Cowboy
A surgeon who operates aggressively and off the guidelines.
Definitions
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.
Cowboy In A Sentence
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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