Document Detail


Factors associated with high-severity disciplinary action by a state medical board: a Texas study of medical license revocation.
MedLine Citation:
PMID:  16585383     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: There has been an increase in research evaluating factors associated with disciplinary action of physicians by state medical boards. However, factors related to the severity of disciplinary action are lacking. By investigating these factors while controlling for the type of violation, the authors sought to determine whether physician characteristics influenced the process of disciplinary action by state medical boards. METHODS: Physicians disciplined by the Texas Medical Board between January 1, 1989, and December 31, 1998, were included in this case-controlled study (N=1129). Multivariate logistic regression analysis was used to compute odds ratios (ORs) and 95% confidence intervals (CIs) for factors associated with license revocation, the most severe disciplinary action, compared with all other forms of disciplinary action combined. RESULTS: Anesthesiologists (OR, 2.45; 95% CI, 1.05-5.74), general practitioners (OR, 1.80; 95% CI, 1.01-3.19), and psychiatrists (OR, 2.68; 95% CI, 1.41-5.13), as well as those with multiple disciplinary actions (OR, 1.91; 95% CI, 1.29-2.83) were most susceptible to license revocation. The more years a disciplined physician was in practice, the greater risk he or she had of license revocation (OR, 1.05; 95% CI, 1.04-1.07). CONCLUSIONS: Factors associated with a greater likelihood of license revocation for physicians are: primary medical specialty, number of years in practice, and a history of multiple disciplinary actions.
Authors:
Roberto Cardarelli; John C Licciardone
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of the American Osteopathic Association     Volume:  106     ISSN:  0098-6151     ISO Abbreviation:  J Am Osteopath Assoc     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-04-04     Completed Date:  2006-05-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7503065     Medline TA:  J Am Osteopath Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  153-6     Citation Subset:  IM    
Affiliation:
University of North Texas Health Science Center at Fort Worth-Texas College of Osteopathic Medicine, Department of Family Medicine, Division of Education and Research, 855 Montgomery St, Fort Worth, TX 76107-2553, USA. rcardare@hsc.unt.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Confidence Intervals
Employee Discipline / methods*,  statistics & numerical data*
Female
Government Regulation*
Humans
Licensure, Medical
Male
Middle Aged
Odds Ratio
Osteopathic Medicine / statistics & numerical data
Professional Misconduct*
Retrospective Studies
Risk Factors
Texas

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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