1. The SDN iPhone App is back and free through November! Get it today and please post a review on the App Store!
    Dismiss Notice
  2. Dismiss Notice

Malpractice Anxiety

Discussion in 'Medical Students - MD' started by Narmerguy, Aug 19, 2011.

  1. Narmerguy

    Moderator Emeritus 10+ Year Member

    Joined:
    Jul 14, 2007
    Messages:
    6,878
    Likes Received:
    1,295
    http://economix.blogs.nytimes.com/2011/08/17/malpractice-anxiety/

    I just think this is interesting how pronounced and consistent this is from when training begins.

     
  2. Note: SDN Members do not see this ad.

  3. OveractiveBrain

    Removed 2+ Year Member

    Joined:
    Jun 15, 2009
    Messages:
    1,494
    Likes Received:
    32
    Status:
    Resident [Any Field]
  4. 45408

    45408 aw buddy
    7+ Year Member

    Joined:
    Jun 13, 2004
    Messages:
    16,976
    Likes Received:
    44
    Status:
    Resident [Any Field]
    1. Bullsh-t. I bet all 88 of those clients don't agree with that claim.
    2. How many patients were truly injured, but he just skipped over their case because it didn't have $$$$ written all over?

    Our system has such dysfunctional incentives.
     
  5. Dral

    Physician PhD 7+ Year Member

    Joined:
    Jan 8, 2009
    Messages:
    1,807
    Likes Received:
    963
    Status:
    Attending Physician
    Derm is low...I like it. I'm surprised that Radiology and Path are so low. Without looking at the article, is it because it only counts physicians who are the primary defendant?
     
  6. dilated

    dilated Fought Law; Law Won
    10+ Year Member

    Joined:
    Nov 3, 2004
    Messages:
    1,023
    Likes Received:
    11
    It's kind of funny how the ED commonly busts out "medicolegal" or "we're under more of a microscope than you" as a "sorry I gotta get this BS consult" justification but they're actually getting sued (and losing!) even less than internists or neurologists, let alone high risk specialties. Or I suppose a cynic might suggest that's why.

    Also interesting that GIs are so far up there. What are they getting missed for? Missing ca?
     
  7. docB

    docB Chronically painful
    Physician Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    Nov 27, 2002
    Messages:
    7,742
    Likes Received:
    213
    Status:
    Attending Physician
    It has not traditionally been the case that EM gets sued less than IM. If this article is correct then that shift represents a change.

    I would suggest that a few factors could have led to this.

    Our (EM's) "standards of care" have become more conservative over the years. We admit the vast majority of chest pain. All of the teaching about how you can't use response to a GI cocktail or one set of negative markers to distinguish cardiac pain from non cardiac pain was born out of lost suits. Missed MI has been and will likely continue to be the biggest money loser for EM.

    There is little continuity in primary care and hospital medicine now. One thing that made EM a higher risk field was that we had no relationship with the patient compared to their PMD who they presumably knew for a long time and were more reluctant to sue. These days many urgent and even scheduled appointments are seen by whoever is available in the group. Hospitalists manage many admitted patients. So that relationship difference does not exist to the same degree it once did.
     
  8. yamaraja808

    2+ Year Member

    Joined:
    May 20, 2010
    Messages:
    169
    Likes Received:
    0
    Status:
    Pre-Medical
    That took me by surprise as well. Those two fields are my top choices.
     
  9. FunnyCurrent

    2+ Year Member

    Joined:
    May 27, 2011
    Messages:
    543
    Likes Received:
    6
    Status:
    Medical Student
    Anesthesiology is much lower than I expected....


    cool
     

Share This Page