Disciplinary action against physicians: Who is likely to get disciplined?

PURPOSE: 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. METHODS: Descriptive statistics, K...

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Main Author: Dimassi, Hani (author)
Other Authors: Khaliq, Amir A. (author), Huang, Chiung-Yu (author), Narine, Lutchmie (author), Smego, Raymond A. (author)
Format: article
Published: 2005
Online Access:http://hdl.handle.net/10725/2200
http://dx.doi.org/10.1016/j.amjmed.2005.01.051
http://www.sciencedirect.com/science/article/pii/S0002934305001506
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author Dimassi, Hani
author2 Khaliq, Amir A.
Huang, Chiung-Yu
Narine, Lutchmie
Smego, Raymond A.
author2_role author
author
author
author
author_facet Dimassi, Hani
Khaliq, Amir A.
Huang, Chiung-Yu
Narine, Lutchmie
Smego, Raymond A.
author_role author
dc.creator.none.fl_str_mv Dimassi, Hani
Khaliq, Amir A.
Huang, Chiung-Yu
Narine, Lutchmie
Smego, Raymond A.
dc.date.none.fl_str_mv 2005
2015-09-29T09:10:10Z
2015-09-29T09:10:10Z
2015-09-29
dc.identifier.none.fl_str_mv 0002-9343
http://hdl.handle.net/10725/2200
http://dx.doi.org/10.1016/j.amjmed.2005.01.051
Khaliq, A. A., Dimassi, H., Huang, C. Y., Narine, L., & Smego, R. A. (2005). Disciplinary action against physicians: who is likely to get disciplined?. The American journal of medicine, 118(7), 773-777.
http://www.sciencedirect.com/science/article/pii/S0002934305001506
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv The American journal of medicine
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Disciplinary action against physicians: Who is likely to get disciplined?
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description PURPOSE: 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. METHODS: 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. RESULTS: 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%). CONCLUSION: 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
eu_rights_str_mv openAccess
format article
id LAURepo_5b0d55d04b6b81d153d8798214df72ee
identifier_str_mv 0002-9343
Khaliq, A. A., Dimassi, H., Huang, C. Y., Narine, L., & Smego, R. A. (2005). Disciplinary action against physicians: who is likely to get disciplined?. The American journal of medicine, 118(7), 773-777.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/2200
publishDate 2005
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spelling Disciplinary action against physicians: Who is likely to get disciplined?Dimassi, HaniKhaliq, Amir A.Huang, Chiung-YuNarine, LutchmieSmego, Raymond A.PURPOSE: 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. METHODS: 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. RESULTS: 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%). CONCLUSION: 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 competenciesPublishedN/A2015-09-29T09:10:10Z2015-09-29T09:10:10Z20052015-09-29Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article0002-9343http://hdl.handle.net/10725/2200http://dx.doi.org/10.1016/j.amjmed.2005.01.051Khaliq, A. A., Dimassi, H., Huang, C. Y., Narine, L., & Smego, R. A. (2005). Disciplinary action against physicians: who is likely to get disciplined?. The American journal of medicine, 118(7), 773-777.http://www.sciencedirect.com/science/article/pii/S0002934305001506enThe American journal of medicineinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/22002016-12-01T14:41:55Z
spellingShingle Disciplinary action against physicians: Who is likely to get disciplined?
Dimassi, Hani
status_str publishedVersion
title Disciplinary action against physicians: Who is likely to get disciplined?
title_full Disciplinary action against physicians: Who is likely to get disciplined?
title_fullStr Disciplinary action against physicians: Who is likely to get disciplined?
title_full_unstemmed Disciplinary action against physicians: Who is likely to get disciplined?
title_short Disciplinary action against physicians: Who is likely to get disciplined?
title_sort Disciplinary action against physicians: Who is likely to get disciplined?
url http://hdl.handle.net/10725/2200
http://dx.doi.org/10.1016/j.amjmed.2005.01.051
http://www.sciencedirect.com/science/article/pii/S0002934305001506