Maguire arrived at the scene and quietly but concisely reminded the patient his responsibility as a patient of the practice to be as respectful to the staff as he would be to any of the doctors. Maguire. No matter what his schedule commitments were like, he always came to fellow presentations and conferences. He was generous to all those around him in fact, the last time I saw him in person he quietly picked up the check for fifteen former and current fellows out for lunch after a reunion in Philadelphia. I also remember once there was a patient being extremely rude to one of the front desk staff. 🤨Ħ) Be loyal to your team: No one would stand up for his fellows, residents, and staff more than Dr. Two minutes of talking can get a lot more across than fifteen minutes of back and forth cryptic emojis. If a conversation is important, pick up the phone. We live in the digital age of text messages, Instagram DMs, and retweets, but so much can be misconstrued when sent in a few words without any sense of inflection or context. Maguire because he was ‘old school,’ and he picked up the phone and called you when he needed to talk. We cannot forget to let our trainees and colleagues know when they are doing well.ĥ) Pick up the phone: The examples in #4 above were classic Dr. Instead, he simply told me that I had done a great job and that he was very proud of me. He also would give positive feedback unsolicited. When he once called me after a long day in the OR together, I assumed it would be about a patient-related medication prescription or paperwork that I had forgotten to fill out. Giving feedback seems like a simple thing to do, but for many of us it can be difficult to tell someone to improve in a compassionate enough way to avoid hurt feelings. He picked up the phone and called me, not to berate me or scold me, but to simply tell me what he had found and where so I could learn. Maguire saw the patient two days later in follow-up and found a retinal tear. Early on in fellowship I remember doing (what I thought was) a thorough retinal examination on a patient with new floaters on call and finding no issues. Maguire gave direct, honest, and constructive feedback frequently to me and I appreciated every bit of it.
#Mid atlantic retina at wills eye hospital how to#
There were surgical specifics that I personally learned first from him, like how to imbricate sutures on a scleral buckle or the concept of ‘oar-locking’ instruments in vitrectomy cannula, but the concept that moving faster is not better will stick with all of his former fellows.Ĥ) Give feedback: Dr. It was his caution for the excited, rapidly improving surgical fellow that being an efficient and skilled surgeon is not about how fast you move while operating, but about preparing and planning in advance, understanding surgical principles, and avoiding wasted movement.
Maguire’s favorite expressions in the operating room was ‘movement equals error’. It reflected in his day to day patient care he took thorough, comprehensive medical histories that put me, as the fellow working in his clinic, to shame on more than one occasion. As he liked to say to me, ‘the ‘MD’ stands for ‘medical doctor’ for a reason’.ģ) Movement equals error: One of Dr. Maguire had almost an encyclopedic knowledge of systemic diseases with retinal findings, whether it was Purtscher-like retinopathy or crystalline retinopathy.
That experience has always stuck with me and since then, I always try to make enough time for my initial encounters with patients suffering from significant diabetic eye disease.Ģ) Be a doctor, not just an eye specialist: Dr. Maguire, despite being very busy in his own private clinic, took the time to sit down with this patient to go over her blood sugar and insulin regimen, emphasizing the impact that her systemic disease was having not just on her vision, but also her life as a whole. I remember once presenting to him a patient with a diabetic tractional retinal detachment from the fellow clinic. Dr. Explain what is going on, why it is happening, and what the goals of therapy are. Maguire emphasized the importance of taking the necessary time to sit down with patients and explain. Maguire’s love for idioms):ġ) Take time: In his own practice and in his teachings, Dr. I wanted to write this post not only to honor a man who meant so much to many, but also to pay tribute to a few of the lessons he taught me and countless fellows and residents over the years at Wills (as an aside, the name, Straight from the Cutter’s Mouth, was actually inspired by Dr. Joseph I. Maguire, a vitreoretinal surgeon at Mid-Atlantic Retina and Wills Eye Hospital and one of my fellowship attendings and role models, passed away over the Thanksgiving weekend after a long battle with cancer.
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