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C.
Disruptive physician
Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative
environment.
J Am Coll Surg
. 2014; 219(3):390-398. EBM level 4.........................44-52
Summary
: This paper presents a study at a single institution involving several types of
operating room participants regarding disruptive surgeon behavior. The article focuses
on characterizing types of disruptive behavior. The authors found situational stress
tended to increase disruptive behavior.
Grogan MJ, Knechtges P. The disruptive physician: a legal perspective.
Acad Radiol
.
2013; 20(9):1069-1073. EBM level 5..........................................................................53-57
Summary
: Disruptive behavior has cascading effects in the functioning and safety of the
medical care team. Loss of privileges is a reasonable action by hospitals faced by
disruptive physician behavior, but such action must follow some key policies.
Overton AR, Lowry AC. Conflict management: difficult conversations with difficult
people.
Clin Colon Rectal Surg
. 2013; 26(4):259-264. EBM level NA....................58-63
Summary
: This article provides strategies on how to deal with conflict within the
workplace. It discusses approaches to preparing for the conflict discussion, proceeding
with the discussion, and responding to conflict management. The authors also describe
how to deal with the disruptive physician.
III.
Communication
A.
Informed consent
Childers R, Lipsett PA, Pawlik TM. Informed consent and the surgeon.
J Am Coll Surg
.
2009; 208(4):627-634. EBM level 5............................................................................64-71
Summary
: While this article is older, it provides a great overview of the key components
and concepts in informed consent as it applies to the surgeon. Several key common
challenges to full informed consent are discussed and options are reviewed.
Kraft SA, Constantine M, Magnus D, et al. A randomized study of multimedia
informational aids for research on medical practices: implications for informed consent.
Clin Trials
. 2017; 14(1):94-102. EBM level 1...........................................................72-80
Summary
: Understanding of research issues and concepts are important for participants’
understanding of the research and proper consent. This study evaluates the use of
multimedia aids vs. text-only information on these concepts. Text-only information
performed worst amongst options for information conveyance. While the article is
geared to clinical research informed consent, some applicability also likely exists in
clinical informed consent.