Finding The evidence suggests that Drs. In the case of a young surgeon in his first appointment following his residency, more careful consideration ought to have been given to the fact that he was facing an entirely different experience from what he had faced as a surgical resident. Finding The evidence suggests that Drs. Bishop, Blanchard and Giddins also did not ensure that anyone was assigned responsibility or took responsibility for building and mentoring the Pediatric Cardiac Surgery team as a whole in the early part of 1994. As a result of the lack of appropriate orientation and mentoring, the program was plagued throughout 1994 with a variety of very serious problems.
Examples are numerous and are found in the preceding chapters.
These problems may, in fact, have compromised patient care. Finding The evidence suggests that Drs. Bishop, Blanchard, Giddins and Odim did not give sufficient consideration both to Odim's lack of experience and to the level of team development. Finding The evidence suggests that the lack of supervision and the lack of a phased start-up plan meant that the Pediatric Cardiac Surgery Program was marked by poor case selection in 1994 and that the program undertook cases that were beyond the skill and experience of the surgeon and the team. Finding The evidence suggests that the cardiologist and the surgeon did not take appropriate steps to establish and maintain open and ongoing lines of communication with other related medical services in the hospital, such as nursing and anaesthesia.