Knowledge, Attitudes, and Perceptions About Medicolegal Education: A Survey of OB/GYN Residents

Mathew, Shilpa; Samant, Navendu; Cooksey, Christie; Ramm, Olga

doi:10.7812/tpp/19.217

Cited by 7 publications

(5 citation statements)

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“…Our study supports previous research [26][27][28][29], indicating legal education should be increased among physicians. Law should be taught at all medical schools, including undergraduate programs, to increase physicians' legal knowledge and compliance.…”

Section: Discussionsupporting

confidence: 91%

Physicians’ legal knowledge of informed consent and confidentiality. A cross-sectional study

2022

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Background: Only a few studies have been conducted to assess physicians' knowledge of legal standards. Nevertheless, prior research has demonstrated a dearth of medical law knowledge. Our study explored physicians' awareness of legal provisions concerning informed consent and confidentiality, which are essential components of the physicianpatient relationship of trust. Methods:A cross-sectional study assessed attending physicians' legal knowledge of informed consent and confidentiality regulations. The study was conducted in nine hospitals in Dolj County, Romania. Physicians were given a questionnaire with ten scenarios and instructed to select the response that best reflected their practice. We assessed the responses of physicians who claimed their practice to be entirely legal. Their legal knowledge was evaluated by comparing their answers to applicable laws. We also calculated a score for the physicians who admitted to committing a legal breach.Results: Of the 305 respondents, 275 declared they never committed any law violation. However, their median correct answer score was 5.35 ± 1.66 out of 10. The specialty was the strongest predictor of legal knowledge, with emergency physicians rating the lowest and non-surgical physicians scoring the highest. Physicians who worked in both private and public sectors were better knowledgeable about legal issues than those who worked exclusively in the public sector. Results indicate that physicians are aware of the patient's right to informed consent but lack comprehensive understanding. While most physicians correctly answered simple questions, only a tiny minority identified the correct solution when confronted with ethical dilemmas. The physicians who acknowledged breaching the law, on the other hand, had a slightly higher knowledge score at 5.45 ± 2.18. Conclusion:Legal compliance remains relatively low due to insufficient legal awareness. Physicians display limited awareness of legal requirements governing patient autonomy, confidentiality, and access to health data. Law should be taught in all medical schools, including undergraduate programs, to increase physicians' legal knowledge and compliance.

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Section: Discussionsupporting

confidence: 91%

Physicians’ legal knowledge of informed consent and confidentiality. A cross-sectional study

2022

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“…When surveyed, residents and physicians across multiple specialties reported receiving no medicolegal training at all, let alone training that is specific to documentation, and rated their knowledge as poor. 4,5,6 Emergency physicians are particularly at high risk of documentation malpractice liability due to the large number of high-risk patients and fast-paced environment. The objective of this case series was to evaluate malpractice cases related to documentation errors and practices to help improve physicians' documentation and minimize their liability risks.…”

Section: Ghaith Et Almentioning

confidence: 99%

Charting Practices to Protect Against Malpractice: Case Reviews and Learning Points

Ghaith

Moore

Colbenson

et al. 2022

WestJEM

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Introduction: Medical documentation issues play a role in 10-20% of medical malpractice lawsuits. Inaccurate, incomplete, or generic records undermine a physician’s defense and make a plaintiff’s lawyer more likely to take on a case. Despite the frequency of documentation errors in malpractice suits, physicians receive very little education or feedback on their documentation. Our objective in this case series was to evaluate malpractice cases related to documentation to help improve physicians’ documentation and minimize their liability risks. Methods: We used Thomson Reuters Westlaw legal database to identify malpractice cases related to documentation. Common issues related to documentation and themes in the cases were identified and highlighted. Results: We classified cases into the following categories: incomplete documentation; inaccurate text; transcription errors; judgmental language; and alteration of documentation. By evaluating real cases, physicians can better understand common errors of other practitioners and avoid these in their own practice. Conclusion: Emergency physicians can reduce their liability risks by relying less on forms and templates and making a habit of documenting discussions with the patients, recording others’ involvement in patient care (chaperones, consultants, trainees, etc.), addressing others’ notes (triage staff, nurses, residents, etc.), paying attention to accuracy of transcribed or dictated information, avoiding judgmental language, and refraining from altering patient charts.

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“…In this study, the average score of 11 (50%) from the 22 questions was used as a cut-off point to determine the level of knowledge of ethical and medicolegal issues. The criteria for assessing the respondent knowledge: (a) good knowledge > 50% (score [12][13][14][15][16][17][18][19][20][21][22], (b) limited knowledge: ≤ 50% (score 0-11).…”

Section: Study Instrumentmentioning

confidence: 99%

“…Research conducted by Mathew et al in the UnitedStates reported that resident baseline medicolegal knowledge was poor (80%) 18. Wandrowski et al, in Bavaria demonstrate a lack of knowledge among physicians in deciding assisted dying, end of life, and doctor-patient relationship 19.…”

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confidence: 99%

Knowledge and Attitude Among Resident Doctors Related to Ethical and Medicolegal Issues in a Teaching Hospital

Suryadi

Kulsum²

2022

JPKI

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Background: Ethics and medicolegal as a mandatory competence that must be applied by resident doctors, because it is very helpful of deciding on medical practice. This study aims to assess the current status of the knowledge and attitude of dealing with ethical and medicolegal issues among resident doctors in a teaching hospital in Aceh.Methods: This was a cross-sectional study conducted among resident doctors (n=156) with a self-administered online questionnaire. The Spearman test was used to identify the correlation between knowledge and attitudes. Meanwhile, the Chi-square test was used to identify the significance of influence selected factors with knowledge and attitude.Results: A total of 156 respondents were involved in this study. Most resident doctors (94.2%) had limited knowledge and as many as 66% have a positive attitude in dealing with ethical and medicolegal issues. Based on the Spearman's and Chi-square test showed not a significant correlation between the knowledge and attitudes under the Sig. (2-tailed) 0.086 (Sig. (2-tailed) >0.05) and p-value 0.296 (p-value >0.05). Only length of education was significantly associated with a positive level of attitude (p=0.003). Selected factors did not significantly affect the lack of knowledge, for gender with a p-value of 1.000, age (p=0.306), study program (p=0.192), and length of education (p=1.000).Conclusion: Positive attitudes are a very valuable asset to increase knowledge in dealing with ethical and medicolegal issues. The lack of knowledge of resident doctors is influenced by various factors. It is necessary to increase knowledge through continuing education, regular training, and short courses.

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Knowledge, Attitudes, and Perceptions About Medicolegal Education: A Survey of OB/GYN Residents

Cited by 7 publications

References 0 publications

Physicians’ legal knowledge of informed consent and confidentiality. A cross-sectional study

Physicians’ legal knowledge of informed consent and confidentiality. A cross-sectional study

Charting Practices to Protect Against Malpractice: Case Reviews and Learning Points

Knowledge and Attitude Among Resident Doctors Related to Ethical and Medicolegal Issues in a Teaching Hospital

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