How to cope with surgeons who are difficult to work with

Started by sky778
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Don’t take any ****.
This gets easier the further you are in your career.

One thing I’ll add that we’ve noticed is the PP surgeons we used to have mostly all used to thank us at the end of the case. Now that we have a lot of (lesser skilled) academic surgeons employed by the hospital that happens significantly less often. More of an attitude that we are a needed service to be tolerated rather than a teammate on the case. Not with all but def a much higher percentage. The academic attitude is…interesting.
No doubt.
So many of the academic surgeons were such horrible people, and their skills didn't match the attitude.
 
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No doubt.
So many of the academic surgeons were such horrible people, and their skills didn't the attitude.

Academic places tend to be big with lots of doctors and revolving doors. No doubt you work with the same few people every day it isnt as big an issue. When I worked locums at several hospitals where the old anesthesia group was kicked out, the surgeons acted like absolute dinguses to the new people who came in.
 
My take is there are 3 possibilities.

1 Tolerate and be quiet.
2 Give it back to them.
3 Refuse to work with them.

It’s an individual answer depending on your circumstances. Maybe it’s a big wig surgeon who brings a lot of volume. Maybe you are a big wig anesthesiologist yourself. Maybe the surgeon is just terrible and an easy prey for you. You probably know the lay of the land better than an outsider.

Reviewing my past I have chosen #2 for the most part. It depends greatly on your seniority in the group. I wouldn’t recommend you start there out of residency. Maybe you start in #1, then # 3 and finish in #2? Or any combination that works. It's up to you.

I have lost some coworkers due to this. After some history of people dropping off you can ask for hazard pay.
You could also file a incident report with the hospital. Oftentimes these difficult surgeons are already well known to the peer review committee. They can initiate behavioral modification and or place said surgeon on a contract for behavioral problems.
 
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You could also file a incident report with the hospital. Oftentimes these difficult surgeons are already well known to the peer review committee. They can initiate behavioral modification and or place said surgeon on a contract for behavioral problems.

We had an absolutely terrible middle age urologist who was known for making racist and misogynistic remarks, letting his residents work unsupervised, and it took years and years before he was let go. He was also a huge money maker for the hospital. The hospital admin saw $$$ and that always trumps anything else.
 
We had an absolutely terrible middle age urologist who was known for making racist and misogynistic remarks, letting his residents work unsupervised, and it took years and years before he was let go. He was also a huge money maker for the hospital. The hospital admin saw $$$ and that always trumps anything else.
Gotta love SDN. One thread bashing those “greedy hospitals who value money over all”. The next thread exhorting all to not accept less than 400/hr home call 😉.
 
How is a urologist a moneymaker?

I dont know how reimbursements work for urologu but that guy ran 2 rooms everyday from 730am to 5pm. And his most common line to his residents was... "who is this patient?" And "What are we doing for him (or her)?"

In any case... we all know... hospitals are willing to stipend physician fees if the big picture makes sense. They want to make those sweet juicy facility fees
 
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How is a urologist a moneymaker?


At least part of it is the demographics of prostate cancer. Some of the population is Medicare but we get a high proportion of working pre-Medicare age patients show up at our door for robotic prostatectomies. Many are professionals with excellent insurance. A few are philanthropists/donors.
 
We have the ability to 86 one or two dingus surgeons.
They end up getting the slow soon to retire, don’t give a F, partners.
I personally don’t work with a lot of misbehaved surgeons. If they are acting out, I just ignore them and carry on. They get the vibes from across the blood brain barrier ether curtain.
Sometimes I step in if they are mistreating staff, but 99% of the time we are chilling, listening to good music and laughing.
The outliers know it and eventually get the fact that THEY are obstructionists to a good day.
Seems to work itself out.
 
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At least part of it is the demographics of prostate cancer. Some of the population is Medicare but we get a high proportion of working pre-Medicare age patients show up at our door for robotic prostatectomies. Many are professionals with excellent insurance. A few are philanthropists/donors.
Off topic, but you couldn't pay me all the money in the world to have a prostatectomy when there are such better treatments out there.
 
Off topic, but you couldn't pay me all the money in the world to have a prostatectomy when there are such better treatments out there.


The real answer is it depends. But you don’t need to convince me. I had Gleason 6 PI-RADS 3 and elected hypofractionated LINAC with a spacer. Done in 6 sessions. Minimal temporary SEs. No pads. Easy peasy.


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