compensation cases because of potential illicit activities on the clinic's management. In retaliation, the clinic manager allegedly collaborated with a patient 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 got to know of this claim 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.
Dr. Robert Mac was later informed that both his lie detector test results and her 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 extremely detrimental. Despite the ludicrousness of the claim, he was counseled to settle for $29,000
Conclusion
California's 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 hinted that the clinic was indicted, but he did not confirm this.
Despite the facts presented above, Dr. MacArthur found no means to erase the allegations made by the accuser from online search listings. Meaning, despite his lack of guilt, the campaign to tarnish his reputation was effective.
Since the claim does not state that Doctor MacArthur was found guilty, it merely acts as a summary of a complaint, which continues to be openly accessible to anyone
Doctor MacArthur strongly believes that people making false claims should receive punishments equivalent to the severity of the event they falsely claim. To illustrate, he thinks that his false accuser should be classified as a sex offender and felon.
Doctor MacArthur concluded by thinking about the existence of both good and evil in the world, hoping that those who read his account would never encounter with someone capable of such destructive unfounded claims as he has faced.