
The Naked Surgeon: the power and peril of transparency in medicine
Samer Nashef
As a medical student, Samer Nashef was unofficially blacklisted when he started asking questions about the death rates of more senior surgeons. Since then, he has made his name challenging colleagues to be more open and accurate about the success of the procedures they perform.
In The Naked Surgeon, Nashef unclothes his own profession, offering an unprecedented and often controversial view inside the operating theatre. He explains how surgeons can ‘game’ the system to make their results appear better; why the way a surgeon ties the knot in a single stitch could make a life-or-death difference; and why patients operated on the day before a surgeon goes on holiday are twice as likely to die than those operated on during that surgeon’s first day back.
Full of eye-opening revelations about the cardiac surgeon’s craft, The Naked Surgeon is necessary reading for anybody considering medical intervention now, or in the future.
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About Samer Nashef
Reviews for The Naked Surgeon: the power and peril of transparency in medicine
Dr Phil Hammond ‘[An] excellent book’
Sathnam Sanghera
The Times
'Sam Nashef's brief and absorbing account of the development of safer outcomes in cardiac surgery is a valuable insight into the mindset of all surgeons. The book places in context important episodes in the development of cardiac surgery and describes the process of driving down mortality rates within a specialty that was initially very dangerous but has now become very safe. 'This book is a must read for all surgeons at any stage in their careers but more importantly the book should be mandatory reading for those that would try to understand the inner workings of the surgical mind. Here I would include particularly anaesthetists, operating theatre staff, surgical nurses, surgical managers and all surgical patients past, present and future.'
Steve Bolsin '[The Naked Surgeon] takes a Malcolm Gladwell-esque look at what happens in operating theatres ... If a book-length examination of the topic sounds dry, it isn't. Nashef's humanity and compassion shine through.'
The Times
'One can't help but think of Henry Marsh when reading Samer Nashef ... Nashef does a fine job of guiding the reader though the surgical and statistical intricacies and he writes clearly, with plentiful moments of humour.'
Peter Forbes
The Independent
'Bold, brilliant ... [The Naked Surgeon explains] why risk-adjusted surgical outcomes, and similar assessment in all specialities, are so important. And it details the many traps that the well-meaning can walk into when compiling or comparing data. Nashef ’s writing is lucid, free of medical jargon and, unlike many academic books, it is not dry, being strewn with anecdotes and jokes ... An essential book for anyone contemplating surgery, medical treatment, or a career in medicine.'
Leyla Sanai
Independent on Sunday
'UK consultant cardiac surgeon Samer Nashef joins the swelling ranks of medics who have penned frank inside stories. Piquant detail abounds ... but it is Nashef’s long study of risk that injects nuance. It began in 1977, when he discovered that arterial surgeons were responsible for the worst outcomes in a sample of abdominal aortic aneurysm operations. Such failures have, he shows, driven quality measurement in medicine, including his own heart-surgery risk model, EuroSCORE.'
Barbara Kiser
Nature
'A readable and generous book.'
Kitty Wheater
Irish Examiner
'[The Naked Surgeon] takes a scalpel to the medical profession and asks if patients get the standard of care they have the right to expect from their surgeons ... A valuable resource.'
Freddie Wood
Irish Independent
‘Superb … Intelligent and erudite.’
Stuart Jamieson, MD, FRCS, FACS, FACC, FACCP