The Characteristics of Physicians Who are Re-Disciplined by Medical Boards: A Retrospective Cohort Study

Jeyalingam, Thurarshen; Matelski, John; Alam, Asim; Liu, Jessica J.; Goldberg, Hanna R.; Klemensberg, Jason; Bell, Chaim M.

doi:10.1016/j.jcjq.2017.12.003

Cited by 4 publications

(7 citation statements)

References 22 publications

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“…42,43,45,46,103 Two studies assessed effectiveness of penalties on rates of reoffending. 27,65 Most papers studied penalties as a whole, commenting on the most and least commonly applied penalties in the sample, [13][14][15][16][17][18][19]24,28,29,31,32,34,36,37,40,41,[47][48][49][50]57,[61][62][63]65,69,70,72,74,[76][77][78]80,82,84,88,93,98,[101][102][103]106,108,…”

Section: Common Reasons For Disciplinary Actionmentioning

confidence: 99%

“…91,93,94,98,102,[106][107][108][109][110][111][112]116,[118][119][120] Twelve studies reported that most cases in the study were against males, but did not compare the proportion of males disciplined to the proportion of males in the general workforce for that profession. 16,34,39,41,57,[76][77][78]89,95,113 Five studies found no difference between male and female gender as a risk factor for discipline. 22,26,87,101,103 Some studies from nursing found that more women were disciplined overall, 58 but that more men were disciplined when compared to the proportion of males in the workforce.…”

Section: Common Reasons For Disciplinary Actionmentioning

confidence: 99%

“…20 A few studies collected information on international medical graduates but did not compare discipline rates or risk to domestic graduates. 17,57,74,107 License type/profession License type within a profession (e.g., registered practical nurse, registered nurse, or nurse practitioner) was studied in 31 of 108 papers (29%). License type was associated with discipline, where those with less education were more likely to be disciplined.…”

Section: Common Reasons For Disciplinary Actionmentioning

confidence: 99%

“…Four studies 29,87,93,112 and a review article 33 specialties who had been previously disciplined, ranging from 8% of physicians to 45.5%. [15][16][17]28,57,89,113 In two pharmacist studies, 18% and 20% of pharmacists were disciplined more than once, 90,108 and ve studies of nurses reported rates ranging from 6.6% to 39% with an average of 23%. 27,54,58,61,118 In a study reviewing multiple health professionals, 8.7% of guilty ndings involved previously disciplined practitioners.…”

Section: Board Certificationmentioning

confidence: 99%

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Characteristics, Predictors and Reasons for Regulatory Body Disciplinary Action in Health Care: A Scoping Review

Foong-Reichert¹,

Fung²,

Carter³

et al. 2021

Journal of Medical Regulation

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What research has been done to characterize the outcomes of disciplinary action or fitness-to-practice cases for regulated health professionals? To answer this research question, relevant publications were identified in PubMed, Ovid EMBASE, CINAHL via EBSCOhost, and Scopus. Included papers focused on reviews of regulatory body disciplinary action for regulated health professionals. Of 108 papers that were included, 84 studied reasons for discipline, 68 studied penalties applied, and 89 studied characteristics/predictors of discipline. Most were observational studies that used administrative data such as regulatory body discipline cases. Studies were published between 1990–2020, with two-thirds published from 2010–2020. Most research has focused on physicians (64%), nurses (10%), multiple health professionals (8.3%), dentists (6.5%) and pharmacists (5.5%). Most research has originated from the United States (53%), United Kingdom (16%), Australia (9.2%), and Canada (6.5%). Characteristics that were reviewed included: gender, age, years in practice, practice specialty, license type/profession, previous disciplinary action, board certification, and performance on licensing examinations. As most research has focused on physicians and has originated from the United States, more research on other professions and jurisdictions is needed. Lack of standardization in disciplinary processes and definitions used to categorize reasons for discipline is a barrier to comparison across jurisdictions and professions. Future research on characteristics and predictors should be used to improve equity, support practitioners, and decrease disciplinary action.

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Section: Common Reasons For Disciplinary Actionmentioning

confidence: 99%

Section: Common Reasons For Disciplinary Actionmentioning

confidence: 99%

Section: Common Reasons For Disciplinary Actionmentioning

confidence: 99%

Section: Board Certificationmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics, Predictors and Reasons for Regulatory Body Disciplinary Action in Health Care: A Scoping Review

Foong-Reichert¹,

Fung²,

Carter³

et al. 2021

Journal of Medical Regulation

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“…Previous studies have examined disciplinary findings against specific Canadian medical specialties, but these studies did not include residents. [3][4][5][6][7][8][9] Although these studies represent a step toward learning more about college complaints, disciplin ary findings are only one possible physician outcome of a col lege complaint and represent a small fraction of complaint out comes overall (CMPA: unpublished data, 2020).…”

mentioning

confidence: 99%

College complaints against resident physicians in Canada: a retrospective analysis of Canadian Medical Protective Association data from 2013 to 2017

Crosbie

McDougall

Pangli

et al. 2022

cmajo

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Background: An understanding of regulatory complaints against resident physicians is important for practice improvement. We describe regulatory college complaints against resident physicians using data from the Canadian Medical Protective Association (CMPA). Methods:We conducted a retrospective analysis of college complaint cases involving resident doctors closed by the CMPA, a mutual medicolegal defence organization for more than 100 000 physicians, representing an estimated 95% of Canadian physicians. Eligible cases were those closed between 2008 and 2017 (for time trends) or between 2013 and 2017 (for descriptive analyses). To explore the characteristics of college cases, we extracted the reason for complaint, the case outcome, whether the complaint involved a procedure, and whether the complaint stemmed from a single episode or multiple episodes of care. We also conducted a 10-year trend analysis of cases closed from 2008 to 2017, comparing cases involving resident doctors with cases involving only nonresident physicians.Results: Our analysis included 142 cases that involved 145 patients. Over the 10-year period, college complaints involving residents increased significantly (p = 0.003) from 5.4 per 1000 residents in 2008 to 7.9 per 1000 in 2017. While college complaints increased for both resident and nonresident physicians over the study period, the increase in complaints involving residents was significantly lower than the increase across all nonresident CMPA members (p < 0.001). For cases from the descriptive analysis (2013-2017), the top complaint was deficient patient assessment (69/142, 48.6%). Some patients (22/145, 15.2%) experienced severe outcomes. Most cases (135/142, 97.9%) did not result in severe physician sanctions. Our classification of complaints found 106 of 163 (65.0%) involved clinical problems, 95 of 163 (58.3%) relationship problems (e.g., communication) and 67 of 163 (41.1%) professionalism problems. In college decisions, 36 of 163 (22.1%) had a classification of clinical problem, 66 of 163 (40.5%) a patient-physician relationship problem and 63 of 163 (38.7%) a professionalism problem. In 63 of 163 (38.7%) college decisions, the college had no criticism.Interpretation: Problems with communication and professionalism feature prominently in resident college complaints, and we note the potential for mismatch between patient and health care provider perceptions of care. These results may direct medical education to areas of potential practice improvement.

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International medical graduates and general practice training: How do educational leaders facilitate the transition from new migrant to local family doctor?

et al. 2019

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The Characteristics of Physicians Who are Re-Disciplined by Medical Boards: A Retrospective Cohort Study

Cited by 4 publications

References 22 publications

Characteristics, Predictors and Reasons for Regulatory Body Disciplinary Action in Health Care: A Scoping Review

Characteristics, Predictors and Reasons for Regulatory Body Disciplinary Action in Health Care: A Scoping Review

College complaints against resident physicians in Canada: a retrospective analysis of Canadian Medical Protective Association data from 2013 to 2017

International medical graduates and general practice training: How do educational leaders facilitate the transition from new migrant to local family doctor?

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