Dr. Charles Vorster, a Cleveland Clinic neurosurgeon, explains how introducing every team member before surgery fosters individual ownership in high-stress multidisciplinary operating rooms.
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“So I think the ownership of actually knowing who the patient is and introducing in the beginning, some of the timeouts we introduce This is Sally, she's the scrub dick, and this is John, the rep from some company, and this is Doctor, whatever, from China, who's visiting us today, and this is, so when we do that, everybody seems to have ownership, and that ultimately, I think, is really the way of getting them to do their job, I guess.”
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More from Dr. Charles (Sarel) Vorster
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Vorster: Neurosurgery must blend "eminence-based" historical experience with emerging data
“I like calling that eminence-based medicine rather than evidence-based. So eminence-based in my mind means if somebody with a lot of experience and skill did something, we can learn from that. We would be foolish to ignore that. On the other hand, we have to m…”
Dr. Charles (Sarel) VorsterDec 23, 2019▶ 15:53Dr. Sarel Vorster – Conducting Brain Surgery (Capital Allocators, EP.117)
Insight
Vorster: Surgeons should leave residual tumor rather than risk patient harm
“Rather than harm this person, maybe we should pull back a little bit. Let's leave the last little bit of the tumor. We always say most accidents happen near home, you know, so don't go after that last little Just stop before things really get bad. And that's h…”
Dr. Charles (Sarel) VorsterDec 23, 2019▶ 33:10Dr. Sarel Vorster – Conducting Brain Surgery (Capital Allocators, EP.117)
Insight
Vorster: Medicine has a firmer scientific foundation than finance and economics
“There was also perhaps a more accessible scientific base to medicine, whereas finance and economics are often based on theory and on retrospective type of analyses and long run averages and things like that.”
Dr. Charles (Sarel) VorsterDec 23, 2019▶ 45:01Dr. Sarel Vorster – Conducting Brain Surgery (Capital Allocators, EP.117)
Opinion
Vorster: Mandatory age cutoffs should not force surgeons to stop operating
“I wouldn't propose that surgeons should stop operating at 60 or 70 or 80 or something. You know, I have some colleagues that are amazing people near their eighties that are still doing smaller surgeries”
Dr. Charles (Sarel) VorsterDec 23, 2019▶ 48:23Dr. Sarel Vorster – Conducting Brain Surgery (Capital Allocators, EP.117)
Insight
Vorster: Surgeons Must Guide Patients Through Decision-Making With Empathy
“You can't expect them to make the decision. So you have to guide them along with kindness and empathy to the point where everybody's on the same page.”
Dr. Charles (Sarel) VorsterDec 23, 2019▶ 10:11Dr. Sarel Vorster – Conducting Brain Surgery (Capital Allocators, EP.117)
Insight
Vorster: Brain surgery cannot use double-blind placebo trials to develop algorithms
“However, data isn't always available, especially in brain surgery, because you can't do double-blinded tests, for example, where somebody gets a placebo and some don't, and so then you can develop Kind of an algorithm or a plan for your blood pressure medicati…”
Dr. Charles (Sarel) VorsterDec 23, 2019▶ 14:47Dr. Sarel Vorster – Conducting Brain Surgery (Capital Allocators, EP.117)
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