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

  • Coconut oil’s role in Alzheimer’s and depression

    Marc Arginteanu, MD
  • How gut bacteria shape your mental health and mood

    Marc Arginteanu, MD
  • How the shingles vaccine could help prevent 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

  • The power of ordinary joy for physician well-being

    Ben Reinking, MD
  • Leadership is about pulling others up

    Sagar Chapagain, MD
  • The opioid crisis in wealthy zip codes

    Carlos N. Hernandez-Torres, MD
  • A doctor’s promise after a patient’s suicide

    Vikram Madireddy, MD
  • The first week of an attending physician

    Sami Sinada, MD
  • Why women ER doctors earn $21,000 less than men

    Graham Walker, MD, Resa E. Lewiss, MD, and Jake Horowitz
  • Most Popular

  • Past Week

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The mental health workforce is collapsing

      Ronke Lawal | Conditions
    • The measure of a doctor, the misery of a patient

      Anonymous | Physician
    • A doctor’s struggle with burnout and boundaries

      Humeira Badsha, MD | Physician
    • The stoic cure for modern anxiety

      Osmund Agbo, MD | Physician
    • The Cap’n Crunch philosophy of medicine

      Timothy Thomas | Conditions
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The ignored clinical trials on statins and mortality

      Larry Kaskel, MD | Conditions
    • How one physician redesigned her practice to find joy in primary care again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
  • Recent Posts

    • The power of ordinary joy for physician well-being

      Ben Reinking, MD | Physician
    • Reinforcing trust in AI: a critical role for health tech leaders

      Miles Barr | Tech
    • Leadership is about pulling others up

      Sagar Chapagain, MD | Physician
    • The opioid crisis in wealthy zip codes

      Carlos N. Hernandez-Torres, MD | Physician
    • Why more doctors are seeking therapy to sustain their careers and lives [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why a 500-calorie meal isn’t always fit

      Larry Kaskel, MD | Conditions

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

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The mental health workforce is collapsing

      Ronke Lawal | Conditions
    • The measure of a doctor, the misery of a patient

      Anonymous | Physician
    • A doctor’s struggle with burnout and boundaries

      Humeira Badsha, MD | Physician
    • The stoic cure for modern anxiety

      Osmund Agbo, MD | Physician
    • The Cap’n Crunch philosophy of medicine

      Timothy Thomas | Conditions
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The ignored clinical trials on statins and mortality

      Larry Kaskel, MD | Conditions
    • How one physician redesigned her practice to find joy in primary care again [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why doctors must fight for a just health care system

      Alankrita Olson, MD, MPH & Ashley Duhon, MD & Toby Terwilliger, MD | Policy
    • How new loan caps could destroy diversity in medical education

      Caleb Andrus-Gazyeva | Policy
    • IMGs are the future of U.S. primary care

      Adam Brandon Bondoc, MD | Physician
  • Recent Posts

    • The power of ordinary joy for physician well-being

      Ben Reinking, MD | Physician
    • Reinforcing trust in AI: a critical role for health tech leaders

      Miles Barr | Tech
    • Leadership is about pulling others up

      Sagar Chapagain, MD | Physician
    • The opioid crisis in wealthy zip codes

      Carlos N. Hernandez-Torres, MD | Physician
    • Why more doctors are seeking therapy to sustain their careers and lives [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why a 500-calorie meal isn’t always fit

      Larry Kaskel, MD | Conditions

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...