Are neurology residents in the United States being taught defensive medicine?
Clin Neurol Neurosurg
; 108(4): 374-7, 2006 Jun.
Article
em En
| MEDLINE
| ID: mdl-16040189
ABSTRACT
OBJECTIVE:
To study whether and how fear of litigation and defensive medicine are communicated during residency training and to assess whether this affects residents' attitudes.METHODS:
Neurology residents in the US (n=25) and, as a control group, Neurology residents training in Germany (n=42) were asked to rate multiple items regarding litigation, defensive strategies and how often these issues are raised by teaching physicians. Statistic analysis was performed using nonparametric tests.RESULTS:
Residents in both countries indicated that litigation is an "important problem", although US residents stated this significantly more often (p<0.001). Initiation of tests motivated mainly by fear of litigation (p=0.004) and explicit teaching of defensive strategies by teaching physicians (p<0.02) were reported more often by US residents.CONCLUSION:
Neurology residents in both the US and Germany perceive a litigational threat, but significantly less so in Germany. This difference may result at least in part from teaching of defensive strategies reported more often in US programs.
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Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Medicina Defensiva
/
Internato e Residência
/
Neurologia
Tipo de estudo:
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Clin Neurol Neurosurg
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos