noun General Slang

Cowboy

· noun · medical

A surgeon who operates aggressively and off the guidelines.

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Definitions

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A surgeon who deviates from protocol, swaggers past the multidisciplinary plan, and reaches for the scalpel where a watch-and-wait would do. Said with grudging respect or open contempt depending on who's talking — the patient sometimes benefits, the system pays for it.

“Don't refer her to him — he's a total cowboy, he'll have her in theatre by Friday whether she needs it or not.”
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Cowboy In A Sentence

Don't refer her to him — he's a total cowboy, he'll have her in theatre by Friday whether she needs it or not.

Origin & Usage

Popularised by surgeon-writer Atul Gawande in the New Yorker. A 2015 Harvard study made it stick — naming 'cowboy doctors' as a real cost driver for US healthcare.

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