Study of Medical Students' Malpractice Fear and Defensive Medicine: A "Hidden Curriculum?"
被引:20
作者:
Johnston, William F.
论文数: 0引用数: 0
h-index: 0
机构:
Hackensack Univ, Med Ctr, Dept Emergency Med, 30 Prospect Ave, Hackensack, NJ 07601 USAHackensack Univ, Med Ctr, Dept Emergency Med, 30 Prospect Ave, Hackensack, NJ 07601 USA
Johnston, William F.
[1
]
Rodriguez, Robert M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USAHackensack Univ, Med Ctr, Dept Emergency Med, 30 Prospect Ave, Hackensack, NJ 07601 USA
Rodriguez, Robert M.
[2
]
Suarez, David
论文数: 0引用数: 0
h-index: 0
机构:
Kaiser Permanente Oakland Med Ctr, Dept Internal Med, Oakland, CA USAHackensack Univ, Med Ctr, Dept Emergency Med, 30 Prospect Ave, Hackensack, NJ 07601 USA
Suarez, David
[3
]
Fortman, Jonathan
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USAHackensack Univ, Med Ctr, Dept Emergency Med, 30 Prospect Ave, Hackensack, NJ 07601 USA
Fortman, Jonathan
[2
]
机构:
[1] Hackensack Univ, Med Ctr, Dept Emergency Med, 30 Prospect Ave, Hackensack, NJ 07601 USA
[2] Univ Calif San Francisco, Dept Emergency Med, San Francisco, CA 94143 USA
[3] Kaiser Permanente Oakland Med Ctr, Dept Internal Med, Oakland, CA USA
Defensive medicine;
Education;
Malpractice;
Medical education;
Medicine;
D O I:
10.5811/westjem.2013.8.19045
中图分类号:
R4 [临床医学];
学科分类号:
1002 ;
100602 ;
摘要:
Introduction: Defensive medicine is a medical practice in which health care providers' primary intent is to avoid criticism and lawsuits, rather than providing for patients' medical needs. The purpose of this study was to characterize medical students' exposure to defensive medicine during medical school rotations. Methods: We performed a cross- sectional survey study of medical students at the beginning of their third year. We gave students Likert scale questionnaires, and their responses were tabulated as a percent with 95% confidence interval (CI). Results: Of the 124 eligible third-year students, 102 (82%) responded. Most stated they rarely worried about being sued (85.3% [95% CI=77.1% to 90.9%]). A majority felt that faculty were concerned about malpractice (55.9% [95% CI=46.2% to 65.1%]), and a smaller percentage stated that faculty taught defensive medicine (32.4% [95% CI=24.1% to 41.9%]). Many students believed their satisfaction would be decreased by MC and lawsuits (51.0% [95% CI=41.4% to 60.5%]). Some believed their choice of medical specialty would be influenced by MC (21.6% [ 95% CI=14.7% to 30.5%]), and a modest number felt their enjoyment of learning medicine was lessened by MC (23.5% [95% CI=16.4% to 32.6%]). Finally, a minority of students worried about practicing and learning procedures because of MC (16.7% [95% CI=10.7% to 25.1%]). Conclusion: Although third-year medical students have little concern about being sued, they are exposed to malpractice concerns and taught considerable defensive medicine from faculty. Most students believe that fear of lawsuits will decrease their future enjoyment of medicine. However, less than a quarter of students felt their specialty choice would be influenced by malpractice worries and that malpractice concerns lessened their enjoyment of learning medicine.
机构:
Mt Sinai Sch Med, Div Gen Internal Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Hlth Policy, New York, NY 10029 USA
Bishop, Tara F.
Federman, Alex D.
论文数: 0引用数: 0
h-index: 0
机构:
Mt Sinai Sch Med, Div Gen Internal Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Hlth Policy, New York, NY 10029 USA
Federman, Alex D.
Keyhani, Salomeh
论文数: 0引用数: 0
h-index: 0
机构:
Mt Sinai Sch Med, Dept Hlth Policy, New York, NY 10029 USA
Mt Sinai Sch Med, Div Gen Internal Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Hlth Policy, New York, NY 10029 USA
机构:
Univ N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Chuang, Alice W.
Nuthalapaty, Francis S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Med Ctr, Dept Obstet & Gynecol, Greenville Hosp Syst, Greenville, SC USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Nuthalapaty, Francis S.
Casey, Petra M.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Dept Obstet & Gynecol, Coll Med, Rochester, MN USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Casey, Petra M.
Kaczmarczyk, Joseph M.
论文数: 0引用数: 0
h-index: 0
机构:
Uniformed Serv Univ Hlth Sci, Dept Obstet & Gynecol, Bethesda, MD 20814 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Kaczmarczyk, Joseph M.
Cullimore, Amie J.
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Hamilton, ON, CanadaUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Cullimore, Amie J.
Dalrymple, John L.
论文数: 0引用数: 0
h-index: 0
机构:
Calif State Univ Sacramento, Dept Obstet & Gynecol, Davis Hlth Syst, Sacramento, CA 95819 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Dalrymple, John L.
Dugoff, Lorraine
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Dept Obstet & Gynecol, Denver, CO 80202 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Dugoff, Lorraine
Espey, Eve L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ New Mexico, Dept Obstet & Gynecol, Albuquerque, NM 87131 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Espey, Eve L.
Hammoud, Maya M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Dept Obstet & Gynecol, Sch Med, Ann Arbor, MI 48109 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Hammoud, Maya M.
Hueppchen, Nancy A.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Dept Obstet & Gynecol, Baltimore, MD USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Hueppchen, Nancy A.
Katz, Nadine T.
论文数: 0引用数: 0
h-index: 0
机构:
Albert Einstein Coll Med, Dept Obstet & Gynecol & Womens Hlth, Bronx, NY 10467 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Katz, Nadine T.
Peskin, Edward G.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Massachusetts, Dept Obstet & Gynecol, Worcester, MA 01605 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
机构:
Yale Univ, Yale Sch Med, New Haven, CT 06510 USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Hafler, Janet P.
Ownby, Allison R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Univ Texas Med Sch Houston, Educ Programs, Houston, TX USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Ownby, Allison R.
Thompson, Britta M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oklahoma, Coll Med, Dept Pediat, Oklahoma City, OK 73190 USA
Univ Oklahoma, Coll Med, Off Educ Dev & Support, Oklahoma City, OK 73190 USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Thompson, Britta M.
Fasser, Carl E.
论文数: 0引用数: 0
h-index: 0
机构:
Baylor Coll Med, Dept Allied Hlth Sci, Houston, TX 77030 USA
Baylor Coll Med, Dept Family & Community Med, Houston, TX 77030 USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Fasser, Carl E.
Grigsby, Kevin
论文数: 0引用数: 0
h-index: 0
机构:
Assoc Amer Med Coll, Washington, DC USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Grigsby, Kevin
Haidet, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Coll Med, Hershey, PA USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Haidet, Paul
Kahn, Marc J.
论文数: 0引用数: 0
h-index: 0
机构:
Tulane Univ, Sch Med, New Orleans, LA 70112 USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Kahn, Marc J.
Hafferty, Frederic W.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Program Professionalism & Eth, Rochester, MN USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
机构:
Univ Texas Med Branch, Inst Med Humanities, Galveston, TX 77555 USAUniv Texas Med Branch, Inst Med Humanities, Galveston, TX 77555 USA
Hermer, Laura D.
Brody, Howard
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Med Branch, Inst Med Humanities & Family Med, John P McGovern Centennial Chair, Galveston, TX 77555 USAUniv Texas Med Branch, Inst Med Humanities, Galveston, TX 77555 USA
机构:
Univ Haifa, Dept Community Mental Hlth, IL-31905 Haifa, IsraelUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel
Karnieli-Miller, Orit
Vu, T. Robert
论文数: 0引用数: 0
h-index: 0
机构:
Indiana Univ, Sch Med, Dept Med, Indianapolis, IN USAUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel
Vu, T. Robert
Holtman, Matthew C.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Board Med Examiners, Dev Programs, Philadelphia, PA USAUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel
Holtman, Matthew C.
Clyman, Stephen G.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Board Med Examiners, Ctr Innovat, Philadelphia, PA USAUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel
Clyman, Stephen G.
Inui, Thomas S.
论文数: 0引用数: 0
h-index: 0
机构:
Regenstrief Inst Hlth Care, Indianapolis, IN USA
Indiana Univ, Sch Med, Indianapolis, IN USAUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel
机构:
Mt Sinai Sch Med, Div Gen Internal Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Hlth Policy, New York, NY 10029 USA
Bishop, Tara F.
Federman, Alex D.
论文数: 0引用数: 0
h-index: 0
机构:
Mt Sinai Sch Med, Div Gen Internal Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Hlth Policy, New York, NY 10029 USA
Federman, Alex D.
Keyhani, Salomeh
论文数: 0引用数: 0
h-index: 0
机构:
Mt Sinai Sch Med, Dept Hlth Policy, New York, NY 10029 USA
Mt Sinai Sch Med, Div Gen Internal Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Hlth Policy, New York, NY 10029 USA
机构:
Univ N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Chuang, Alice W.
Nuthalapaty, Francis S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Med Ctr, Dept Obstet & Gynecol, Greenville Hosp Syst, Greenville, SC USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Nuthalapaty, Francis S.
Casey, Petra M.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Dept Obstet & Gynecol, Coll Med, Rochester, MN USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Casey, Petra M.
Kaczmarczyk, Joseph M.
论文数: 0引用数: 0
h-index: 0
机构:
Uniformed Serv Univ Hlth Sci, Dept Obstet & Gynecol, Bethesda, MD 20814 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Kaczmarczyk, Joseph M.
Cullimore, Amie J.
论文数: 0引用数: 0
h-index: 0
机构:
McMaster Univ, Hamilton, ON, CanadaUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Cullimore, Amie J.
Dalrymple, John L.
论文数: 0引用数: 0
h-index: 0
机构:
Calif State Univ Sacramento, Dept Obstet & Gynecol, Davis Hlth Syst, Sacramento, CA 95819 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Dalrymple, John L.
Dugoff, Lorraine
论文数: 0引用数: 0
h-index: 0
机构:
Univ Colorado, Dept Obstet & Gynecol, Denver, CO 80202 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Dugoff, Lorraine
Espey, Eve L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ New Mexico, Dept Obstet & Gynecol, Albuquerque, NM 87131 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Espey, Eve L.
Hammoud, Maya M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Michigan, Dept Obstet & Gynecol, Sch Med, Ann Arbor, MI 48109 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Hammoud, Maya M.
Hueppchen, Nancy A.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Dept Obstet & Gynecol, Baltimore, MD USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Hueppchen, Nancy A.
Katz, Nadine T.
论文数: 0引用数: 0
h-index: 0
机构:
Albert Einstein Coll Med, Dept Obstet & Gynecol & Womens Hlth, Bronx, NY 10467 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
Katz, Nadine T.
Peskin, Edward G.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Massachusetts, Dept Obstet & Gynecol, Worcester, MA 01605 USAUniv N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC 27515 USA
机构:
Yale Univ, Yale Sch Med, New Haven, CT 06510 USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Hafler, Janet P.
Ownby, Allison R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Univ Texas Med Sch Houston, Educ Programs, Houston, TX USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Ownby, Allison R.
Thompson, Britta M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oklahoma, Coll Med, Dept Pediat, Oklahoma City, OK 73190 USA
Univ Oklahoma, Coll Med, Off Educ Dev & Support, Oklahoma City, OK 73190 USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Thompson, Britta M.
Fasser, Carl E.
论文数: 0引用数: 0
h-index: 0
机构:
Baylor Coll Med, Dept Allied Hlth Sci, Houston, TX 77030 USA
Baylor Coll Med, Dept Family & Community Med, Houston, TX 77030 USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Fasser, Carl E.
Grigsby, Kevin
论文数: 0引用数: 0
h-index: 0
机构:
Assoc Amer Med Coll, Washington, DC USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Grigsby, Kevin
Haidet, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Penn State Univ, Coll Med, Hershey, PA USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Haidet, Paul
Kahn, Marc J.
论文数: 0引用数: 0
h-index: 0
机构:
Tulane Univ, Sch Med, New Orleans, LA 70112 USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
Kahn, Marc J.
Hafferty, Frederic W.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Program Professionalism & Eth, Rochester, MN USAUniv Texas Med Sch Houston, Dept Pediat, Houston, TX USA
机构:
Univ Texas Med Branch, Inst Med Humanities, Galveston, TX 77555 USAUniv Texas Med Branch, Inst Med Humanities, Galveston, TX 77555 USA
Hermer, Laura D.
Brody, Howard
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Med Branch, Inst Med Humanities & Family Med, John P McGovern Centennial Chair, Galveston, TX 77555 USAUniv Texas Med Branch, Inst Med Humanities, Galveston, TX 77555 USA
机构:
Univ Haifa, Dept Community Mental Hlth, IL-31905 Haifa, IsraelUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel
Karnieli-Miller, Orit
Vu, T. Robert
论文数: 0引用数: 0
h-index: 0
机构:
Indiana Univ, Sch Med, Dept Med, Indianapolis, IN USAUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel
Vu, T. Robert
Holtman, Matthew C.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Board Med Examiners, Dev Programs, Philadelphia, PA USAUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel
Holtman, Matthew C.
Clyman, Stephen G.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Board Med Examiners, Ctr Innovat, Philadelphia, PA USAUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel
Clyman, Stephen G.
Inui, Thomas S.
论文数: 0引用数: 0
h-index: 0
机构:
Regenstrief Inst Hlth Care, Indianapolis, IN USA
Indiana Univ, Sch Med, Indianapolis, IN USAUniv Haifa, Dept Community Mental Hlth, IL-31905 Haifa, Israel