Evidence map›Paper›PMID 39315521›Full record

ArticleJournal of cutaneous medicine and surgery

Medico-Legal Complaints Against Dermatologists: Data From the Canadian Medical Protective Association, 2013 to 2022.

Bryan Ma, Ye-Jean Park, Jing Han, Maharshi Gandhi, Michele Ramien, David Klassen, Laura Payant, Elaine Rose, Gary Garber, Mireille Probst and 1 more

Abstract read
In one paragraph

Article in Journal of cutaneous medicine and surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Bryan MaDivision of Dermatology, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-9637-5530
Ye-Jean ParkDivision of Dermatology, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Jing HanDivision of Dermatology, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Maharshi GandhiDivision of Dermatology, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0009-0009-4056-949X
Michele RamienDivision of Dermatology, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-9191-3611
David KlassenDepartment of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Laura PayantDepartment of Safe Medical Care Research, Canadian Medical Protective Association, Ottawa, ON, Canada.
Elaine RoseDepartment of Safe Medical Care Research, Canadian Medical Protective Association, Ottawa, ON, Canada.
Gary GarberDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Mireille ProbstDepartment of Safe Medical Care Research, Canadian Medical Protective Association, Ottawa, ON, Canada.
Jori HardinDivision of Dermatology, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-3419-5550

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedico-legal complaints against physicians are a significant source of anxiety and could be associated with defensive medical practices that may correlate with poor patient outcomes. Little is known about patient concerns brought to regulatory bodies and courts against dermatologists in Canada.

objectiveTo characterize factors contributing to medico-legal complaints brought against dermatologists in Canada.

methodsThe Canadian Medical Protective Association (CMPA) repository was queried for all closed cases involving dermatologists over the past decade. Aggregate, anonymized data was reviewed and case outcomes, patient harm, and contributing factors were extracted.

resultsNearly one-fifth of all dermatologists who are CMPA members have been named in at least one medico-legal case between 2013 to 2022. A total of 396 civil-legal actions or College complaint cases involving dermatologists were closed at the CMPA during this timeframe. The most common patient allegations were deficient assessment (34%), diagnostic error (28%), and unprofessional manner (22%). Nearly half of patients experienced a harmful event, the majority of which were asymptomatic or mild. The most frequently identified contributing factors related to providers were poor clinical decision making (n = 73), lack of situational awareness (n = 67), and conduct and boundary issues (n = 59). Team factors included a breakdown of communication with patients (n = 124).

conclusionsImproved communication with patients for informed consent, treatment plans, clinical follow-up, and documentation of thorough clinical patient assessments can improve patient satisfaction and health outcomes, and mitigate dermatologists' medico-legal risk.

Indexed as

DermatologistsMalpracticeCanadaDermatologyDiagnostic ErrorsHumansCMPAinformed consentlawsuitmedico-legalprofessionalism

Identifiers

PMID39315521
PMCPMC11585184

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.