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Physician behavior: not ready for 'Never'land.

Claudia E Goettler1, Trilby S Butler, Paul Shackleford

  • 1Division of Clinical Effectiveness, Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA. cgoettle@pcmh.com

The American Surgeon
|January 26, 2012
PubMed
Summary
This summary is machine-generated.

Disruptive physician behavior is often perceived but rarely confirmed as valid. This study found fewer than 1% of reported incidents were truly disruptive, highlighting the need for clear definitions and peer review.

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Area of Science:

  • Medical practice and physician behavior analysis.

Background:

  • Disruptive physician behavior is a recognized concern in healthcare.
  • Limited data exist on the actual frequency and types of reported behavioral issues.

Purpose of the Study:

  • To determine the prevalence and nature of reported physician behavioral issues.
  • To analyze patterns in reporting based on physician demographics and specialties.

Main Methods:

  • A retrospective review of two years of blinded physician behavior reports.
  • Analysis included department, gender, event summary, and peer review conclusions.
  • Chi-square analysis was used to assess statistical significance (P < 0.05).

Main Results:

  • 191 behavior issues were reported involving 114 (18%) of 640 physicians.
  • 44 physicians (7%) accounted for 63% of reports; multiple-report physicians had more communication issues.
  • Higher incidence in anesthesia, cardiology, hospitalists, orthopedics, trauma, and obstetrics/gynecology; female physicians reported less.
  • Fewer than 1% of reported incidents were deemed validly disruptive.

Conclusions:

  • Disruptive physician behavior is variable and context-dependent.
  • Robust definitions and thorough peer review are essential for accurate assessment.
  • Current reporting suggests a low incidence of genuinely disruptive behavior requiring intervention.