Disciplinary action against physicians: Who is likely to get disciplined?

Khaliq, Amir A.; Dimassi, Hani; Huang, Chiung Yu; Narine, Lutchmie; Smego, Raymond A.

doi:10.1016/j.amjmed.2005.01.051

Cited by 106 publications

(114 citation statements)

References 10 publications

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“…This is an important finding, not only because of its implications for the wellbeing of individual surgeons, but because substance use can have an adverse impact on patient care. 13,14 Consistent with previous studies, 1,3,7,15 we found that being older; male; and a specialist in neurosurgery, plastic surgery or orthopaedics were risk factors for complaints. Further analysis of individual and systemic factors leading to complaints within these subgroups is needed, and craft groups should be actively involved in developing interventions to remedy recurring patterns of complaint.…”

Section: Results In Contextsupporting

confidence: 80%

Why do surgeons receive more complaints than their physician peers?

Tibble

Broughton

Studdert

et al. 2017

ANZ Journal of Surgery

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Background: Compared with other doctors, surgeons are at an increased risk of medicolegal events, including patient complaints and negligence claims. This retrospective study aimed to describe the frequency and nature of complaints involving surgeons compared with physicians. Methods: We assembled a national data set of complaints about surgeons and physicians lodged with medical regulators in Australia from 2011 to 2016. We classified the complaints into 19 issues across four domains: treatment and procedures, other performance, professional conduct and health. We assessed differences in complaint risk using incidence rate ratios (IRRs). Finally, we used a multivariate model to identify predictors of complaints among surgeons. Results: The rate of complaints was 2.3 times higher for surgeons than physicians (112 compared with 48 complaints per 1000 practice years, P < 0.001). Two-fifths (41%) of the higher rate of complaints among surgeons was attributable to issues other than treatments and procedures, including fees (IRR = 2.68), substance use (IRR = 2.10), communication (IRR = 1.98) and interpersonal behaviour (IRR = 1.92). Male surgeons were at a higher risk of complaints, as were specialists in orthopaedics, plastic surgery and neurosurgery. Discussion: Surgeons are more than twice as likely to attract complaints as their physician peers. This elevated risk arises partly from involvement in surgical procedures and treatments, but also reflects wider concerns about interpersonal skills, professional ethics and substance use. Improved understanding of these patterns may assist efforts to reduce harm and support safe practise.

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Section: Results In Contextsupporting

confidence: 80%

Why do surgeons receive more complaints than their physician peers?

Tibble

Broughton

Studdert

et al. 2017

ANZ Journal of Surgery

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“…6 Additionally, studies show the incidence of adverse licensing action increases as a function of time in practice and suggest there may be opportunities to intervene at various times during a physician's practice career to prevent or delay the emergence of serious deficiencies in competence or performance. 7,8 These studies on physician competence and quality of care 1,[5][6][7][8] were conducted in the context of emerging efforts to evaluate and improve physician performance. The American Board of Medical Specialties~ABMS!…”

Section: Introductionmentioning

confidence: 99%

A multimethod study of needs for physician assessment: Implications for education and regulation

Hawkins

Roemheld-Hamm

Ciccone

et al. 2009

Journal of Continuing Education in the Health Professions

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“…Estes dados estão de acordo com a literatura que coloca a Ginecologia e Obstetrícia como uma das especialidades mais propensa ao litígio médico-legal (Tabela 4). 8,[11][12][13][14][15] Na mesma linha está também um Relatório da Inspeção-Geral das Atividades em Saúde (IGAS) de 2010, que identificou a Ginecologia e Obstetrícia como a primeira especialidade afetada por processos judiciais em Portugal (num total de 30), seguida da Cirurgia Geral e da Ortopedia. 4 Os queixosos mais frequentes foram doentes em nome próprio, seguidos de instituições.…”

Section: Discussionunclassified

“…São exemplo disso, o Estatuto Disciplinar dos Trabalhadores Que Exercem Funções Pú-blicas e o Estatuto da Ordem dos Médicos que, aplicando--se a um mesmo médico, têm âmbitos de ação diferentes, um na responsabilidade administrativa e outro na responsabilidade profissional e deontológica. 1,9,10 Seja qual for o cenário de escrutínio do exercício da profissão médica, a especialidade de Ginecologia e Obstetrícia afigura-se como uma das mais críticas, 8,[11][12][13][14][15] aparecendo como uma das que apresenta maior proporção de ações disciplinares e judiciais, bem como de penas e de pedidos indemnizatórios mais elevados. [13][14][15] Em Portugal conhecemos as queixas que deram entrada no Conselho Médico-Legal do Ministério da Justiça, no âmbito da Ginecologia e Obstetrícia, 8 mas não conhecemos nenhuma publicação que analise as ações de ordem disciplinar da esfera de competência da Ordem dos Médicos.…”

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Ações Disciplinares em Ginecologia e Obstetrícia na Região Norte de Portugal nos Anos 2008 a 2012

2015

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RESUMOIntrodução: As ações disciplinares podem ter um impacto significativo na vida dos médicos e dos doentes. O objetivo deste trabalho foi a avaliação das ações disciplinares em Ginecologia e Obstetrícia ocorridas na região norte We calculated the proportion of disciplinary actions in Obstetrics and Gynaecology over the total number of registered specialists in that speciality. We also analysed the type of complainers, accused, institutions, complaints and decisions. For statistical inference proportions with 95% confidence intervals were estimated. Results: From years 2008 to 2012, we registered 1040 complaints in all medical specialities in the north of Portugal. Obstetrics and Gynecology was the forth most affected specialty, with a total of 54 complaints. Forty-three complaints were related with medical malpractice and if we only consider this type of complaint Obstetrics and Gynecology was the most affected specialty. The most frequent complainers and accused were, respectively, patients themselves and female physicians, with 41 to 60 years of age. Fifty-two complaints were archived without punishment while two still await conclusion. Discussion: The overall results of this study are in agreement with those reported by other authors. Conclusions: Obstetrics and Gynecology was the forth speciality with highest risk for any disciplinary action in the north of Portugal in years 2008 to 2012 and the first one in relation with alleged negligence. All presented and already concluded complaints were archived without penalty, except two that are still under evaluation. Keywords: Gynecology; Liability, Legal; Malpractice; Obstetrics; Portugal; Professional Misconduct. INTRODUÇÃOA profissão médica associa-se, desde tempos imemoriais, a uma forte regulamentação e escrutínio social, plasmados em inúmeros códigos, declarações e regulamentos, de diversas naturezas -ética, jurídica ou deontológica. 1Esta realidade é cada vez mais uma parte integrante do exercício profissional, condicionando-o profundamente. Calcula-se que, em média, os médicos possam estar envolvidos em ações disciplinares ou legais durante 11% dos 40 anos de vida média profissional.2 Trata-se, no entanto, de um assunto difícil de estudar, com pouca informação disponível na literatura médica. É grande a diversidade e complexidade dos processos, com os médicos a poderem ser alvo de ações movidas por entidades patronais, profissionais e judiciais.1 É, por isso, difícil obter um retrato completo dos resultados do escrutínio exercido sobre os médicos.Alguns artigos e relatórios institucionais abordam os problemas no âmbito das ações movidas pelas entidades patronais, de natureza essencialmente administrativa, laboral e de qualidade de desempenho. 3,4 Outros trabalhos interessam-se pelas ações movidas pelas associações profissionais, investidas de legitimidade deontológica e de poder disciplinar, como as ordens e os colégios de

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Disciplinary action against physicians: Who is likely to get disciplined?

Cited by 106 publications

References 10 publications

Why do surgeons receive more complaints than their physician peers?

Why do surgeons receive more complaints than their physician peers?

A multimethod study of needs for physician assessment: Implications for education and regulation

Ações Disciplinares em Ginecologia e Obstetrícia na Região Norte de Portugal nos Anos 2008 a 2012

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