3 ms·

From everyday work experience, I strongly believe people to be totally unable to fairly assess a surgeon in an everyday clinical context. Looks, manners and per

by rscho 4y ago

From everyday work experience, I strongly believe people to be totally unable to fairly assess a surgeon in an everyday clinical context. Looks, manners and personal sympathies are the main drivers for that kind of judgment. I know a surgeon with a substantial rate of spectacular failure and a very bad reputation. But most of the time, outcomes are excellent. Is that a bad surgeon on average? No idea. And Im in the OR every day.

renewiltord 4y ago
FWIW, in this respect, I'm just relaying from my parents: dad's an ortho trauma surgeon who now runs a trauma department, and mum's an ophthal surgeon. As much as I'd like to claim I'm casually reading the NEJM every day, I've only ever read papers they share with me, which they do at an annoying frequency considering I'm in trading. I assume the general silent belief would be that your guy with the spectacular failure is some kind of "take the tough cases" dude? By the way, when I was much younger (maybe 10-15 years ago), I recall my dad coming back from an AO Foundation conference where there was a talk about some particular procedure in some Scandinavian country where the range of outcome quality was so high for a particular non-emergency THR/TKR or something like that and so they shut down the procedure in the remote hospitals and centralized it in a few (3?) tertiary healthcare centres. Do you recall something like that? I have this memory in my head but I can't find the original material. The story is so good: EBM driving patient outcomes; but I can't find it so I don't share it and I would like very much to, if it is true.
- rscho 4y ago
  > I assume the general silent belief would be that your guy with the spectacular failure is some kind of "take the tough cases" dude? No, the silent belief is that he's the worst surgeon we have. > they shut down the procedure in the remote hospitals and centralized it in a few (3?) tertiary healthcare centres. Do you recall something like that? That's become an extremely common strategy for specialized surgery throughout Europe.
  - renewiltord 4y ago
    > No, the silent belief is that he's the worst surgeon we have. Haha, classic! I love it! I was honestly a little worried of offending you if he was a friend. > That's become an extremely common strategy for specialized surgery throughout Europe. There we go. Fine, I'll just go look it up.

by rscho 4y ago

renewiltord 4y ago

FWIW, in this respect, I'm just relaying from my parents: dad's an ortho trauma surgeon who now runs a trauma department, and mum's an ophthal surgeon. As much as I'd like to claim I'm casually reading the NEJM every day, I've only ever read papers they share with me, which they do at an annoying frequency considering I'm in trading. I assume the general silent belief would be that your guy with the spectacular failure is some kind of "take the tough cases" dude? By the way, when I was much younger (maybe 10-15 years ago), I recall my dad coming back from an AO Foundation conference where there was a talk about some particular procedure in some Scandinavian country where the range of outcome quality was so high for a particular non-emergency THR/TKR or something like that and so they shut down the procedure in the remote hospitals and centralized it in a few (3?) tertiary healthcare centres. Do you recall something like that? I have this memory in my head but I can't find the original material. The story is so good: EBM driving patient outcomes; but I can't find it so I don't share it and I would like very much to, if it is true.

rscho 4y ago
> I assume the general silent belief would be that your guy with the spectacular failure is some kind of "take the tough cases" dude? No, the silent belief is that he's the worst surgeon we have. > they shut down the procedure in the remote hospitals and centralized it in a few (3?) tertiary healthcare centres. Do you recall something like that? That's become an extremely common strategy for specialized surgery throughout Europe.
- renewiltord 4y ago
  > No, the silent belief is that he's the worst surgeon we have. Haha, classic! I love it! I was honestly a little worried of offending you if he was a friend. > That's become an extremely common strategy for specialized surgery throughout Europe. There we go. Fine, I'll just go look it up.