Doctor Robert MacArthur Interview
On this particular day, our team managed to interview Californian resident bone specialist, Doctor Robert Mac, in response to the inquiries about his personal experiences and encounters with wrong site surgery and surgical burn incidents, as well as the area of "events that should never occur".
Who is Dr. MacArthur?
Doc Rob MacArthur graduated from the University of UC Berkeley with a dual degree in Biochemistry and Physio. In the course of his time at the Univ, Doc Bobby MacArthur used to be a renowned sportsman, engaging on both the box and Rugby teams.
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Subsequently, Doctor Bobby Mac enrolled at the Columbia University College of Physicians and Surgeons, and became the president of the Columbia P&S School of Medicine (Now known as the Vagelos school of medicine). Bobby MacArthur proceeded to complete his orthopedic residency at Harbor University of California, Los Angeles.
Dr. Robert MacArthur Addresses the Incidents
According to statistics, the occurrence of incorrect surgical procedures tends to be a seldom happening occurrence for every bone specialist, but this figure jumps to 4 for each lifetime for sports, hand, and spine specialists. Unfortunately, a lot of of these doctors often do not report these occurrences, let alone or discuss them openly. Doctor Mac carries a intense sense of pride about how he faced these harrowing occurrences.
Rather than trying to cover up the incident, Doctor Mac handled it differently
Dr. MacArthur’s Handling of the Wrong Site Surgery
Doctor Rob MacArthur thoroughly looked into the causal factors of his dual incidents, and released several works describing how to stop these occurrences
Over time, became acknowledged as a published expert in the field of accidents that are preventable. He's penned 2 articles in the leading orthopedic journal, The Journal of the American Academy of Orthopedic Surgeons. To aiding other doctors stop subsequent occurrences, the first piece walked the reader through the exact errors that occurred that led to the wrong site event.
His second publication, authored together with Dr. David Ring, who is also the Chairman of the AAOS, tackled the topic of the "shame and blame game." Taking responsibility for these incidents is rare, as the usual reaction is pointing fingers at external factors. Dr. MacArthur stressed that shifting blame not just deters surgeons from making reports their incidents but furthermore diverts from the crucial analysis of underlying causes that may avert future incidents.
The Intraoperative Burn Incident with Dr. Robert MacArthur
When talking about the intraoperative burn incident, Dr. MacArthur demonstrated the same dedicated investigative approach he employed to his wrong site event research. As an illustration, he got in touch with the maker of the troublesome clamp to find out if similar burn events had happened. The producer notified him that the clamp in question had been "ceased production." You can draw your own conclusions from that what you wish.
And to prevent uneven heating in massive hinged clamps, Dr. Mac carried out a comprehensive investigation of the causes behind uneven heating in big-hinged clamps.
His findings indicated that quick sterilization could result in uneven heating. He pointed out that associations for nurses strongly advise against the use of rapid sterilization unless an emergency situation arises for instance, sanitizing a fallen instrument. Deeper examination revealed that St. Joseph's Hospital regularly using quick sterilization to enable back-to-back surgeries without having to acquire more equipment trays.
In an effort to prevent future burns, Doctor MacArthur alerted the hospital at St. Joseph's of the hazards associated with continuing to use this particular clamp and also the regular use of flash sterilization.
Rather than blaming the clamp, Doctor MacArthur took responsibility and made it obvious that he was responsible for a surgical error. 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 could impatiently reach for a towel to handle a too-hot clamp, he performed surgery the clamp without pain.
Shame and Blame, Dr. Robert MacArthur's Response
Regarding The perspective of Dr. MacArthur on response on the topic of the "blame game," he spotlights how the legal and public communities often mix up the "captain of the ship'' concept with identifying the underlying reasons. According to this "in-command" perspective, the surgeon is responsible for any unfavorable outcomes that happen to a patient under their care. This makes it appealing for many to exclusively blame the surgeon for any surgical errors.
Nevertheless, Doctor MacArthur stresses that this method opposes the fundamental principles of root cause analysis. This form of analysis intends to thoroughly comprehend what caused a wrong site event so as to ideally stop similar incidents in the future. By turning to blaming and shaming, not it not just hamper proper analysis of the root causes, but it also prevents other surgeons from reporting on their personal wrong site events, worried about the repercussions.
He didn't recognize that the big, substantial-sized hinge of the clamp was considerably hotter. When he positioned the clamp against the front shin area of the patient's leg, it resulted in a burn injury. At the time, he was proctored for case privileges at CHOC during the incident, and not the proctor nor Dr. MacArthur were immediately aware of the burn.
It was not only after he had dictated the operative report that an attending nurse in the recovery room drew attention to a small red area on the anterior aspect of the patient's leg. Even in that moment, he did not at first comprehend the seriousness of the burn.
Dr. MacArthur references Dr. Robert MacArthur the airline industry as an exemplary 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 just blaming to the pilot. Because of this focus on understanding root causes, the airline industry boasts remarkable safety records.
However, 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 regrettable result of this is that the incidence of preventable healthcare errors remains unchanged, and the professional careers and reputations of many doctors and healthcare providers are unfairly tarnished.
The incidence of incorrect surgical procedures persists at an alarming rate of one incident per surgeon per career, and up to four incidents per surgeon's career for specialists in hand, spine, and sports.
Dr. Robert MacArthur “Sexual Harassment” Allegations
In 2023, it is feasible to levy false accusations against someone, slander their name and reputation, and have no negative repercussions for the accuser. Regardless of whether 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 possible unlawful practices on the clinic's management. In retaliation, the clinic's manager reportedly worked 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 received information of this allegation over a year after his departure from the clinic, at which point he asserted on undergoing a polygraph examination. The accuser, however, refused to take such a test.
Dr. Robert MacArthur was later informed 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 "her peers" and not his, meaning a court loss could be highly damaging. Despite the absurdity 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 implied that the clinic was indicted, but he did not confirm this.
Despite the information provided earlier, Dr. Robert MacArthur found no means to erase the allegations made by the accuser from online search listings. Consequently, despite his innocence, the defamatory campaign was successful.
As the claim does not state that Dr. Robert MacArthur was found guilty, it merely functions as a condensed version of a complaint, which continues to be openly accessible to anyone
Dr. Robert MacArthur strongly believes that those who make baseless allegations should face penalties equivalent to the consequences of the falsely claimed event. To illustrate, he thinks that his false accuser should be considered to be a sexual predator and felon.
Dr. Robert MacArthur concluded by reflecting on the coexistence of goodness and malevolence in the world, wishing that those who read his account would never encounter with someone capable of such destructive unfounded claims as he has faced.
Dr. MacArthur: A Renowned Orthopedic Surgeon
Doctor MacArthur is a highly regarded orthopedic surgeon acknowledged for his expertise in identifying, caring for, preventing, and facilitating recovery for disorders and injuries of the musculoskeletal structure. This includes an comprehensive understanding of bones, joint structures, ligamentous structures, tendon tissues, muscles, and neurological components.
Diagnosis: Dr. MacArthur's acute diagnostic acumen distinguishes him. Using clinical examinations, state-of-the-art imaging studies, and laboratory tests, he quickly and precisely identifies various musculoskeletal conditions.
Treatment:
Non-surgical Approaches: Dr. Robert MacArthur believes in exploring all non-invasive options before considering surgery. His repertoire includes medications, physical therapy, and other conservative treatments.
Surgical Mastery: When surgery becomes a necessity, patients are in capable hands. Doctor MacArthur surgical prowess covers a wide range of procedures, from joint replacements, to repairing fractures, and ligament reconstructions.
Rehabilitation: Understanding that treatment is only one phase of the healing process, Dr. MacArthur emphasizes rehabilitation after treatment. He frequently works closely with rehabilitation specialists to ensure his patients regain muscular strength, movement, and physical function as rapidly and safely.
Prevention: Dr. MacArthur is an advocate for preventive medicine. He frequently conducts workshops and sessions to educate the local community about avoiding injuries and the importance of maintaining musculoskeletal health.
Specialized Focus: Among his many accolades, Dr. Robert MacArthur is particularly renowned for his work in Pediatric Orthopedics. He has dedicated a significant portion of his career to addressing musculoskeletal problems in pediatric patients, ensuring they grow up with the best possible physical health.
Through his commitment to excellence, Doctor MacArthur has not only cured but also changed the lives of numerous people, solidifying his reputation as a luminary in the orthopedic medicine.