9 - Surgical Accountability: Leading Through Complications with Dr. Steven Cohen

How can surgeons navigate the inevitable complications and conflicts that arise in their practice? Host Dr. Lee Sharma welcomes Dr. Steven Cohen, a seasoned colorectal surgeon based in Richmond, Virginia, to the Scalpel and Sword Podcast.  Dr. Cohen's wealth of knowledge and experience makes him the perfect guest to explore the human side of medicine and the importance of professionalism in surgery. He delves into the medical-legal arena, highlighting trends like finger-pointing among healthcare teams and the importance of pausing to respond rather than react to bad outcomes. 

Drawing from a case where a patient died despite exceeding standard care with a Greenfield filter, he emphasizes transparency, documentation, and team collaboration. Dr. Cohen also shares practical advice on ownership, power dynamics, and the “trust but verify” approach, equipping surgeons with tools to enhance patient care and professional resilience.

Three Actionable Takeaways:

1. Pause and Respond – Take a moment to involve all stakeholders, including family and team, to manage complications effectively.
2. Document Thoroughly – Record all steps and decisions to preempt conflict and ensure accountability in patient care.
3. Trust but Verify – As the surgeon, confirm all preoperative optimizations and maintain control over patient outcomes.
    

About the Show:
Behind every procedure, every patient encounter, lies an untold story of conflict and negotiation. Scalpel and Sword, hosted by Dr. Lee Sharma—physician, mediator, and guide—invites listeners into the unseen battles and breakthroughs of modern medicine. With real conversations, human stories, and practical tools, this podcast empowers physicians to reclaim their voices, sharpen their skills, and wield their healing power with both precision and purpose.

About the Guest:
Dr. Steven Cohen is a board-certified colorectal surgeon with over 30 years of experience, holding an MD from UCLA, residency from Boston University, and a fellowship in colorectal surgery from Cleveland Clinic Florida. He earned an MBA from Walden University and serves as associate faculty at Virginia Commonwealth University and staff surgeon at the VA hospital in Richmond, Virginia. A prolific publisher and expert witness, Dr. Cohen reviews medical-legal cases to enhance his practice, teaching residents about accountability and conflict management. Known for his mentorship, he advocates for transparency and team-based care, drawing from his extensive surgical and educational background.

• LinkedIn: https://www.linkedin.com/in/stephencohenmd 
   

About the Host:
Dr. Lee Sharma is a gynecologist based in Auburn, AL, with over 30 years of clinical experience. She holds a Master’s in Conflict Resolution and is passionate about helping colleagues navigate workplace challenges and thrive through open conversations and practical tools.

Connect with Dr. Lee Sharma:
📧 Email: [e-mail]
🌐 Website: East Alabama Health - Dr. Sharma
 

The Scalpel and Sword Podcast is for informational purposes only and does not constitute medical, legal, or professional advice. Always consult a qualified professional regarding your specific situation.