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resident malpractice

John S Ikonomidis
BACKGROUND: The Society of Thoracic Surgeons (STS) has intermittently surveyed its workforce, providing isolated accounts of the current state of thoracic surgical practice. METHODS: The 63-question survey instrument was received by 4,343 surgeon members of the STS, and responses were gathered between October 1 and November 5, 2014. The return rate was 29.1%. RESULTS: The median age of the active United States thoracic surgeons is 54 years...
September 7, 2016: Annals of Thoracic Surgery
Jib Adinma
The expectation of obstetrics is a perfect outcome. Obstetrics malpractice can cause morbidity and mortality that may engender litigation. Globally, increasing trend to litigation in obstetrics practice has resulted in high indemnity cost to the obstetrician with consequent frustration and overall danger to the future of obstetrics practice. The objective was to review litigations and the Obstetrician in Clinical Practice, highlighting medical ethics, federation of gynecology and obstetrics (FIGO's) ethical responsibility guideline on women's sexual and reproductive health and right; examine the relationship between medical ethics and medical laws; X-ray medical negligence and litigable obstetrics malpractices; and make recommendation towards the improvement of obstetrics practices to avert misconduct that would lead to litigation...
March 2016: Annals of Medical and Health Sciences Research
Melanie Heniff
More questions than answers arise from Dr. Alerhand's thought-provoking reflection. Aside from the question of what laws permit and what emergency medicine professional society standards support (1, 2), when is a particular physician qualified to testify as an expert witness? When is an expert witness physician truly an "expert?" Although expertise is difficult to quantify, 10 years of deliberate practice (defined as repeated practice in motivated individuals receiving feedback) has been cited as one objective measure of what it takes to achieve expertise in medicine as well as in other fields such as music...
April 30, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Hiroshi Iwai, Mayumi Asada, Atsushi Kajitani, Hiromichi Kuwabara, Shiori Kawasaki, Hiroyuki Kobayashi
No abstract text is available yet for this article.
September 2015: Nihon Geka Gakkai Zasshi
Richard P Menger, Michael E Wolf, Richard W Lang, Donald R Smith, Anil Nanda, Peter Letarte, Michael K Rosner
UNLABELLED: The pathway to military neurosurgical practice can include a number of accession options. This article is an objective comparison of fiscal, tangible, and intangible benefits provided through different military neurosurgery career paths. Neurosurgeons may train through active duty, reserve, or civilian pathways. These modalities were evaluated on the basis of economic data during residency and the initial 3 years afterwards. When available, military base pay, basic allowance for housing and subsistence, variable special pay, board certified pay, incentive pay, multiyear special pay, reserve drill pay, civilian salary, income tax, and other tax incentives were analyzed using publically available data...
June 2016: Neurosurgery
Robert M Abrams
Sleep deprivation occurs when inadequate sleep leads to decreased performance, inadequate alertness, and deterioration in health. It is incompletely understood why humans need sleep, although some theories include energy conservation, restoration, and information processing. Sleep deprivation has many deleterious health effects. Residency programs have enacted strict work restrictions because of medically related errors due to sleep deprivation. Because obstetrics is an unpredictable specialty with long irregular hours, enacting a hospitalist program enhances patient safety, decreases malpractice risk, and improves the physician's quality of life by allowing obstetricians to get sufficient rest...
September 2015: Obstetrics and Gynecology Clinics of North America
Nancy McLaughlin, Matthew C Garrett, Leila Emami, Sarah K Foss, Johanna L Klohn, Neil A Martin
OBJECT While malpractice litigation has had many negative impacts on health care delivery systems, information extracted from lawsuits could potentially guide toward venues to improve care. The authors present a comprehensive review of lawsuits within a tertiary academic neurosurgical department and report institutional and departmental strategies to mitigate liability by integrating risk management data with quality improvement initiatives. METHODS The Comprehensive Risk Intelligence Tool database was interrogated to extract claims/suits abstracts concerning neurosurgical cases that were closed from January 2008 to December 2012...
January 2016: Journal of Neurosurgery
Steven E Raper, Meera Gupta, Olugbenga Okusanya, Jon B Morris
OBJECTIVE: To improve physician/patient communication and familiarize surgeons with contemporary skills for and metrics assessing communication, courses were developed to provide academic general surgery residents and faculty with a toolkit of information, behaviors, and specific techniques. If academic faculty are expected to mentor residents in communication and residents are expected to learn good communication skills, then both should have the necessary education to accomplish such a goal...
November 2015: Journal of Surgical Education
Debraj Mukherjee, Michael S Park, Kimon Bekelis, John A Braca, Chaim B Colen
INTRODUCTION: Over the past decade, new national guidelines and requirements ranging from ACGME mandated duty hour restrictions to the development of The Neurological Surgery Milestone Project have rapidly altered the shape of current neurosurgical education and training. This national survey of neurosurgical residents within all levels of training was performed with support from the Council of State Neurosurgical Societies and the Young Neurosurgeons Committee in an effort to quantify the relative readiness of residents to venture into practice and to understand the socioeconomic issues impacting our field...
August 2015: Neurosurgery
C Scott Hultman, Cindy Wu, Michael L Bentz, Richard J Redett, R Bruce Shack, Lisa R David, Peter J Taub, Jeffrey E Janis
INTRODUCTION: Resident aesthetic clinics (RACs) have demonstrated good outcomes and acceptable patient satisfaction, but few studies have evaluated their educational, financial, or medicolegal components. We sought to determine RAC best practices. METHODS: We surveyed American Council of Academic Plastic Surgeon members (n = 399), focusing on operational details, resident supervision, patient safety, medicolegal history, financial viability, and research opportunities...
March 2015: Plastic and Reconstructive Surgery. Global Open
Afsin Emre Kayipmaz, Cemil Kavalci, Betul Gulalp, Ummu Gulsum Kocalar, Tufan Akin Giray, Hasan Yesilagac, Betul Akbuga Ozel, Elif Celikel, Ozlem Karagun
BACKGROUND: Medicine is a profession that carries certain risks. One risky area of practice is the emergency department. Emergency physicians diagnose and treat a high volume of patients, and are also responsible for preparing reports for forensic cases. In this study, we aim to investigate emergency physicians' legal-administrative problems and reveal their level of understanding on forensic cases. METHODS: An electronic questionnaire form was prepared after the approval of an ethical committee...
2015: PloS One
Arthur Lazarus
Posttraumatic stress disorder (PTSD) is underrecognized in physicians, even though it may be more prevalent in physicians than in the general population in the United States. Five types of physicians appear to be particularly prone to developing PTSD: (1) emergency physicians; (2) physicians practicing in underserved and remote areas; (3) physicians in training (i.e., medical residents); (4) physicians involved in malpractice litigation; and (5) physicians who are "second victims" in the sense that they are indirectly exposed to trauma...
September 2014: Journal of Medical Practice Management: MPM
C Scott Hultman, Robert Gwyther, Michael A Saou, James W Pichert, Thomas F Catron, William O Cooper, Gerald B Hickson
INTRODUCTION: Unsolicited patient complaints (UPCs) serve as a powerful predictor of increased risk of malpractice claims, and reductions in UPCs, through targeted physician interventions, lower incidence of lawsuits and decrease cost of risk management. We analyzed UPCs, verified by trained counselors in patient relations, to determine the malpractice risk of plastic surgeons, compared to dermatologists, all surgeons, and all physicians, from a national patient complaint registry. METHODS: We examined the patient complaint profiles and risk scores of 31,077 physicians (3935 surgeons, 338 plastic and reconstructive surgeons, and 519 dermatologists), who participated in the Patient Advocacy Reporting System, a national registry of UPCs...
June 2015: Annals of Plastic Surgery
J Scott Parrott, Jane V White, Marsha Schofield, Rosa K Hand, Mary B Gregoire, Keith T Ayoob, Jessie Pavlinac, Jaime Lynn Lewis, Karen Smith
Coding, coverage, and reimbursement for nutrition services are vital to the dietetics profession, particularly to registered dietitian nutritionists (RDNs) who provide clinical care. The objective of this study was to assess RDN understanding and use of the medical nutrition therapy (MNT) procedure codes in the delivery of nutrition services. Its design was an Internet survey of all RDNs listed in the Academy of Nutrition and Dietetics (Academy)/Commission on Dietetics Registration database as of September 2013 who resided in the United States and were not retired...
October 2014: Journal of the Academy of Nutrition and Dietetics
Estifanos Yalew
BACKGROUND: Diarrhea control programs require evidences on factors which influence the caregiver's treatment of illness. Thus, understanding the caregiver's perception of the causes and management of diarrhea is very essential to plan effective prevention and control measures. This study aimed to explore their perceptions towards the causes and management of childhood diarrhea in Assosa district, West Ethiopia. METHODS: Qualitative research methods were employed among caregivers who reside in two villages (Amba 4 and Selga 22) of the district...
2014: BMC Public Health
Endale Gebreegziabher, Adugna Aregawi, Habtamu Getinet
BACKGROUND: Competency in neonatal resuscitation is critical in the delivery rooms, neonatology units and pediatrics intensive care units to ensure the safety and health of neonates. Each year, millions of babies do not breathe immediately at birth, and among them the majority require basic neonatal resuscitation. Perinatal asphyxia is a major contributor to neonatal deaths worldwide in resource-limited settings. Neonatal resuscitation is effective only when health professionals have sufficient knowledge and skills...
2014: World Journal of Emergency Medicine
Jeanette W Chung, Mila H Ju, Christine V Kinnier, Elliott R Haut, David W Baker, Karl Y Bilimoria
BACKGROUND: Recent research suggests that hospital rates of postoperative venous thromboembolism (VTE) are subject to surveillance bias: the more hospitals 'look for' VTE, the more VTE they find. However, little is known about what drives variation in hospital VTE imaging rates. We conducted an observational study to examine hospital and market characteristics that were associated with hospital-level rates of postoperative VTE imaging, focusing on hospitals with particularly high rates...
November 2014: BMJ Quality & Safety
N Gani, T S Ali
BACKGROUND: Postpartum haemorrhage (PPH) is one of the main causes of maternal mortality globally. The objective of this study was to estimate the prevalence of PPH and identify factors associated with PPH in Khyber Agency, Pakistan. METHODOLOGY: A quantitative, cross-sectional study design was selected to estimate the prevalence and associated factors for PPH among married women aged 15-49 years, residing in the Khyber Agency, FATA, Pakistan. A pre-tested structured questionnaire was adapted with some modifications to interview 1,000 women...
January 2013: Journal of Ayub Medical College, Abbottabad: JAMC
Theodore Long, Ali M Khan, Shady Henien, David Hass, Matthew C Katz
BACKGROUND: House staff physicians (medical residents and fellows) represent a significant proportion of the physician workforce in the U.S. and are a potentially important force in health care transformation, but little is known about house staff health policy attitudes or priorities. METHODS: We conducted a cross-sectional survey of all house staff at Yale-New Haven Hospital (YNHH) and the University of Connecticut Health Center (UCHC). We calculated means of Likert-scale attitude response scores and rankings of health policy priorities...
May 2014: Connecticut Medicine
Helen Riess, Gordon Kraft-Todd
There is a gap in the medical education literature on teaching nonverbal detection and expression of empathy. Many articles do not address nonverbal interactions, instead focusing on "what to say" rather than "how to be." This focus on verbal communication overlooks the essential role nonverbal signals play in the communication of emotions, which has significant effects on patient satisfaction, health outcomes, and malpractice claims. This gap is addressed with a novel teaching tool for assessing nonverbal behavior using the acronym E...
August 2014: Academic Medicine: Journal of the Association of American Medical Colleges
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