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The characteristics of physicians disciplined by professional colleges in Canada.

Alam A, Klemensberg J, Griesman J, Bell CM - Open Med (2011)

Bottom Line: The 3 most frequently imposed penalties were fines (27%), suspensions (19%) and formal reprimands (18%).A small proportion of registered physicians in Canada were disciplined by their medical licensing authorities.The standardization of provincial reporting along with the creation of a national database of physician offenders would facilitate more comparable public reporting as well as further research and educational initiatives.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada.

ABSTRACT

Background: The identification of health care professionals who are incompetent, impaired, uncaring or have criminal intent has received increasing attention in recent years. These individuals are often subject to disciplinary action by professional licensing authorities. To date, no national data exist for Canadian physicians disciplined for professional misconduct. We sought to describe the characteristics of physicians disciplined by Canadian professional licensing authorities.

Methods: We constructed a database of physicians disciplined by provincial licensing authorities during the years 2000 to 2009. Comparisons were made with the general population of physicians licensed in Canada. Data on demographic characteristics, type of misconduct and penalty imposed were collected for each disciplined physician.

Results: A total of 606 identifiable physicians were disciplined by their professional college during the years 2000 to 2009. The proportion of licensed physicians who were disciplined in a given year ranged from 0.06% to 0.11%. Fifty-one of the disciplined physicians committed 64 repeat offences, accounting for a total of 113 (19%) offences. Most of the disciplined physicians were independent practitioners (99%), male (92%) and trained in Canada (67%). The most common specialties of physicians subject to disciplinary action were family medicine (62%), psychiatry (14%) and surgery (9%). For disciplined physicians, the average number of years from medical school graduation to disciplinary action was 28.9 (standard deviation [SD] = 11.3). The 3 most frequent violations were sexual misconduct (20%), failure to meet a standard of care (19%) and unprofessional conduct (16%). The 3 most frequently imposed penalties were fines (27%), suspensions (19%) and formal reprimands (18%).

Interpretation: A small proportion of registered physicians in Canada were disciplined by their medical licensing authorities. Sexual misconduct was the most common disciplined offence. The standardization of provincial reporting along with the creation of a national database of physician offenders would facilitate more comparable public reporting as well as further research and educational initiatives.

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The baseline characteristics of disciplined physicians in Canada from 2000 to 2009
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table1: The baseline characteristics of disciplined physicians in Canada from 2000 to 2009

Mentions: From 2000 to 2009, a total of 606 identifiable physicians were disciplined in Canada (Table 1). A further 23 physicians who were disciplined but not named in the databases available to us were excluded from our primary analysis. Approximately 51 (9%) disciplined physicians were subject to more than one disciplinary action at separate times: 42 physicians were disciplined 2 times, 7 physicians 3 times and 2 physicians 4 times, accounting for a total of 113 (19%) offences. The median time between first and second offences was 2 years (IQR 1–4 years).


The characteristics of physicians disciplined by professional colleges in Canada.

Alam A, Klemensberg J, Griesman J, Bell CM - Open Med (2011)

The baseline characteristics of disciplined physicians in Canada from 2000 to 2009
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3345379&req=5

table1: The baseline characteristics of disciplined physicians in Canada from 2000 to 2009
Mentions: From 2000 to 2009, a total of 606 identifiable physicians were disciplined in Canada (Table 1). A further 23 physicians who were disciplined but not named in the databases available to us were excluded from our primary analysis. Approximately 51 (9%) disciplined physicians were subject to more than one disciplinary action at separate times: 42 physicians were disciplined 2 times, 7 physicians 3 times and 2 physicians 4 times, accounting for a total of 113 (19%) offences. The median time between first and second offences was 2 years (IQR 1–4 years).

Bottom Line: The 3 most frequently imposed penalties were fines (27%), suspensions (19%) and formal reprimands (18%).A small proportion of registered physicians in Canada were disciplined by their medical licensing authorities.The standardization of provincial reporting along with the creation of a national database of physician offenders would facilitate more comparable public reporting as well as further research and educational initiatives.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada.

ABSTRACT

Background: The identification of health care professionals who are incompetent, impaired, uncaring or have criminal intent has received increasing attention in recent years. These individuals are often subject to disciplinary action by professional licensing authorities. To date, no national data exist for Canadian physicians disciplined for professional misconduct. We sought to describe the characteristics of physicians disciplined by Canadian professional licensing authorities.

Methods: We constructed a database of physicians disciplined by provincial licensing authorities during the years 2000 to 2009. Comparisons were made with the general population of physicians licensed in Canada. Data on demographic characteristics, type of misconduct and penalty imposed were collected for each disciplined physician.

Results: A total of 606 identifiable physicians were disciplined by their professional college during the years 2000 to 2009. The proportion of licensed physicians who were disciplined in a given year ranged from 0.06% to 0.11%. Fifty-one of the disciplined physicians committed 64 repeat offences, accounting for a total of 113 (19%) offences. Most of the disciplined physicians were independent practitioners (99%), male (92%) and trained in Canada (67%). The most common specialties of physicians subject to disciplinary action were family medicine (62%), psychiatry (14%) and surgery (9%). For disciplined physicians, the average number of years from medical school graduation to disciplinary action was 28.9 (standard deviation [SD] = 11.3). The 3 most frequent violations were sexual misconduct (20%), failure to meet a standard of care (19%) and unprofessional conduct (16%). The 3 most frequently imposed penalties were fines (27%), suspensions (19%) and formal reprimands (18%).

Interpretation: A small proportion of registered physicians in Canada were disciplined by their medical licensing authorities. Sexual misconduct was the most common disciplined offence. The standardization of provincial reporting along with the creation of a national database of physician offenders would facilitate more comparable public reporting as well as further research and educational initiatives.

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