Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

2 questions you should ask when choosing a surgeon

Marc Arginteanu, MD
Physician
July 8, 2022
Share
Tweet
Share

If you or a loved one needs surgery, you’re very likely terrified. You also may be shopping around to find a surgeon. Of course, you’ll want the best. (I’ve never heard someone say, “I’d like the most average surgeon I can find.”) There are lots of factors to take into account. But here are two questions you might not otherwise have thought to ask:

1. When you sit in the surgeon’s office, you’ll want to know all about the surgeon. But it’s easy to forget to ask about his team. So, one good question is, “Do you always work with the same team (assistant, nurses, etc.)?”

The surgeon’s technical skill is paramount in ensuring a successful outcome. But surgery is a team sport. In the operating room, the surgeon is the captain of the team. An essential part of being a great captain is surrounding yourself with top-notch talent and keeping them at your side through thick and thin.

Research confirms that achieving favorable results in critical situations depends heavily upon the smooth functioning of an experienced team. In Harvard Business Review, Diane Coutu investigated the crews that fly commercial airplanes. The talent and mental state of the pilot was important factor in passenger safety. But a familiar team was even more important. Coutu reported (based on a National Aeronautics and Space Administration study) that fatigued pilots and crews who had a history of working together made about half as many errors as rested pilots and crews who had not previously flown together.

The National Transportation Safety Board also highlighted the importance of a familiar team. The vast majority of the accidents in its database occurred before people had the chance to learn through experience how best to operate as a team. These errors were reported on a crew’s first day of flying together, amounting to more than three-quarters of the total. Half of those incidents occurred on a crew’s first flight.

2. Many people remember to ask about a surgeon’s experience volume. (“How many years have you been doing this?” or “How many times have you performed this exact type of procedure?”) That’s a good question. But a better question would be about frequency, “How many times per month do you perform this exact type of procedure?”

The surgeon may have done a huge number of pertinent cases. But she may have not done any of them in the last several years. During that time, techniques may have changed. Or else, she just may have gotten rusty.

Honing, or even maintaining, a surgical skill requires regular practice. This was demonstrated in a large scientific study of vascular and neurosurgeons who perform carotid endarterectomies (CEA). CEA surgery is designed to prevent strokes by cleaning the interior of an artery that travels through the neck, towards the brain). The doctors were categorized in terms of annual procedure volume as low-volume surgeons (fewer than ten operations), medium-volume surgeons (between ten and twenty-nine), and high-volume surgeons (thirty or more). The researchers reported that patients undergoing CEA by low-volume surgeons were more than twice as likely to die as those patients who were cared for by a high-volume surgeon. They also found the postoperative stroke rate was twice as high for patients of the low-volume surgeons compared to the high-volume surgeons.

Marc Arginteanu is a neurosurgeon.

Image credit: Shutterstock.com

Prev

Regulate your nervous system to improve your physical and emotional well-being [PODCAST]

July 7, 2022 Kevin 0
…
Next

Military physicians leaving the military

July 8, 2022 Kevin 0
…

Tagged as: Surgery

Post navigation

< Previous Post
Regulate your nervous system to improve your physical and emotional well-being [PODCAST]
Next Post >
Military physicians leaving the military

ADVERTISEMENT

More by Marc Arginteanu, MD

  • How the shingles vaccine could help prevent dementia

    Marc Arginteanu, MD
  • Diabetes and Alzheimer’s: What your blood sugar might be doing to your brain

    Marc Arginteanu, MD
  • Do microplastics cause dementia?

    Marc Arginteanu, MD

Related Posts

  • Many questions remain about medical marijuana

    Steven Reznick, MD
  • Questions about pharma pricing and marketing

    Martha Rosenberg
  • Why creative endeavors are important for the future surgeon

    Thomas L. Amburn
  • A physician’s addiction to social media

    Amanda Xi, MD
  • We must ask patients obvious questions

    Weijie Violet Lin
  • Paging the surgeon general: America needs you

    Linda Girgis, MD

More in Physician

  • Why the heart of medicine is more than science

    Ryan Nadelson, MD
  • How Ukrainian doctors kept diabetes care alive during the war

    Dr. Daryna Bahriy
  • How women physicians can go from burnout to thriving

    Diane W. Shannon, MD, MPH
  • Why more doctors are choosing direct care over traditional health care

    Grace Torres-Hodges, DPM, MBA
  • How to handle chronically late patients in your medical practice

    Neil Baum, MD
  • How early meetings and after-hours events penalize physician-mothers

    Samira Jeimy, MD, PhD and Menaka Pai, MD
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • Why timing, not surgery, determines patient survival

      Michael Karch, MD | Conditions
    • How early meetings and after-hours events penalize physician-mothers

      Samira Jeimy, MD, PhD and Menaka Pai, MD | Physician
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Why the heart of medicine is more than science

      Ryan Nadelson, MD | Physician
    • How Ukrainian doctors kept diabetes care alive during the war

      Dr. Daryna Bahriy | Physician
    • Why Grok 4 could be the next leap for HIPAA-compliant clinical AI

      Harvey Castro, MD, MBA | Tech
    • How women physicians can go from burnout to thriving

      Diane W. Shannon, MD, MPH | Physician
    • What a childhood stroke taught me about the future of neurosurgery and the promise of vagus nerve stimulation

      William J. Bannon IV | Conditions
    • Beyond burnout: Understanding the triangle of exhaustion [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...