An In-Depth Conversation with Dr. Robert MacArthur, MD On Medicine and Fatherhood

Dr. Robert MacArthur, MD, is a highly skilled orthopedic surgeon with over 20 years of experience in the field. He holds a medical degree from Columbia University College of Physicians & Surgeons and specializes in complex joint replacements, spinal surgeries, and sports-related injuries. With a double major in Biochemistry and Physiology from UC Berkeley, Dr. MacArthur brings a strong scientific foundation to his practice. He has contributed to innovations in surgical techniques, including the integration of advanced technologies like augmented reality. Outside of medicine, he is passionate about fitness, having completed over 30 marathons, and balances his career with his role as a dedicated single father.

What inspired you to pursue a career in orthopedic surgery? 

From a young age, I was fascinated by the mechanics of the human body, especially how bones and joints work together to allow movement. My athletic background in rugby and boxing fueled my interest in injuries and recovery, prompting me to understand how the body heals. This passion only grew as I studied biochemistry and physiology at UC Berkeley, and later, during my medical training, I became captivated by the ability to restore function through orthopedic surgery. It felt like the perfect blend of science, precision, and helping people regain their lives.

How has your background in athletics influenced your approach to surgery? 

Athletics taught me discipline, resilience, and the importance of preparation. As a surgeon, I approach each procedure like training for a match—understanding the anatomy is akin to understanding the playing field, and rehearsing surgical techniques is like practicing drills. In both, mental endurance is as crucial as physical skill. My experience with injuries as an athlete also helps me empathize with my patients, understanding their frustration and determination to recover, which guides me in providing comprehensive, personalized care.

How do you keep up with technological advancements in orthopedic surgery? 

I make it a priority to stay informed by attending conferences, participating in webinars, and reading the latest research publications. One of the most impactful ways has been through networking with peers who specialize in innovative techniques, such as augmented reality-assisted surgery. These technologies have become invaluable in my practice, and I’m continuously exploring how to integrate them into procedures to improve accuracy and outcomes.

Can you share an experience where you faced a challenging surgery and how you handled it? 

One of the most challenging cases involved a patient with a severe fracture in multiple places. The complexity required not only technical skill but also quick decision-making. Using 3D imaging, I meticulously planned the surgery beforehand, anticipating potential complications. During the procedure, I had to adapt as unexpected challenges arose, but relying on my training, preparation, and the use of augmented reality for guidance, I managed to reconstruct the bone successfully. It reinforced the importance of being prepared and adaptable in every surgery.

How do you balance your demanding career with being a single father? 

Balancing my career with family life has been my greatest challenge and accomplishment. It requires a lot of discipline and effective time management. I prioritize quality time with my children, ensuring that when I’m with them, they have my full attention. I’ve also learned to lean on a support network of friends and colleagues, and I’ve become more efficient at work to maximize time at home. It’s not always perfect, but my kids remind me why I work so hard.

What role does creativity play in your life, both in and out of surgery? 

Creativity is integral to my approach as a surgeon and an artist. I’ve found that sculpting, in particular, enhances my manual dexterity and spatial awareness, which directly translates to my surgical precision. When faced with complex surgeries, thinking creatively allows me to develop innovative solutions. Outside of work, sculpting is my way of relaxing and expressing myself—it’s a meditative practice that helps me maintain balance and mental clarity.

What advice would you give to young medical professionals entering orthopedic surgery today? 

Stay curious and never stop learning. Orthopedic surgery is a constantly evolving field, and being adaptable is crucial. Take every opportunity to observe, ask questions, and learn from experienced surgeons. Develop a strong foundation in anatomy, but also focus on building communication skills, as connecting with patients is just as important as the technical aspects. Lastly, find a way to balance your career with personal interests—medicine is demanding, but maintaining your passions will keep you grounded.

How do you handle difficult conversations with patients, especially when the news isn’t positive? 

Honesty and empathy are key. I believe in being transparent with my patients while also offering hope and support. When delivering difficult news, I make sure to explain the situation in simple terms, allowing them to ask questions and express their concerns. It’s important to listen and validate their emotions. I always strive to provide a clear plan for the next steps, so patients feel informed and supported, even in challenging circumstances.

What’s your perspective on the future of orthopedic surgery? 

The future is incredibly exciting, especially with the integration of technology like augmented reality, robotics, and 3D printing. These advancements will make surgeries more precise and less invasive, improving recovery times and outcomes. Personalized medicine will also play a significant role, with treatments tailored to individual patient needs. I believe that as we continue to embrace these technologies, the field will evolve to offer more effective and patient-centered care.

Outside of medicine, what is one activity you are passionate about and why? 

Running marathons is a passion of mine, and it parallels my approach to surgery in many ways. It requires dedication, preparation, and mental strength to push through challenging moments. Running helps me clear my mind, stay physically fit, and reminds me of the importance of perseverance. It’s a way to challenge myself outside the operating room and serves as a reminder that both personal and professional growth come from stepping outside of one’s comfort zone.

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