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Sexual Misconduct by Board Certified Family Physicians.
Elizabeth Baxley1, Shannon Dunahue2, Annie Koempel2
1From the Executive Vice President, American Board of Family Medicine, Lexington, KY (EB); Program Manager, Professionalism Department, American Board of Family Medicine, Lexington, KY (SD); Qualitative Scientist, Research Department, American Board of Family Medicine, Lexington, KY (AK); Associate Professor and Associate Chief, Division of Family Medicine, The George Washington School of Medicine and Health Sciences, Washington, DC (AA); PGY-1 Resident, General Surgery, University of Florida, Gainesville, FL (BH); Senior Vice President for Diplomate Experience, American Board of Family Medicine, Lexington, KY (GL); Professor Emeritus, Family and Preventive Medicine, University of Utah, Salt Lake City, UT (MKM). ebaxley@theabfm.org).
Sexual misconduct by American Board of Family Medicine (ABFM) physicians is rare, affecting 0.1% of those disciplined. Most perpetrators were male physicians, with female patients as victims, often involving unwanted sexual behavior or relationships.
Area of Science:
- Medical Ethics
- Physician Conduct
- Patient Safety
Background:
- Physician sexual misconduct erodes patient trust and harms the medical profession.
- Understanding the prevalence and patterns of such misconduct is crucial for developing effective interventions.
Purpose of the Study:
- To determine the frequency and patterns of sexual misconduct among physicians certified by the American Board of Family Medicine (ABFM).
Main Methods:
- A cohort of ABFM-certified physicians disciplined for sexual misconduct between 2016 and 2022 was analyzed.
- Data included physician demographics, victim characteristics, and nature of misconduct.
Main Results:
- Ninety-four physicians (0.1% of ABFM Diplomates) faced disciplinary action for sexual misconduct.
- Most offenders were male (93/94), with female patients as 90% of victims.
- Misconduct included unwanted sexual behavior, ongoing relationships, and substance prescribing; 7 cases involved minors.
Conclusions:
- Sexual misconduct by ABFM physicians is infrequent but significantly harmful.
- Enhanced education and cultural change within the specialty are needed to address this issue.
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