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Gaps in Workplace Injury Reporting Among Physicians to the United States Bureau of Labor Statistics
Andrew T Gabrielson1, Kristin Chrouser, M Susan Hallbeck
1From the James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland (A.T.G.); Department of Urology, University of Michigan School of Medicine, VA Ann Arbor Healthcare System, Ann Arbor, Michigan (K.C.); Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota (M.S.H.); Department of Surgery, Mayo Clinic, Rochester, Minnesota (M.S.H.); Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California (T.C.); and Department of Internal Medicine, University of Iowa, Iowa City, Iowa (C.C.).
Objective:
This study aimed to identify gaps in nonfatal injury and illness (NII) reporting between physicians and other occupations.
Methods:
Bureau of Labor Statistics data (2011-2019) were analyzed, comparing annualized NII incidence rates using incidence rate ratios (IRR), with physicians as the reference.
Results:
Between 2011 and 2019, physicians reported significantly lower NII rates compared to high-hazard nonmedical occupations (IRR, 17.2-70.8; all P < 0.01) and most low-hazard nonmedical occupations (IRR, 1.2-6.3; all P < 0.01), except lawyers. NII rates among physicians were also lower than those in nonphysician medical occupations (IRR, 1.4-27.6; all P < 0.01). In 2020, relative NII rates between physicians and nonphysician medical occupations decreased but returned to prepandemic levels by 2021.
Conclusions:
Physicians report significantly lower NII rates than other occupations, likely due to underreporting or undercounting, highlighting a potential gap in occupational injury data.
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