Doctor Robert MacArthur Interview
Today, our group were able to interview California's resident orthopedic surgeon, Doc Robert MacArthur, in light of numerous inquiries about his personal experiences and encounters with incorrect surgical procedures and burns during surgery, as well as the area of "unexpected occurrences that must be avoided".
Who is Dr. MacArthur?
Dr. Bobby Mac completed his studies from the Univ of UC Berkeley with a double major in Biochem and Physiology. During his time at the Univ, Doc Bobby MacArthur had been a renown player, competing on both several boxing and Rugby groups.
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Subsequently, Doctor Robert MacArthur registered at the Columbia College of Physicians and Surgeons, and became the chosen leader of the Columbia University College of Physicians and Surgeons (Now known as the Vagelos Medical School). Rob MacArthur proceeded to complete his orthopaedic residency at Harbor UCLA.
Dr. Robert MacArthur Addresses the Incidents
In statistical terms, the occurrence of surgical errors tends to be a one-time event in a career for every single orthopedist, but this number jumps to 4 in each career for sports, hand, and spine specialists. Sadly, a lot of of these doctors often do not document these occurrences, let alone address them freely. Dr. Mac carries a deep sense of pride about how he confronted these terrible occurrences.
In lieu of trying to cover up the incident, Dr. Mac responded in a different manner
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doc Robert MacArthur completely investigated the underlying causal factors of his two events, and released numerous works outlining how to prevent such events
He eventually, gained recognition as a renowned authority in the field of preventable accidents. He has penned a couple of articles in the leading orthopedic journal, The Journal of Orthopedic Surgery. With the aim of assisting other doctors stop subsequent occurrences, the first piece led the reader through precise errors that took place that resulted in the wrong site event.
The follow-up article, authored together with Dr. David Ring, the Chairman of the AAOS, tackled the topic of the "tendency to shame and blame." Taking responsibility for these incidents is seldom, as the common response is pointing fingers at other parties. Dr. MacArthur stressed that pointing fingers not merely discourages surgeons from reporting their incidents but additionally detracts from the essential analysis of primary reasons that may prevent subsequent occurrences.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the surgical burn occurrence, Dr. MacArthur demonstrated the same dedicated investigative approach he employed to his wrong site event research. As an illustration, he contacted the producer of the faulty clamp to ascertain if comparable burn events had transpired. The maker informed him that the clamp in question had been "ceased production." You can infer from that what you will.
To avert uneven heating in large hinged clamps, Dr. Mac carried out a detailed investigation of what led to inconsistent heating in oversized clamps.
His research findings suggested that quick sterilization could lead to uneven heating. He pointed out that nursing associations highly recommend against the use of flash sterilization unless there's an urgent need for instance, disinfecting a fallen instrument. Further inquiry revealed that the hospital at St. Joseph's often utilizing flash sterilization to enable back-to-back surgeries without having to acquire more equipment trays.
In a bid to stop further burns, Doctor MacArthur informed St. Joseph's of potential dangers associated with continuing to use this specific clamp and also the frequent application of rapid sterilization.
Rather than blaming the clamp, Dr. MacArthur accepted responsibility and made it obvious that he had made a surgical error. He was advised that the clamp was heated, but when he grasped it, he found the handles to be at a pleasant temperature. Differing from some surgeons who might impatiently use a towel to manage a too-hot clamp, he performed surgery the clamp without pain.
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 "in-command'' concept with identifying the underlying reasons. According to this "captain of the ship" perspective, the surgeon is responsible for any unfavorable outcomes that take place to a patient under their care. This makes it appealing for many to only blame the surgeon for any incorrect surgical procedure.
Nonetheless, Doctor MacArthur underscores that such an approach opposes the core principles of identifying underlying causes. This form of analysis strives to deeply understand what caused a incorrect surgical procedure so as to ideally stop similar incidents in the future. By adopting blame and shame, not it not only hamper proper root cause analysis, but it furthermore prevents other surgeons from reporting on their own wrong site events, fearing the repercussions.
He failed to recognize that the large, hinge-like hinge of the clamp was noticeably hotter. When he positioned the clamp against the shin area of the patient's leg, it triggered a skin burn. He was being proctored for case privileges at CHOC during the incident, and not the proctor nor Dr. MacArthur were promptly aware of the burn.
Not until 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 in that moment, he did not initially fully grasp the extent of the burn.
Dr. Robert MacArthur cites the airline industry as an model case of successful root cause analysis. From its inception, aviation sector has sought to comprehensively grasp the reasons behind each negative aviation occurrence rather than merely assigning blame to the pilot. Because of this commitment to understanding root causes, the airline industry boasts remarkable 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 sad consequence of this is that the rate of preventable medical errors remains unchanged, and the standing and names of many medical professionals are unjustly tarnished.
The frequency of surgical errors persists at an disturbing rate of one incident per surgeon per career, and as many as four occurrences per surgeon's career for hand, spine and sports subspecialists.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In the year 2023, Dr. Robert MacArthur there exists the possibility to raise false accusations against someone, defame their name and reputation, and face no negative repercussions for the accuser. Regardless of whether the accused is innocent or guilty, just making an allegation is enough to bring about long-lasting damage to a professional's reputation.
Dr. Rob MacArthur revealed 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 collaborated with a client to make a false accusation, 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 demanded on undergoing a lie detector test. The accuser, however, refused to take such a test.
Doc Robert 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 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 highly damaging. 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 officially state this.
Regardless of the information provided earlier, Dr. MacArthur found no means to eliminate the allegations made by the accuser from Internet search results. Meaning, despite his clear conscience, the campaign to tarnish his reputation was achieving its goal.
Considering that the claim does not state that Doctor MacArthur was found guilty, it merely functions as a summary of a complaint, which continues to be openly accessible to anyone
Doctor MacArthur strongly believes that individuals who lodge false accusations should face penalties equivalent to the consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be classified as a sex offender and felon.
Doctor MacArthur concluded by reflecting on 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 destructive unfounded claims as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Dr. MacArthur is a renowned orthopedic surgeon