S6 Ep19 Dr. Derek Donegan on Orthopedic Trauma & Metacognition

Dr. Derek Donegan is an orthopedic trauma surgeon and Associate Professor at the University of Pennsylvania, a healthcare entrepreneur, co-founder of ORtelligence, and a national leader with the Orthopedic Trauma Association, where his work centers on well-being, moral injury, and advocacy.

Dan and Derek start with the distinction that elective joint replacement is planned, optimized, and predictable weeks out, while orthopedic trauma is a patient you've never met and can't prepare for. The two paths have the same training pipeline, same residency spots, but somewhere along the way some surgeons catch the "trauma bug" and start looking for chaos to organize instead of variables to eliminate.

From there they dig into what Derek calls his "Spidey sense", the signal that a case is turning before he could point to why, and his reputation for going quiet in the OR exactly when things get hardest. They use cognitive load theory to get at why that instinct resists being taught even when everyone in the room wants it taught.

This conversation was released in partnership with The Emergency Mind Podcast.

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