see Humility.
In neurosurgery, overconfidence is not just a personality flaw — it is a clinical hazard.
🔪 Why Overconfidence Is Dangerous: Risk Underestimation: Leads to dismissing critical red flags, cutting corners in workup, or proceeding with surgery without optimal conditions.
Complication Denial: Delays recognition and management of intraoperative or postoperative complications.
Team Breakdown: Makes junior staff afraid to question decisions, undermining safety culture.
Learning Stagnation: Confident surgeons may stop questioning their decisions or reviewing their own outcomes — halting growth.
🧠 Neurosurgical Specifics: A millimeter’s error can mean paralysis, aphasia, or death. Confidence must be backed by humility and constant re-evaluation.
Every patient, even with a “routine” pathology, can behave unpredictably.
Overconfidence is particularly lethal in emergencies, where fast decisions must still be grounded in reality.
🩺 The Antidote: Deliberate Humility Ask for help.
Debrief after every case.
Accept criticism.
Review errors publicly in M&M meetings.
As Atul Gawande said:
“Better to be uncertain and careful than sure and wrong.”