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if it's any consolation, I'm a surgeon, and in my town, another surgeon's wife was diagnosed with lung cancer right after his last weekend of call. She underwent surgery / chemo / radiation and died within 4 months and later (he kept working bc his plans of taking time to see the world with his wife were ruined) he told me that she would have been better off just going on hospice bc she suffered. Hindsight, unfortunately, is 20-20.

Cardiac surgeons in the US have had their own database for >20 years, and vascular surgeons do too. General surgeons have gotten into it the last 10 years or so

https://www.facs.org/quality-programs/acs-nsqip

I'm the NSQIP champion for my hospital system and go to monthly meetings to review our system's data. There's a lot of controversy with the data. We show individuals their data as compared to their anonymized peer data. Recently, the credentialling committee wanted access to the data, and that is being discussed, but I'm against it because the data only samples your outcomes, not every case, so it can be biased (although as you get more cases sampled, hopefully, the pattern established becomes more relevant). Anyway, it can be humbling.

Moreover, all deaths / OR take backs / readmissions get reviewed by a hospital committee and in the 15 years I've been in practice, there have been 4 surgeons in town that have lost their privileges to operate at the hospital.



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