Disciplinary action against physicians: Who is likely to get disciplined?
We sought to determine the characteristics of disciplined physicians at-large and the risk of disciplinary action over time and to report the type and frequency of complaints and the nature of disciplinary actions against allopathic physicians in Oklahoma. Descriptive statistics, Kaplan-Meier analys...
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| Veröffentlicht in: | The American journal of medicine 2005-07, Vol.118 (7), p.773-777 |
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| container_title | The American journal of medicine |
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| creator | Khaliq, Amir A. Dimassi, Hani Huang, Chiung-Yu Narine, Lutchmie Smego, Raymond A. |
| description | We sought to determine the characteristics of disciplined physicians at-large and the risk of disciplinary action over time and to report the type and frequency of complaints and the nature of disciplinary actions against allopathic physicians in Oklahoma.
Descriptive statistics, Kaplan-Meier analysis, and Cox proportional hazards modeling of publicly available data on physicians licensed by the Oklahoma Board of Medical Licensure and Supervision.
Among 14
314 currently or previously licensed physicians, 396 (2.8%) had been disciplined. Using univariate proportional hazards analysis, men (
P |
| doi_str_mv | 10.1016/j.amjmed.2005.01.051 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67991149</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002934305001506</els_id><sourcerecordid>67991149</sourcerecordid><originalsourceid>FETCH-LOGICAL-c417t-713e7214b6a373724fa88ed72f331e242b8ac77ee3e0646bf39b5138011f526f3</originalsourceid><addsrcrecordid>eNp9kNFKHDEUhoModWv7BiKhoHc75iSTZNKLFrGtCoI3Lb0MmcwZzTg7syazhX17s-xqwQvJRQj5_sN_PkKOgRXAQJ13hVt0C2wKzpgsGBRMwh6ZgZRyrkHxfTJjjPG5EaU4JB9T6vKTGak-kEOQpjIG-Izc_AjJh2UfBhfX1PkpjAN19y4MaaLLh3UKPrghfaV_H0YaEu3DI_ZrOo30HifavISx-f6JHLSuT_h5dx-RP79-_r68nt_eXd1cXtzOfQl6ytUEag5lrZzQQvOydVWFjeatEIC85HXlvNaIApkqVd0KU0sQFQNoJVetOCJn27nLOD6tME12kVtg37sBx1WySufNoDQZ_PIG7MZVHHI3y0U-RnGWoXIL-TimFLG1yxgW2YUFZjeebWe3nu3Gs2Vgs-ccO9nNXtWbv9fQTmwGTneAS971bXSDD-k_p4wRWm1KfttymJX9CxhtNoqDxyZE9JNtxvB-k2c4XJt4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>232329620</pqid></control><display><type>article</type><title>Disciplinary action against physicians: Who is likely to get disciplined?</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Khaliq, Amir A. ; Dimassi, Hani ; Huang, Chiung-Yu ; Narine, Lutchmie ; Smego, Raymond A.</creator><creatorcontrib>Khaliq, Amir A. ; Dimassi, Hani ; Huang, Chiung-Yu ; Narine, Lutchmie ; Smego, Raymond A.</creatorcontrib><description><![CDATA[We sought to determine the characteristics of disciplined physicians at-large and the risk of disciplinary action over time and to report the type and frequency of complaints and the nature of disciplinary actions against allopathic physicians in Oklahoma.
Descriptive statistics, Kaplan-Meier analysis, and Cox proportional hazards modeling of publicly available data on physicians licensed by the Oklahoma Board of Medical Licensure and Supervision.
Among 14
314 currently or previously licensed physicians, 396 (2.8%) had been disciplined. Using univariate proportional hazards analysis, men (
P <0.04), non-whites (
P < 0.001), non-board-certified physicians (
P < 0.001), and those in family medicine (
P < 0.001), psychiatry (
P < 0.001), general practice (
P < 0.001), obstetrics-gynecology (
P < 0.03) and emergency medicine (
P < 0.001) were found to be at greater risk of being disciplined than other medical specialty groups. Foreign medical graduates had a higher risk of disciplinary action compared to US medical graduates (
P < 0.001), although this finding was not confirmed by multivariate analysis. Kaplan-Meier analysis revealed that the proportion of physicians disciplined increased with each successive 10-year interval since first licensure. Complaints against physicians originated most often from the general public (66%), other physicians (5%), and staff (4%), and the complaints most frequently involved issues related to quality of care (25%), medication/prescription violations (19%), incompetence (18%), and negligence (17%).
To improve physician behavior and reduce the need for disciplinary action, medical schools and residency training programs must continue to emphasize both patient care and medical professionalism as critical core competencies.]]></description><identifier>ISSN: 0002-9343</identifier><identifier>EISSN: 1555-7162</identifier><identifier>DOI: 10.1016/j.amjmed.2005.01.051</identifier><identifier>PMID: 15989912</identifier><identifier>CODEN: AJMEAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Disciplinary action ; Discipline ; Employee Discipline - legislation & jurisprudence ; Female ; General aspects ; Humans ; Licensure, Medical - legislation & jurisprudence ; Male ; Medical board ; Medical malpractice ; Medical sciences ; Medical specialty ; Middle Aged ; Oklahoma ; Physician ; Physician Impairment - legislation & jurisprudence ; Physician-Patient Relations ; Physicians ; Physicians - legislation & jurisprudence ; Professional Misconduct - legislation & jurisprudence ; Punishment ; Retrospective Studies</subject><ispartof>The American journal of medicine, 2005-07, Vol.118 (7), p.773-777</ispartof><rights>2005 Elsevier Inc.</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Elsevier Sequoia S.A. Jul 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-713e7214b6a373724fa88ed72f331e242b8ac77ee3e0646bf39b5138011f526f3</citedby><cites>FETCH-LOGICAL-c417t-713e7214b6a373724fa88ed72f331e242b8ac77ee3e0646bf39b5138011f526f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amjmed.2005.01.051$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16993769$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15989912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khaliq, Amir A.</creatorcontrib><creatorcontrib>Dimassi, Hani</creatorcontrib><creatorcontrib>Huang, Chiung-Yu</creatorcontrib><creatorcontrib>Narine, Lutchmie</creatorcontrib><creatorcontrib>Smego, Raymond A.</creatorcontrib><title>Disciplinary action against physicians: Who is likely to get disciplined?</title><title>The American journal of medicine</title><addtitle>Am J Med</addtitle><description><![CDATA[We sought to determine the characteristics of disciplined physicians at-large and the risk of disciplinary action over time and to report the type and frequency of complaints and the nature of disciplinary actions against allopathic physicians in Oklahoma.
Descriptive statistics, Kaplan-Meier analysis, and Cox proportional hazards modeling of publicly available data on physicians licensed by the Oklahoma Board of Medical Licensure and Supervision.
Among 14
314 currently or previously licensed physicians, 396 (2.8%) had been disciplined. Using univariate proportional hazards analysis, men (
P <0.04), non-whites (
P < 0.001), non-board-certified physicians (
P < 0.001), and those in family medicine (
P < 0.001), psychiatry (
P < 0.001), general practice (
P < 0.001), obstetrics-gynecology (
P < 0.03) and emergency medicine (
P < 0.001) were found to be at greater risk of being disciplined than other medical specialty groups. Foreign medical graduates had a higher risk of disciplinary action compared to US medical graduates (
P < 0.001), although this finding was not confirmed by multivariate analysis. Kaplan-Meier analysis revealed that the proportion of physicians disciplined increased with each successive 10-year interval since first licensure. Complaints against physicians originated most often from the general public (66%), other physicians (5%), and staff (4%), and the complaints most frequently involved issues related to quality of care (25%), medication/prescription violations (19%), incompetence (18%), and negligence (17%).
To improve physician behavior and reduce the need for disciplinary action, medical schools and residency training programs must continue to emphasize both patient care and medical professionalism as critical core competencies.]]></description><subject>Biological and medical sciences</subject><subject>Disciplinary action</subject><subject>Discipline</subject><subject>Employee Discipline - legislation & jurisprudence</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Licensure, Medical - legislation & jurisprudence</subject><subject>Male</subject><subject>Medical board</subject><subject>Medical malpractice</subject><subject>Medical sciences</subject><subject>Medical specialty</subject><subject>Middle Aged</subject><subject>Oklahoma</subject><subject>Physician</subject><subject>Physician Impairment - legislation & jurisprudence</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Physicians - legislation & jurisprudence</subject><subject>Professional Misconduct - legislation & jurisprudence</subject><subject>Punishment</subject><subject>Retrospective Studies</subject><issn>0002-9343</issn><issn>1555-7162</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kNFKHDEUhoModWv7BiKhoHc75iSTZNKLFrGtCoI3Lb0MmcwZzTg7syazhX17s-xqwQvJRQj5_sN_PkKOgRXAQJ13hVt0C2wKzpgsGBRMwh6ZgZRyrkHxfTJjjPG5EaU4JB9T6vKTGak-kEOQpjIG-Izc_AjJh2UfBhfX1PkpjAN19y4MaaLLh3UKPrghfaV_H0YaEu3DI_ZrOo30HifavISx-f6JHLSuT_h5dx-RP79-_r68nt_eXd1cXtzOfQl6ytUEag5lrZzQQvOydVWFjeatEIC85HXlvNaIApkqVd0KU0sQFQNoJVetOCJn27nLOD6tME12kVtg37sBx1WySufNoDQZ_PIG7MZVHHI3y0U-RnGWoXIL-TimFLG1yxgW2YUFZjeebWe3nu3Gs2Vgs-ccO9nNXtWbv9fQTmwGTneAS971bXSDD-k_p4wRWm1KfttymJX9CxhtNoqDxyZE9JNtxvB-k2c4XJt4</recordid><startdate>20050701</startdate><enddate>20050701</enddate><creator>Khaliq, Amir A.</creator><creator>Dimassi, Hani</creator><creator>Huang, Chiung-Yu</creator><creator>Narine, Lutchmie</creator><creator>Smego, Raymond A.</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Sequoia S.A</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TO</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20050701</creationdate><title>Disciplinary action against physicians: Who is likely to get disciplined?</title><author>Khaliq, Amir A. ; Dimassi, Hani ; Huang, Chiung-Yu ; Narine, Lutchmie ; Smego, Raymond A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-713e7214b6a373724fa88ed72f331e242b8ac77ee3e0646bf39b5138011f526f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biological and medical sciences</topic><topic>Disciplinary action</topic><topic>Discipline</topic><topic>Employee Discipline - legislation & jurisprudence</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Licensure, Medical - legislation & jurisprudence</topic><topic>Male</topic><topic>Medical board</topic><topic>Medical malpractice</topic><topic>Medical sciences</topic><topic>Medical specialty</topic><topic>Middle Aged</topic><topic>Oklahoma</topic><topic>Physician</topic><topic>Physician Impairment - legislation & jurisprudence</topic><topic>Physician-Patient Relations</topic><topic>Physicians</topic><topic>Physicians - legislation & jurisprudence</topic><topic>Professional Misconduct - legislation & jurisprudence</topic><topic>Punishment</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khaliq, Amir A.</creatorcontrib><creatorcontrib>Dimassi, Hani</creatorcontrib><creatorcontrib>Huang, Chiung-Yu</creatorcontrib><creatorcontrib>Narine, Lutchmie</creatorcontrib><creatorcontrib>Smego, Raymond A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khaliq, Amir A.</au><au>Dimassi, Hani</au><au>Huang, Chiung-Yu</au><au>Narine, Lutchmie</au><au>Smego, Raymond A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disciplinary action against physicians: Who is likely to get disciplined?</atitle><jtitle>The American journal of medicine</jtitle><addtitle>Am J Med</addtitle><date>2005-07-01</date><risdate>2005</risdate><volume>118</volume><issue>7</issue><spage>773</spage><epage>777</epage><pages>773-777</pages><issn>0002-9343</issn><eissn>1555-7162</eissn><coden>AJMEAZ</coden><abstract><![CDATA[We sought to determine the characteristics of disciplined physicians at-large and the risk of disciplinary action over time and to report the type and frequency of complaints and the nature of disciplinary actions against allopathic physicians in Oklahoma.
Descriptive statistics, Kaplan-Meier analysis, and Cox proportional hazards modeling of publicly available data on physicians licensed by the Oklahoma Board of Medical Licensure and Supervision.
Among 14
314 currently or previously licensed physicians, 396 (2.8%) had been disciplined. Using univariate proportional hazards analysis, men (
P <0.04), non-whites (
P < 0.001), non-board-certified physicians (
P < 0.001), and those in family medicine (
P < 0.001), psychiatry (
P < 0.001), general practice (
P < 0.001), obstetrics-gynecology (
P < 0.03) and emergency medicine (
P < 0.001) were found to be at greater risk of being disciplined than other medical specialty groups. Foreign medical graduates had a higher risk of disciplinary action compared to US medical graduates (
P < 0.001), although this finding was not confirmed by multivariate analysis. Kaplan-Meier analysis revealed that the proportion of physicians disciplined increased with each successive 10-year interval since first licensure. Complaints against physicians originated most often from the general public (66%), other physicians (5%), and staff (4%), and the complaints most frequently involved issues related to quality of care (25%), medication/prescription violations (19%), incompetence (18%), and negligence (17%).
To improve physician behavior and reduce the need for disciplinary action, medical schools and residency training programs must continue to emphasize both patient care and medical professionalism as critical core competencies.]]></abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15989912</pmid><doi>10.1016/j.amjmed.2005.01.051</doi><tpages>5</tpages></addata></record> |
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| subjects | Biological and medical sciences Disciplinary action Discipline Employee Discipline - legislation & jurisprudence Female General aspects Humans Licensure, Medical - legislation & jurisprudence Male Medical board Medical malpractice Medical sciences Medical specialty Middle Aged Oklahoma Physician Physician Impairment - legislation & jurisprudence Physician-Patient Relations Physicians Physicians - legislation & jurisprudence Professional Misconduct - legislation & jurisprudence Punishment Retrospective Studies |
| title | Disciplinary action against physicians: Who is likely to get disciplined? |
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