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Coworker Reports about Unprofessional Behavior in Plastic Surgery.

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Plastic surgeons received more coworker reports of unprofessional conduct than other physicians. This highlights a need for targeted interventions to improve communication and professionalism in plastic surgery, potentially reducing complications.

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Area of Science:

  • Medical professionalism
  • Surgical quality and safety
  • Physician behavior analysis

Background:

  • Patient and coworker reports of surgeon unprofessional conduct correlate with adverse outcomes and malpractice risk.
  • Coworkers can identify and report behaviors related to medical competence, communication, integrity, and responsibility.
  • This study investigated coworker concern rates among plastic surgeons compared to other medical specialists.

Purpose of the Study:

  • To compare the incidence of coworker-reported concerns among plastic surgeons versus other surgical and nonsurgical physicians.
  • To identify characteristics associated with coworker concerns within plastic surgery subspecialties.

Main Methods:

  • Analysis of coworker concern data from the Vanderbilt Center for Patient and Professional Advocacy's database (2014-2019).
  • Physicians categorized into plastic surgery, non-plastic surgical, and nonsurgical groups.
  • Plastic surgeons further analyzed by sex, graduation year, practice type, and fellowship training.

Main Results:

  • Plastic surgeons (13.6%) had higher rates of coworker concerns than nonsurgeons (10.8%) and non-plastic surgeons (6.1%).
  • The primary concern for plastic surgeons was "clear and respectful communication."
  • No significant demographic or practice-related differences were found between plastic surgeons with and without concerns.

Conclusions:

  • Plastic surgeons experience higher rates of coworker-reported concerns compared to other physician groups.
  • These findings can inform institutional interventions and peer feedback to mitigate risks associated with unprofessional conduct.
  • Addressing communication issues may be key to improving plastic surgeon professionalism and patient safety.