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. 2018 Jan 1;153(1):8-13.
doi: 10.1001/jamasurg.2017.2979.

Medical Malpractice Lawsuits Involving Surgical Residents

Cornelius A Thiels  1   2 , Asad J Choudhry  1 , Mohamed D Ray-Zack  1 , Rachel A Lindor  3 , John R Bergquist  1 , Elizabeth B Habermann  2 , Martin D Zielinski  1
Affiliations

Medical Malpractice Lawsuits Involving Surgical Residents

Cornelius A Thiels et al. JAMA Surg. .

Abstract

Importance: Medical malpractice litigation against surgical residents is rarely discussed owing to assumed legal doctrine of respondeat superior, or "let the master answer."

Objective: To better understand lawsuits targeting surgical trainees to prevent future litigation.

Design, setting, and participants: Westlaw, an online legal research database containing legal records from across the United States, was retrospectively reviewed for malpractice cases involving surgical interns, residents, or fellows from January 1, 2005, to January 1, 2015. Infant-related obstetric and ophthalmologic procedures were excluded.

Exposures: Involvement in a medical malpractice case.

Main outcomes and measures: Data were collected on patient demographics, case characteristics, and outcomes and were analyzed using descriptive statistics.

Results: During a 10-year period, 87 malpractice cases involving surgical trainees were identified. A total of 50 patients were female (57%), and 79 were 18 years of age or older (91%), with a median patient age of 44.5 years (interquartile range, 45-56 years). A total of 67 cases (77%) resulted in death or permanent disability. Most cases involved elective surgery (61 [70%]) and named a junior resident as a defendant (24 of 35 [69%]). Cases more often questioned the perioperative medical knowledge, decision making errors, and injuries (53 [61%]: preoperative, 19 of 53 [36%]) and postoperative, 34 of 53 [64%]) than intraoperative errors and injuries (43 [49%]). Junior residents were involved primarily with lawsuits related to medical decision making (21 of 24 [87%]). Residents' failure to evaluate the patient was cited in 10 cases (12%) and lack of direct supervision by attending physicians was cited in 48 cases (55%). A total of 42 cases (48%) resulted in a jury verdict or settlement in favor of the plaintiff, with a median payout of $900 000 (range, $1852 to $32 million).

Conclusions and relevance: This review of malpractice cases involving surgical residents highlights the importance of perioperative management, particularly among junior residents, and the importance of appropriate supervision by attending physicians as targets for education on litigation prevention.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure 1.
Figure 1.. Flow Diagram of Exclusion Criteria
Figure 2.
Figure 2.. Specialty of Resident or Fellow Named in Malpractice Claims
Cases were included from a variety of specialties, with general surgery being the most common group.
See this image and copyright information in PMC

Comment in

References

    1. Regan JJ, Regan WM. Medical malpractice and respondeat superior. South Med J. 2002;95(5):545-548. - PubMed
    1. Kircher J. Legal doctrines associated with medical malpractice. Physician Assist. 1986;10(6):52-57. - PubMed
    1. DeVille K. Liability for acts of other providers In: Sanbar SS, et al. . Medical Malpractice Survival Handbook. Philadelphia, PA: Mosby; 2007:183-196.
    1. Price SH. The sinking of the ‘captain of the ship’: reexamining the vicarious liability of an operating surgeon for the negligence of assisting hospital personnel. J Leg Med. 1989;10(2):323-356. - PubMed
    1. De Ville K. ‘Captain-of-the-ship’ is dead: are North Carolina physicians and surgeons still liable for the acts of other health professionals? N C Med J. 1995;56(4):166-169. - PubMed

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