Medical students' and residents' clinical and educational experiences with defensive medicine

Academic Medicine

Volumn 87, Issue 2, 2012, Pages 142-148

  O'Leary, Kevin J ^a   Choi, Jennifer ^a   Watson, Katie ^a   Williams, Mark V ^a  

^a NORTHWESTERN UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84856521718     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e31823f2c86     Document Type: Review

References (41)

1. Hershey N. The defensive practice of medicine. Myth or reality. Milbank Mem Fund Q. 1972;50:69-98.
2. Klingman D, Localio AR, Sugarman J, et al. Measuring defensive medicine using clinical scenario surveys. J Health Polit Policy Law. 1996;21:185-217.
3. Massachusetts Medical Society. Investigation of Defensive Medicine in Massachusetts. Waltham, Mass: Massachusetts Medical Society; November 2008. http://www.massmed. org/AM/Template.cfm?Section-Research- Reports-and- Studies2&TEMPLATE-/CM/ContentDisplay.cfm&CONTENTID-27797. Accessed October 18, 2011.
4. Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a volatile malpractice environment. JAMA. 2005;293:2609-2617. (Pubitemid 40741199)
5. Reed DA, Windish DM, Levine RB, Kravet SJ, Wolfe L, Wright SM. Do fears of malpractice litigation influence teaching behaviors? Teach Learn Med. 2008;20:205-211.
6. Hafferty FW. Beyond curriculum reform: Confronting medicine's hidden curriculum. Acad Med. 1998;73:403-407. (Pubitemid 28215048)
7. Hundert EM, Douglas-Steele D, Bickel J. Context in medical education: The informal ethics curriculum. Med Educ. 1996;30:353-364. (Pubitemid 26331717)
8. Wright S, Wong A, Newill C. The impact of role models on medical students. J Gen Intern Med. 1997;12:53-56. (Pubitemid 27114066)
9. Bishop TF, Federman AD, Keyhani S. Physicians' views on defensive medicine: A national survey. Arch Intern Med. 2010;170: 1081-1083.
10. Mello MM, Chandra A, Gawande AA, Studdert DM. National costs of the medical liability system. Health Aff (Millwood). 2010; 29:1569-1577.
11. Cram P, Rosenthal GE, Ohsfeldt R, Wallace RB, Schlechte J, Schiff GD. Failure to recognize and act on abnormal test results: The case of screening bone densitometry. Jt Comm J Qual Patient Saf. 2005;31:90-97.
12. Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences reported from family medicine practices: A study of the American Academy of Family Physicians National Research Network. Qual Saf Health Care. 2008;17:194-200.
13. Poon EG, Gandhi TK, Sequist TD, Murff HJ, Karson AS, Bates DW. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary care. Arch Intern Med. 2004;164:2223-2228. (Pubitemid 39452982)
14. Poon EG, Haas JS, Louise Puopolo A, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Med. 2004;19:316-323. (Pubitemid 38541511)
15. Roy CL, Poon EG, Karson AS, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143:121-128. (Pubitemid 40994303)
16. Wahls TL, Cram PM. The frequency of missed test results and associated treatment delays in a highly computerized health system. BMC Fam Pract. 2007;8:32.
17. Schiff GD, Hasan O, Kim S, et al. Diagnostic error in medicine: Analysis of 583 physicianreported errors. Arch Intern Med. 2009;169: 1881-1887.
18. Chandra A, Nundy S, Seabury SA. The growth of physician medical malpractice payments: Evidence from the National Practitioner Data Bank. Health Aff (Millwood). 2005;suppl Web exclusives:W5- 240-W5-249.
19. American College of Emergency Physicians. Disclosure of medical errors. Policy statement. Ann Emerg Med. 2010;56:80.
20. American Medical Association Council on Ethical and Judicial Affairs: Code of Medical Ethics. http://www.ama-assn.org/ama/pub/physician-resources/ medical-ethics/codemedical- ethics.page. Accessed October 18, 2011.
21. Snyder L, Leffler C; Ethics and Human Rights Committee, American College of Physicians. Ethics manual: Fifth edition. Ann Intern Med. 2005;142:560-582.
22. Kaldjian LC, Jones EW, Wu BJ, Forman- Hoffman VL, Levi BH, Rosenthal GE. Disclosing medical errors to patients: Attitudes and practices of physicians and trainees. J Gen Intern Med. 2007;22:988-996. (Pubitemid 46878623)
23. López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Med. 2009;169: 1888-1894.
24. White AA, Gallagher TH, Krauss MJ, et al. The attitudes and experiences of trainees regarding disclosing medical errors to patients. Acad Med. 2008;83:250-256. (Pubitemid 351654280)
25. Beckman HB, Markakis KM, Suchman AL, Frankel RM. The doctor-patient relationship and malpractice. Lessons from plaintiff depositions. Arch Intern Med. 1994;154: 1365-1370.
26. Hickson GB, Clayton EW, Githens PB, Sloan FA. Factors that prompted families to file medical malpractice claims following perinatal injuries. JAMA. 1992;267:1359-1363.
27. Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343: 1609-1613. (Pubitemid 24194811)
28. Kachalia A, Kaufman SR, Boothman R, et al. Liability claims and costs before and after implementation of a medical error disclosure program. Ann Intern Med. 2010;153:213-221.
29. Lucian Leape Institute Roundtable on Reforming Medical Education. Unmet Needs: Teaching Physicians to Provide Safe Patient Care. Boston, Mass: Lucian Leape Institute at the National Patient Safety Foundation; 2010. http://www.npsf.org/download/LLI-Unmet- Needs-Report.pdf. Accessed October 18, 2011.
30. Association of Program Directors in Internal Medicine; Fitzgibbons JP, Bordley DR, Berkowitz LR, Miller BW, Henderson MC. Redesigning residency education in internal medicine: A position paper from the Association of Program Directors in Internal Medicine. Ann Intern Med. 2006;144:920-926. (Pubitemid 46768130)
31. Weinberger SE, Smith LG, Collier VU; Education Committee of the American College of Physicians. Redesigning training for internal medicine. Ann Intern Med. 2006; 144:927-932.
32. Institute for Healthcare Improvement. Open School for Health Professionals. http://www. ihi.org/offerings/ihiopenschool/Pages/default. aspx. Accessed October 18, 2011.
33. World Health Organization. Patient Safety: Education and Training. http://www.who.int/patientsafety/education/en/. Accessed October 18, 2011.
34. Levinson W, Roter DL, Mullooly JP, Dull VT, Frankel RM. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA. 1997;277: 553-559. (Pubitemid 27083985)
35. Cottingham AH, Suchman AL, Litzelman DK, et al. Enhancing the informal curriculum of a medical school: A case study in organizational culture change. J Gen Intern Med. 2008;23:715-722.
36. Stern DT, Papadakis M. The developing physician-Becoming a professional. N Engl J Med. 2006;355:1794-1799.
37. Wong BM, Etchells EE, Kuper A, Levinson W, Shojania KG. Teaching quality improvement and patient safety to trainees: A systematic review. Acad Med. 2010;85:1425-1439.
38. Institute of Medicine, Committee on Data Standards for Patient Safety, Board on Health Care Services. Patient Safety: Achieving a New Standard of Care. Washington, DC: Institute of Medicine; 2004. http://www.nap. edu/catalog.php?record-id-10863#toc. Accessed October 18, 2011.
39. Levinson W. Disclosing medical errors to patients: A challenge for health care professionals and institutions. Patient Educ Couns. 2009;76:296-299.
40. Gallagher TH, Studdert D, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007;356:2713-2719. (Pubitemid 47001040)
41. Rathert C, Phillips W. Medical error disclosure training: Evidence for values-based ethical environments. J Bus Ethics. 2010;97: 491-503.