Legal track record

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urge

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Seems like everyone gets sued sooner or later. Which raises the question what is too much?

Let's say you are interviewing an applicant for a job in your group. How many lawsuits can an anesthesiologist have before you start questioning his/her competency?

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Seems like everyone gets sued sooner or later. Which begs the question what is too much?

Let's say you are interviewing an applicant for a job in your group. How many lawsuits can an anesthesiologist have before you start questioning his/her competency?
The details of the lawsuit are moreimportant than the number of lawsuits
 
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Seems like everyone gets sued sooner or later. Which begs the question what is too much?

Let's say you are interviewing an applicant for a job in your group. How many lawsuits can an anesthesiologist have before you start questioning his/her competency?
Anything more than one lawsuit per year of practice is excessive :D
 
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Seems like everyone gets sued sooner or later. Which begs the question what is too much?

Let's say you are interviewing an applicant for a job in your group. How many lawsuits can an anesthesiologist have before you start questioning his/her competency?

1. Review each complaint and see what you think about the lawsuit. Could that have happened to you?
2. No more than 1 lawsuit for every 7 years in practice is a good rule of thumb to follow. That said, recent lawsuits are more of an issue than say ones from 10-15 years ago.
3. What type of practice climate was that person in? High lawsuit State?

For some of you one lawsuit is too many but I disagree on that notion as I have seen many good providers get sued 1-2 times over the course of a career.
 
The details of the lawsuit are moreimportant than the number of lawsuits
The details are often hard to find. Specially if there is some non disclosure agreement. What you propose although logical is not practical.

1. Review each complaint and see what you think about the lawsuit. Could that have happened to you?
2. No more than 1 lawsuit for every 7 years in practice is a good rule of thumb to follow. That said, recent lawsuits are more of an issue than say ones from 10-15 years ago.
3. What type of practice climate was that person in? High lawsuit State?

For some of you one lawsuit is too many but I disagree on that notion as I have seen many good providers get sued 1-2 times over the course of a career.

1 Same as above. The details are often impossible to find.

2 Is there some basis to this rule of thumb? Where did it come from?

3 That is something to consider. But let's speak in general terms since there are people here from all over.
 
The details are often hard to find. Specially if there is some non disclosure agreement. What you propose although logical is not practical.



1 Same as above. The details are often impossible to find.

2 Is there some basis to this rule of thumb? Where did it come from?

3 That is something to consider. But let's speak in general terms since there are people here from all over.


How Often do we get sued?

- Only 5% of male MD-A and 2% of female MD-A were the only parties named in a suit
- 57% of make MD-A and 40% of female MD-A are involved in lawsuits in their career
- 85% of ob/gyns, 83% of general surgeons, and 79% of orthopedists have been sued.
- By age 54, 59% of MD-A will have been sued
 
When a physician is sued, regardless of whether or not the allegations have merit, it is a personal assault on his or her honor. Unfortunately, the odds of facing litigation are against us. A study conducted by the New England Journal of Medicine in 2011 shows that by the age of 45, 36% of doctors in low-risk specialties and 88% of those in high-risk specialties have been subjected to a malpractice claim. By the age of 65, when most of us retire, those numbers jump to a staggering 75% for low-risk and 99% for high-risk specialties. The fact that being sued is nearly guaranteed and often described as the “price of practicing medicine” does little, if anything, to soften the blow when it occurs.
 
Sherry Gorman is an anesthesiologist. In 2009, she was sued for medical malpractice after a drug-addicted scrub technician diverted fentanyl and allegedly replaced stolen syringes with contaminated ones refilled with saline. The scrub tech’s crimes are blamed for infecting over two dozen patients with hepatitis C. One of those patients was under the care of Dr. Gorman. Her case settled out of court in January 2012. Since that time, she has slowly started to heal. Part of that process involved writing a book under the pen name Kate O’Reilley. Dr. Gorman hopes that through her book and speaking out to other physicians, she can bring something good out of a situation that nearly destroyed her.
 
How Often do we get sued?

- Only 5% of male MD-A and 2% of female MD-A were the only parties named in a suit
- 57% of make MD-A and 40% of female MD-A are involved in lawsuits in their career
- 85% of ob/gyns, 83% of general surgeons, and 79% of orthopedists have been sued.
- By age 54, 59% of MD-A will have been sued

What is a MD-A?

:eyebrow:
 
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Anything more than one lawsuit per year of practice is excessive :D

I thought this was almost impossible, but turns out it is more common than having an MI during high risk surgery.

:wtf:

upload_2016-5-21_21-32-7.png


http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204310/

Roughly 8% of anesthesiologists will face a malpractice claim each year, right about average for all physicians. The median payout from a malpractice suit was under $100,000 and the average payment for a suit was under $300,000.


http://www.blog.greatzs.com/2011/08/majority-of-doctors-will-get-sued.html


A Vast Majority Of Doctors Will Get Sued
After several years the judge probably sends you a Christmas card.
 
We are more likely to be sued than radiologists or pathologists.
 
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Certainly allow for an average of 1 per 8 years of practice, much more than that is a red flag.
 
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I don't know, but I would think that if you're hiring, and someone has a history of being sued, you're going to ask for more details.

Surely you'll get a biased interpretation of events, but some turds can't be polished no matter how you shine the light.

Payouts for minor things (say a chipped tooth) or things that could happen to anyone and have a high probability of being surgeon-related (say a peripheral nerve "positioning" injury) would be a lot less concerning than a 12-yo tonsil death for any reason.

I'd like to think that the people doing the hiring for desirable positions are physicians who have a good feel for things, and they're going to be motivated and interested in NOT disqualifying a great candidate just because N=2 in X years on the got-sued counter.
 
Seems like everyone gets sued sooner or later. Which begs the question what is too much?

This is unrelated but yesterday my mom told me that when people use the phrase 'begs the question' to mean 'raise the question' they are using the phrase incorrectly. I thought she was on crack. Turns out she is right; it doesn't mean that at all. https://en.wikipedia.org/wiki/Begging_the_question
 
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I don't know, but I would think that if you're hiring, and someone has a history of being sued, you're going to ask for more details.

Surely you'll get a biased interpretation of events, but some turds can't be polished no matter how you shine the light.

Payouts for minor things (say a chipped tooth) or things that could happen to anyone and have a high probability of being surgeon-related (say a peripheral nerve "positioning" injury) would be a lot less concerning than a 12-yo tonsil death for any reason.

I'd like to think that the people doing the hiring for desirable positions are physicians who have a good feel for things, and they're going to be motivated and interested in NOT disqualifying a great candidate just because N=2 in X years on the got-sued counter.
In my mind a lawsuit is the ultimate bad evaluation a patient can give. Having too many of them cannot be a good sign. How much is too many? Keeping in mind that 8% of us get sued yearly. Would you hire someone who gets sued yearly? What does that do to your malpratice insurance rates, assuming the group buys a global one?

Have any of you seen locum adds asking for applicants with a "clean malpractice record"? I certainly have. How much of a pay premium does someone with a clean record should fetch?
 
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In my mind a lawsuit is the ultimate bad evaluation a patient can give. Having too many of them cannot be a good sign. How much is too many? Keeping in mind that 8% of us get sued yearly. Would you hire someone who gets sued yearly? What does that do to your malpratice insurance rates, assuming the group buys a global one?

Have any of you seen locum adds asking for applicants with a "clean malpractice record"? I certainly have. How much of a pay premium does someone with a clean record should fetch?

Clean is relative. My floor is pretty clean, but if you look close enough you might find a little dirt.
 
When a physician is sued, regardless of whether or not the allegations have merit, it is a personal assault on his or her honor.

Except, of course, that is not the way courts or lawyers view it. To quote from People v. Saavedra-Rodriguez, 971 P.2d 223 (Colo. 1999) from the Colorado Supreme Court:

“simple negligent medical treatment, although hopefully unusual, is sufficiently ordinary that we consider it foreseeable. Negligence, unfortunately, is entirely too frequent a human conduct to be considered ‘abnormal.’” (As mentioned from a recent identical case from the WV Supreme Court http://www.courtswv.gov/supreme-court/docs/spring2016/14-0890.pdf) (In case you were wondering, I have a relative who was distantly related to the victim, so I read the WV opinion.)

The case they considered was if a murderer could argue that his victim died of malpractice rather than the acts of the murderer. The court, along with virtually every other, held that malpractice is to be expected if you have to see a physician or visit a hospital. Or to put it more bluntly, if you injure another person such that they have to go to the hospital, you have to assume that they will likely die from medical negligence. In the same way, in every criminal case, the defendant argues on appeal that their original lawyer was completely incompetent and their conviction should therefore be reversed based on "ineffective assistance of counsel." Or judges, who when they are reversed on appeal, have the superior court tell them that they are completely incompetent and should be removed from the bench.

Why are you concerned if someone who has absolutely no knowledge of medicine, or a jury that, in the words of one movie consists of people "so dumb they couldn't figure a way out of jury duty" thinks you did something wrong? Lawyers don't pay attention to what courts or other lawyers say about them, so why should we? I certainly don't.

As to employment, I have been on the credentials committee, and have been part of the group looking for physicians to recruit for close to two decades. During that time, I cannot recall anyoneeverpaying attention to the list of malpractice cases (if there was one.) If there are problems, there are many other indications of it in their application: switching jobs every 3 months (without being a locums), state board actions, horrible (or no) references, etc., etc.

In my mind a lawsuit is the ultimate bad evaluation a patient can give. Having too many of them cannot be a good sign.

There might be a tiny nugget of truth in that for primary care physicians, or specialists that a patient sees regularly. However, how often can a patient remember the anesthesiologist who was their physician, or the radiologist or the pathologist? If it is a bad evaluation, it would almost always be of the surgeon or whoever did the procedure. How often can patients separate out what bad result is the result of the anesthesiologist?
 
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There might be a tiny nugget of truth in that for primary care physicians, or specialists that a patient sees regularly. However, how often can a patient remember the anesthesiologist who was their physician, or the radiologist or the pathologist? If it is a bad evaluation, it would almost always be of the surgeon or whoever did the procedure. How often can patients separate out what bad result is the result of the anesthesiologist?

Yes, working with a hack surgeon is not good for you on multiple levels.

There are some things that are purely anesthesia related, airway being the easiest to weed out.
 
Seems like everyone gets sued sooner or later. Which raises the question what is too much?

Let's say you are interviewing an applicant for a job in your group. How many lawsuits can an anesthesiologist have before you start questioning his/her competency?

Ask for a copy of the NPDB which should list any payments made on behalf of a Physician. If the lawsuit resulted in ZERO payment then those types of suits are usually bogus ones where the lawyer was "fishing for dollars." Also, if a Physician went to trial over a supposed malpractice incident and won will you hold that against him/her?

Since I practice in a State where the lawyers post signs on the highway and are all over the TV telling people to call them I look at each supposed malpractice incident based on the actual case.
 
Dr. Fagel, a member of the American Association for Justice and a member in the Brain Injury Trial Lawyers Association of the American Trial Lawyers Association, has obtained over $1 billion in verdicts and settlements for his clients, including the largest medical malpractice award in the history of California – a $460 million jury verdict.


http://www.fagellaw.com/About_Us/Dr_Bruce_Fagel/


You Deserve a Lawyer Who is Also a Medical Doctor
With Over $1.4 Billion Recovered For Our Clients
 
Ask for a copy of the NPDB which should list any payments made on behalf of a Physician. If the lawsuit resulted in ZERO payment then those types of suits are usually bogus ones where the lawyer was "fishing for dollars." Also, if a Physician went to trial over a supposed malpractice incident and won will you hold that against him/her?

Since I practice in a State where the lawyers post signs on the highway and are all over the TV telling people to call them I look at each supposed malpractice incident based on the actual case.
As far as I know only credentialing people can get a NPDB report for a 3rd person. By then you have already offered the job to the applicant.

Has anyone attempted to get such report before you hire someone?
 
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As far as I know only credentialing people can get a NPDB report for a 3rd person. By then you have already offered the job to the applicant.

Has anyone attempted to get such report before you hire someone?


The applicant can show you the copy of the report. If there is nothing to hide and the suit is bogus that's the way to go.

https://www.npdb.hrsa.gov/ext/selfquery/SQHome.jsp
 
Oh this term kills me. It groups everyone in the military. Due to its pervasiveness it is so difficult to avoid the language without giant, long rambling sentences (which I often use) but I make an effort to use physicians and PAs and etc instead of "providers"
Yeah, the military loves that word.

Usually combined with the "practice at the top of their license" phrase.
 
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