The Virtuous Orthopaedist has Fewer Malpractice Suits

Te, Adamson; Wh, Bunch; Dc, Baldwin; Oppenberg, Andrew A.

doi:10.1097/00003086-200009000-00017

Cited by 27 publications

(12 citation statements)

References 9 publications

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“…Previous research has investigated moral reasoning within medicine, 18,19 nursing, 20,21 dentistry, 22 pharmacy, 23,24 and physical therapy. [25][26][27][28] This literature generally suggests that education is a strong predictor of development in moral reasoning, and college education appears to be an especially important stimulus for gains in post-conventional thinking.…”

Section: Role Of Moral Reasoningmentioning

confidence: 99%

Evaluating moral reasoning outcomes in physical therapy ethics education: stage, schema, phase, and type

Swisher

Kessel

Jones

et al. 2012

Physical Therapy Reviews

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Section: Role Of Moral Reasoningmentioning

confidence: 99%

Evaluating moral reasoning outcomes in physical therapy ethics education: stage, schema, phase, and type

Swisher

Kessel

Jones

et al. 2012

Physical Therapy Reviews

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“…Adamson et al identified communication characteristics among orthopedic surgeons and related them to their number of malpractice lawsuits and the amount paid to settle those claims. 9 Physicians who had better rapport with their patients, took more time to explain issues to their patients, and were more available to respond to their patients' enquiries experienced fewer malpractice lawsuits. The most significant correlation was found in time spent with the patient, i.e., as the time spent increased, the number of lawsuits decreased correspondingly.…”

Section: Physician Behaviour Patterns and Patient Complaints And Litimentioning

confidence: 99%

Physician professional behaviour affects outcomes: A framework for teaching professionalism during anesthesia residency

Bahaziq

Crosby

2011

Can J Anesth/J Can Anesth

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Purpose In this review, we examine the association between physician professional behaviour and indicators measuring patient outcomes and satisfaction with care as well the potential for complaints, discipline, and litigation against physicians. We also review issues related to the structured teaching of professionalism to anesthesia residents, including resident evaluation. Source A search of the OVID Medline and PubMed databases was carried out using keywords relevant to the topics under consideration. Program directors of Canadian anesthesiology training programs were also surveyed to assess the current state of professionalism training and evaluation in their programs. Principal findings Unprofessional behaviour is frequently manifested in practice by medical students, residents, and physicians, and it is associated with personality characteristics that are evident early in training. There is a correlation between unprofessional physician behaviours and patient dissatisfaction, complaints, and lawsuits as well as adverse outcomes of care. Physician health and workplace relationships are negatively impacted by such behaviours. Canadian program directors recognize the need to approach the teaching of professionalism in an organized fashion during physician training. Conclusions A framework is provided for defining behavioural expectations, and mechanisms are offered for teaching and evaluating behaviours and responding to individuals with behaviours that persistently breach defined expectations. There is a need to define explicitly not only the expectations for behaviour but also the processes by which the behaviours will be assessed and documented. In addition, emphasis is placed on the nature, order, and magnitude of the responses to behaviours that do not meet expectations.

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“…Certainly communication problems remain a common source of public dissatisfaction and most commonly this relates to aspects of doctor-patient interaction (Hickson et al, 1992;Levinson et al, 1997aLevinson et al, , 1997bAdamson et al, 2000;Ambady et al, 2002). Here we use 'consultation skills' to distinguish from other communication skills, such as verbal reports or presentations.…”

Section: Introductionmentioning

confidence: 99%

What to do about medical students with unsatisfactory consultation skills?

2006

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If it is accepted that new doctors must be 'Fit to Practice' in a standard clinical house job, they should be competent in basic communication skills. Although these skills may be assessed as part of a routine OSCE-style exam in the course of the curriculum, the question is raised whether students who fail to demonstrate a minimal level of competence in this area should to be allowed to progress to the next stage of the course and eventually graduate. This paper describes our experiences with introducing 'barrier' stations in communication skills into the OSCE. Students who failed these stations, irrespective of their overall exam performance, undertook remedial studies in a compulsory two-week directed study module followed by a four-station OSCE.

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The Virtuous Orthopaedist has Fewer Malpractice Suits

Cited by 27 publications

References 9 publications

Evaluating moral reasoning outcomes in physical therapy ethics education: stage, schema, phase, and type

Evaluating moral reasoning outcomes in physical therapy ethics education: stage, schema, phase, and type

Physician professional behaviour affects outcomes: A framework for teaching professionalism during anesthesia residency

What to do about medical students with unsatisfactory consultation skills?

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