In an operating room, when two surgeons of equal experience disagree on a surgical procedure, how is the tie broken?

In the operating room, when two surgeons of equal experience and authority disagree on a surgical procedure, several strategies can be employed to resolve the conflict and ensure optimal patient care:

Timing and Setting

It is crucial to address the disagreement in an appropriate time and setting. Conflicts should not be resolved in the midst of a busy or high-pressure environment like the operating room itself. Instead, finding a quiet, private setting allows both parties to discuss the issue calmly and thoughtfully, reducing the likelihood of confrontational situations13.

Communication and Respect

Effective communication and mutual respect are key. Both surgeons should approach the discussion with a "we" attitude, focusing on the shared goal of providing the best possible patient care. This involves active listening, understanding each other's perspectives, and respecting the expertise and experience of both parties13.

Ground Rules and Guidelines

Establishing clear ground rules and conduct guidelines can help prevent conflicts or manage them more effectively. This includes setting up systems for crisis resource management and interdisciplinary team training programs, which can enhance communication and teamwork3.

Common Goal

Both surgeons should remind themselves that their primary goal is the patient's well-being. Acknowledging this common goal can help maintain respectful and professional relationships, even in the face of disagreement35.

Involvement of Other Team Members

If necessary, other members of the surgical team, such as anesthesiologists or senior medical staff, can be involved to provide additional perspectives or to mediate the discussion. However, this should be done carefully to avoid undermining the authority of either surgeon3.

Decision-Making Framework

In some cases, hospitals may have established protocols or decision-making frameworks that can help resolve such disputes. These might include consulting with other specialists, reviewing patient data together, or referring to established clinical guidelines3.

By employing these strategies, conflicts between two surgeons can be managed in a way that prioritizes patient care and maintains a respectful and professional working environment.