Here's some excerpts from an article in RSNA News from Jan 05 by Stephen R. Baker, MD:
"Researchers at the University of Medicine and Dentistry of New Jersey in Newark examined the malpractice records of nearly 5,300 radiologists affiliated with One Call Medical, Inc., a preferred provider organization network for MR and CT imaging services that operates in 40 states."
"Fifty-one percent of the radiologists in the network had a history of at least one malpractice suit lodged against them..."
"Among those claims, the highest number, 45 percent, involved failure to diagnose the patient's true condition. The four leading causes of failure to diagnose were:
Missed fractures(29%)
Misinterpretation of breast imaging studies(24%)
Failure to diagnose cancer(15%)
Failure to recognize an acute vascular condition(7%)"
"Failure to diagnose, by far, was the most common cause. Failure to communicate, which is an issue that we worry about, was not a major cause, although the incidence is increasing. The most important result I see is that among the more than 3,000 suits filed, only 21 were the result of a failure to do additional tests, whichi is what we worry about all the time and may be a stimulus for the desire to get further tests to avoid subsequent liability action."
Other findings included:
"The frequency of claims against radiologists is not increasing despite an increase in the number of imaging studies performed."
"9% of claims involved complications of therapeutic interventions performed by radiologists."
"The number of claims varied widely from state to state, with the highest numbers in PA, NV, and OR."
"Claims for failure to diagnose breast disease are not increasing despite a greater number of mammograms performed and interpreted."
"One a case-by-case basis, women radiologists are less likely to be sued for a failure to diagnose breast disease, even though men and women radiologists interpret about equal numbers of mammograms."
"The number of claims for failure to diagnose has remained steady over the last 10 years."
"The number of claims for failure to diagnose lung cancer has increased in the same period."
This article also quoted a malpractice survey by the AMA, RSNA, and ACR....
"The surveys found that the average premium liability insurance in 2003 was $25,200. That compared to $20,000 in 2002 and $16,000 in 2001. In addition, nearly half of the radiologists who responded said they have changed the way they practice because of medical liability issues."
As for me, I hope to match radiology, and I am not worried about the malpractice issues. I think its important for all future physicians to be aware of malpractice concerns, and on the flip-side, asset protection.