| Orthopedic board certification and physician performance: an analysis of medical malpractice, hospital disciplinary action, and state medical board disciplinary action rates. | |
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MedLine Citation:
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PMID: 18401481 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Specialty board certification status has become the de facto standard of competency by which the profession and the public recognize physician specialists. However, the relationship between orthopedic board certification and physician performance has not been established. Rates of medical malpractice claims, hospital disciplinary actions, and state medical board disciplinary actions were compared between 1309 board-certified (BC) and 154 non-board-certified (NBC) orthopedic surgeons in 3 states. There was no significant difference between BC and NBC surgeons in medical malpractice claim proportions (BC, 19.1% NBC, 16.9% P = .586) or in hospital disciplinary action proportions (BC, 0.9% NBC, 0.8% P = 1.000). There was a significantly higher proportion of state medical board disciplinary action for NBC surgeons (BC, 7.6% NBC, 13.0% P = .028). An association between board certification status and physician performance is necessary to validate its status as the de facto standard of competency. In this study, BC surgeons had lower rates of state medical board disciplinary action. |
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Authors:
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Mininder S Kocher; Laura Dichtel; James R Kasser; Mark C Gebhardt; Jeffery N Katz |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of orthopedics (Belle Mead, N.J.) Volume: 37 ISSN: 1934-3418 ISO Abbreviation: Am J. Orthop. Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-04-10 Completed Date: 2008-05-22 Revised Date: 2010-01-05 |
Medline Journal Info:
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Nlm Unique ID: 9502918 Medline TA: Am J Orthop (Belle Mead NJ) Country: United States |
Other Details:
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Languages: eng Pagination: 73-5 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Children's Hospital, Boston, MA, 02115, USA. mininder.kocher@tch.harvard.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Certification* Clinical Competence / standards* Employee Performance Appraisal* Governing Board Hospitals Humans Malpractice / statistics & numerical data* Orthopedics / standards* Physician Impairment / statistics & numerical data Professional Practice / standards* Specialty Boards / statistics & numerical data* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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