The medico-legal helpline: A content analysis of postgraduate medical trainee advice calls
| Autor: | Cathy Zhang, Ellen Tsai, Allan McDougall, Janet Nuth, Joanna Zaslow, Shirley Lee, Qian Yang, Guylaine Lefebvre, Lisa A. Calder |
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| Rok vydání: | 2020 |
| Předmět: |
Medical education
Canada Quality management 020205 medical informatics Education Medical Liability Context (language use) 02 engineering and technology General Medicine Education 03 medical and health sciences Trend analysis Patient safety 0302 clinical medicine Content analysis Physicians Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering Curriculum development Humans Confidentiality 030212 general & internal medicine Patient Safety Psychology |
| Zdroj: | Medical educationREFERENCES. 55(3) |
| ISSN: | 1365-2923 |
| Popis: | CONTEXT Available literature exploring medical liability and postgraduate medical education consistently posits that postgraduate trainees worry about their exposure to medico-legal liability. This assumption has formed the basis for research and curriculum development. OBJECTIVES The aim of this study was to describe the encounters that lead physicians-in-training to seek external medico-legal guidance. We sought to provide empirical evidence on trends and themes related to medico-legal advice requests from physicians-in-training. METHODS Our primary dataset consisted of records of calls from physicians-in-training to the medico-legal helpline of the Canadian Medical Protective Association (CMPA), a national mutual defence organisation providing medico-legal advice and liability protection for over 95% of Canada's physicians. We conducted a trend analysis of the frequency of calls for advice over 10 years from physician-in-training compared with non-trainee physicians. Furthermore, we performed a content analysis of calls made over the most recent 2 years (2016-2017) to elucidate the concerns that led to trainees seeking medico-legal advice. RESULTS The 10-year trend analysis revealed that the annual growth in the number of physician-in-training advice calls (8.8%) exceeded other CMPA physician groups and was in excess of trainee population growth over the same period. The content analysis identified four core themes: managing confidential information, complex care situations, academic matters and patient safety incidents. CONCLUSIONS Our findings indicate that trainees are asking questions about their medico-legal liability with increasing frequency. This study contributes new evidence on the issues that lead to trainees seeking help. We believe that understanding trainees' medico-legal advice requests will support medical educators to tailor quality improvement education to learners' needs. |
| Databáze: | OpenAIRE |
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