Resident Liability in Medical Malpractice

Bailey, Regina A.

doi:10.1016/j.annemergmed.2012.04.024

Cited by 18 publications

(9 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also believe our findings provide a contrasting viewpoint on research positing that physicians‐in‐training underestimate their medico‐legal risk. Some of this work anecdotally claims that trainees believe they have vicarious liability protection through their attending staff 29,30 . Indeed, one study argues that trainees from the surgical specialties need a ‘reality check’ on medico‐legal risk 31 .…”

Section: Discussionmentioning

confidence: 99%

The medico‐legal helpline: A content analysis of postgraduate medical trainee advice calls

et al. 2020

View full text Add to dashboard Cite

Context Available literature exploring medical liability and postgraduate medical education consistently posits that postgraduate trainees worry about their exposure to medico‐legal liability. This assumption has formed the basis for research and curriculum development. Objectives The aim of this study was to describe the encounters that lead physicians‐in‐training to seek external medico‐legal guidance. We sought to provide empirical evidence on trends and themes related to medico‐legal advice requests from physicians‐in‐training. Methods Our primary dataset consisted of records of calls from physicians‐in‐training to the medico‐legal helpline of the Canadian Medical Protective Association (CMPA), a national mutual defence organisation providing medico‐legal advice and liability protection for over 95% of Canada's physicians. We conducted a trend analysis of the frequency of calls for advice over 10 years from physician‐in‐training compared with non‐trainee physicians. Furthermore, we performed a content analysis of calls made over the most recent 2 years (2016‐2017) to elucidate the concerns that led to trainees seeking medico‐legal advice. Results The 10‐year trend analysis revealed that the annual growth in the number of physician‐in‐training advice calls (8.8%) exceeded other CMPA physician groups and was in excess of trainee population growth over the same period. The content analysis identified four core themes: managing confidential information, complex care situations, academic matters and patient safety incidents. Conclusions Our findings indicate that trainees are asking questions about their medico‐legal liability with increasing frequency. This study contributes new evidence on the issues that lead to trainees seeking help. We believe that understanding trainees' medico‐legal advice requests will support medical educators to tailor quality improvement education to learners' needs.

show abstract

Section: Discussionmentioning

confidence: 99%

The medico‐legal helpline: A content analysis of postgraduate medical trainee advice calls

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The physicians should know their borders and should not avoid geting information from another physician. It should not be forgotten that being a specialist does not stop bringing an action on medical injury (8).…”

Section: Discussionmentioning

confidence: 99%

The Knowledge Levels of Emergency Physicians: Whom to Care About? Physicians or Patients?

Hocagil¹,

Hocagil²,

Ecevit³

2014

JAEM

View full text Add to dashboard Cite

Objective: Emergency physicians, with their life-saving roles in critical diseases' initial evaluation, are essential for patient safety within the health system. The aim of the study is to evaluate whether the practitioners working in the ER and expert physicians (in disciplines other than emergency medicine) consider themselves competent regarding the frequent life-threatening diseases that are encountered and the accuracy of their notions. Material and Methods: A survey of 20 questions was given to ER physicians working in hospitals. Results: Of the physicians that took the survey, 82.7% considered their knowledge regarding the initial treatment of a patient admitted to the ER as sufficient or very sufficient; 65.3% of the physicians stated that four or less symptoms that would raise suspicion in an EKG of patients admitted to the ER with myocardial infarction, while 34.7% stated that there may be five or more symptoms. Additionally, 53.8% of the physicians consider themselves competent/very competent in recognizing bleeding and ischemia in brain tomography. Furthermore, 81.6% of the physicians considered their ability to apply initial treatment to a patient with diabetic ketoacidosis as sufficient or very sufficient, while the percentage of physicians who stated that the fluid deficit of a patient with diabetic ketoacidosis is 5 L or more was 55.4% Conclusion: With this study, we found evidence indicating a serious lack of knowledge among practitioners treating patients in the ER and expert physicians not related to emergency medicine regarding crucial matters related to patients admitted to the ER.

show abstract

“…8 Residents beyond their intern year who are training in a specialty have consistently been found to be held to the higher standard of care of an attending physicians in that specialty. 9,10 In part, this is argued because such residents are licensed and are also presenting themselves to the patients as specialists in a particular field. While there is some possibility that as specialist training progresses, residents are held to increasing stricter standards, there is some variation in the courts regarding this.…”

Section: Dr Bell: Medical-legal Liability Of Residentsmentioning

confidence: 99%

Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure

Gannon

Bell

Jackmiczyk

et al. 2020

Clinical Practice and Cases in Emergency Medicine

View full text Add to dashboard Cite

In this article we present a case of a patient who received reversal of anticoagulation therapy with factor IX in violation of hospital guidelines. As a direct result, myocardial infarction and ischemic stroke occurred, leaving the patient neurologically debilitated. Factor IX is indicated in the setting of warfarin-induced, life-threatening bleeding. The patient’s care was provided by an intern with attending physician supervision. Delayed charting and questionable shared decision-making were present in the care. We discuss usage of factor IX, liability for supervision of physicians in training, and factors that can lead to plaintiff awards.

show abstract

Resident Liability in Medical Malpractice

Cited by 18 publications

References 10 publications

The medico‐legal helpline: A content analysis of postgraduate medical trainee advice calls

The medico‐legal helpline: A content analysis of postgraduate medical trainee advice calls

The Knowledge Levels of Emergency Physicians: Whom to Care About? Physicians or Patients?

Beware of Reversal of an Anticoagulated Patient with Factor IX in the Emergency Department: Case Report of a Medical-Legal Misadventure

Contact Info

Product

Resources

About