Literature DB >> 24071029

Preparing emergency physicians for malpractice litigation: a joint emergency medicine residency-law school mock trial competition.

Dainius A Drukteinis1, Kelly O'Keefe1, Tracy Sanson1, David Orban1.   

Abstract

BACKGROUND: Fear of malpractice affects the daily life of many emergency physicians. Educational programs to prepare for litigation are lacking.
OBJECTIVES: An educational collaboration between an emergency medicine residency and a law school, whereby a medical malpractice mock trial competition is used to teach residents basic skills for testifying in legal proceedings.
METHODS: Ten residents in an academic emergency medicine program volunteered as witnesses in a malpractice mock trial competition at a law school. Residents testified two or three times and, after each appearance, were provided feedback to prepare them for subsequent rounds of testimony. They were also given access to videotaped testimony. Judges rated each resident using a nine-question survey scored on a 10-point Likert scale. Scores were compared as a group between rounds of testimony.
RESULTS: Participants demonstrated significant improvement in seven of nine measured categories. p-Values reached significance in: Worked Well on Direct Examination (p < 0.001), Demeanor/Body Language (p < 0.001), Was Not Arrogant/Did Not Lose Poise on Cross-Examination (p = 0.001), Convincing Witness (p = 0.001), Appeared Knowledgeable (p = 0.012), Courtroom Attire (p = 0.012), and Expressed Themselves Clearly (p = 0.017). In addition, residents anonymously reported broad educational benefit.
CONCLUSION: This novel educational collaboration taught residents about the process of litigation. It improved their communication skills and expanded their knowledge of documentation pitfalls, problems with staff interaction, and consequences of medical errors. This mutually beneficial partnership between a medical residency and a law school solidified it as a permanent feature of the residency program.
Copyright © 2014 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  graduate education; jurisprudence; legal liability; legislation; malpractice; medical errors; mock trial

Mesh:

Year:  2013        PMID: 24071029     DOI: 10.1016/j.jemermed.2013.08.017

Source DB:  PubMed          Journal:  J Emerg Med        ISSN: 0736-4679            Impact factor:   1.484


  9 in total

1.  Knowledge, Attitudes, and Perceptions About Medicolegal Education: A Survey of OB/GYN Residents.

Authors:  Shilpa Mathew; Navendu Samant; Christie Cooksey; Olga Ramm
Journal:  Perm J       Date:  2020-11

2.  Association of Expectations of Training With Attrition in General Surgery Residents.

Authors:  Jonathan S Abelson; Julie A Sosa; Matthew M Symer; Jialin Mao; Fabrizio Michelassi; Richard Bell; Art Sedrakyan; Heather L Yeo
Journal:  JAMA Surg       Date:  2018-08-01       Impact factor: 14.766

3.  Report of a Collaboration Between a Law School and an Emergency Medicine Residency Program for a Full-scale Medical Malpractice Litigation Simulation.

Authors:  Mark Curato; Adam Shlahet
Journal:  AEM Educ Train       Date:  2019-05-20

4.  Expert Witness Training for Geriatric Medicine Fellows Using Courtroom Simulation.

Authors:  Kevin T Foley; Michael J Ferency; Erin M Sarzynski
Journal:  PRiMER       Date:  2017-08-08

5.  Medical Liability of Residents in Taiwan Criminal Court: An Analysis of Closed Malpractice Cases.

Authors:  Kuan-Han Wu; Po-Chun Chuang; Chih-Min Su; Fu-Jen Cheng; Chien-Hung Wu; Fu-Cheng Chen; Yii-Ting Huang
Journal:  Emerg Med Int       Date:  2020-06-01       Impact factor: 1.112

6.  Fear Not: Utilizing Simulation for Medical Malpractice Education.

Authors:  Kate E Hughes; Thomas M Cahir; Diana Nordlund; Samuel M Keim; Patrick G Hughes
Journal:  J Med Educ Curric Dev       Date:  2022-04-27

7.  Video-Based Communication Assessment of Physician Error Disclosure Skills by Crowdsourced Laypeople and Patient Advocates Who Experienced Medical Harm: Reliability Assessment With Generalizability Theory.

Authors:  Andrew A White; Ann M King; Angelo E D'Addario; Karen Berg Brigham; Suzanne Dintzis; Emily E Fay; Thomas H Gallagher; Kathleen M Mazor
Journal:  JMIR Med Educ       Date:  2022-04-29

8.  Indications of brain computed tomography scan in children younger than 3 years of age with minor head trauma.

Authors:  Ismail Gülşen; Hakan Ak; Sevdegül Karadaş; Ismail Demır; Mehmet Deniz Bulut; Soner Yaycioğlu
Journal:  Emerg Med Int       Date:  2014-03-02       Impact factor: 1.112

9.  Preparation in the business and practice of medicine: perspectives from recent gynecologic oncology graduates and program directors.

Authors:  Matthew Schlumbrecht; John Siemon; Guillermo Morales; Marilyn Huang; Brian Slomovitz
Journal:  Gynecol Oncol Res Pract       Date:  2017-09-22
  9 in total

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