Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

In practicing medicine, offense wins championships

Victor Waters, MD, JD
Physician
July 3, 2013
Share
Tweet
Share

It’s not surprising that physicians fear lawsuits, as more than 61 percent of doctors older than 55 have been sued at least once, according to the American Medical Association.

But is this fear completely justified? I believe that the media tends to sensationalize malpractice with stories about high judgments and horrific cases.

The facts are this:

  • Physicians often win malpractice lawsuits, according to a 2011 study appearing in the New England Journal of Medicine.
  • Malpractice payouts are costing less and have declined for the past 10 years, according to a study by Diederich Healthcare.
  • Most payouts are due to settlements, not judgments, also according to the Diederich study.

Despite these facts, many doctors are practicing defensive medicine, erroneously thinking that ordering unnecessary tests and procedures will shield them against lawsuits. In reality, all this does is provide a false sense of security.

To me, it’s common sense to assume that physicians cannot have truly fulfilling careers in medicine when afraid of patients by viewing them as potential plaintiffs.

The phrase “defense wins championships” has fallen out of favor in sports, as the focus of many teams is now on offense. I assert that this is also true in practicing medicine: a good offense creates championship practices. Defensive medicine is simply not enough to make us “winners” against tort liability.

Developing an offensive game plan in practicing medicine should include an analysis of:

  • How we communicate with patients and staff. We need to dissect scenarios where we failed to properly communicate with patients or staff. Be clear and concise in talking with patients and make sure they understand your messages.
  • How patient communication is delegated. For example, should a nurse call the patient with test results, or should the physician handle that communication to make sure the patient fully understands everything? Consider what is appropriate to delegate and what results warrant extra clarification from the physician. 
  • How painful procedures impact a patient’s satisfaction of care. Patients may measure the quality of service by their comfort through painful procedures. You could be the best doctor in the world, but insensitivity to a patient’s pain tolerances may make them perceive you otherwise.
  • How you listen to complaints. As painful as it is to get negative feedback, carefully listening to comments can help tremendously. Ignoring or being dismissive of patient concerns or complaints could eventually lead to a tort claim. 
  • How you follow your intuition. This is not defensive medicine. Intuition can lead to healingand saving lives–not ordering expensive and unnecessary tests.

Be proactive and vigilant in your daily clinical practice, and open to feedback that leads to reflection and improvement. As doctors, we must be committed to learning–not only about new advances in medicine, but about communication and leadership. Leading change has a positive effect on everyone. That’s how championship practices are created.

Victor Waters is an internal medicine physician and an attorney.  He is founder, Law-4-Docs.com.

Prev

For psychiatric patients in the ED, waiting is the hardest part

July 3, 2013 Kevin 6
…
Next

Do we want big medicine or good medicine?

July 3, 2013 Kevin 8
…

Tagged as: Malpractice

Post navigation

< Previous Post
For psychiatric patients in the ED, waiting is the hardest part
Next Post >
Do we want big medicine or good medicine?

ADVERTISEMENT

More by Victor Waters, MD, JD

  • Being sued for malpractice launches a mix of overwhelming emotions

    Victor Waters, MD, JD

More in Physician

  • How functional medicine fills the gaps left by conventional care

    Sally Daganzo, MD
  • A step‑by‑step guide to crafting meaningful research questions

    Julian Gendreau, MD
  • How restrictive opioid policies worsen the crisis

    Kayvan Haddadan, MD
  • The dying man who gave me flowers changed how I see care

    Augusta Uwah, MD
  • How market forces fracture millennial physicians’ careers

    Shannon Meron, MD
  • Unity in primary care: Why I believe physicians and NPs/PAs must work together toward the same goal

    Jerina Gani, MD, MPH
  • Most Popular

  • Past Week

    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How early care saved my life from silent kidney disease

      Charlie Cloninger | Conditions
    • How functional medicine fills the gaps left by conventional care

      Sally Daganzo, MD | Physician
    • A psychiatrist’s 20-year journey with ketamine

      Muhamad Aly Rifai, MD | Meds
    • How racism and policy failures shape reproductive health in America

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Education
    • Why GLP‑1 drugs should be covered beyond weight loss

      Rodney Lenfant | Conditions
    • How drug companies profit by inventing diseases

      Martha Rosenberg | Meds

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 10 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • How restrictive opioid policies worsen the crisis

      Kayvan Haddadan, MD | Physician
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • How early care saved my life from silent kidney disease

      Charlie Cloninger | Conditions
    • How functional medicine fills the gaps left by conventional care

      Sally Daganzo, MD | Physician
    • A psychiatrist’s 20-year journey with ketamine

      Muhamad Aly Rifai, MD | Meds
    • How racism and policy failures shape reproductive health in America

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Education
    • Why GLP‑1 drugs should be covered beyond weight loss

      Rodney Lenfant | Conditions
    • How drug companies profit by inventing diseases

      Martha Rosenberg | Meds

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

In practicing medicine, offense wins championships
10 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...