Abstract
Facing a malpractice lawsuit can be a daunting and traumatic experience for healthcare practitioners, with most clinicians naïve to the legal landscape. It is crucial for physicians to know and understand the malpractice system and his or her role once challenged with litigation. We present part II of a two-part series addressing the most common medicolegal questions that cause a great deal of anxiety. Part I focused upon risk-management strategies and prevention of malpractice lawsuits, whereas part II provides helpful suggestions and guidance for the physician who has been served with a lawsuit complaint. Herein, we address the best approach concerning what to do and what not to do after receipt of a legal claim, during the deposition, and during the trial phases. We also discuss routine concerns that may arise during the development of the case, including the personal, financial, and career implications of a malpractice lawsuit and how these can be best managed. The defense strategies discussed in this paper are not a guide separate from legal representation to winning a lawsuit, but may help physicians prepare for and cope with a medical malpractice lawsuit. This article is written from a US perspective, and therefore not all of the statements made herein will be applicable in other countries. Within the USA, medical practitioners must be familiar with their own state and local laws and should consult with their own legal counsel to obtain advice about specific questions.
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References
Berry DB. The physician’s guide to medical malpractice. Proc (Bayl Univ Med Cent). 2001;14(1):109–12.
Davis GG. Malpractice in pathology: what to do when you are sued. Arch Pathol Lab Med. 2006;130(7):975–8. doi:10.1043/1543-2165(2006)130[975:MIPWTD]2.0.CO;2.
Sanbar S. Medical records: paper and electronic. Legal Med. 2007;34:347–56.
Anderson RE. Medical malpractice: a physician’s sourcebook. Totowa: Humana; 2005.
Hyman DA, Silver C. Five myths of medical malpractice. Chest. 2013;143(1):222–7. doi:10.1378/chest.12-1916.
Peckham C. Malpractice and medicine: Who Gets Sued and Why? Medscape. 2015. http://www.medscape.com/viewarticle/855229_6. Accessed 30 Mar 2016.
Peckham C. Medscape malpractice report 2015: why most doctors get Sued. Medscape. 2015. http://www.medscape.com/features/slideshow/public/malpractice-report-2015#page=2. Accessed 1 Feb 2016.
Brazeau CM. Coping with the stress of being sued. Fam Pract Manag. 2001;8(5):41–4.
Roberts RG. Understanding the physician liability insurance crisis. Fam Pract Manag. 2002;9(9):47–51.
Cohen ML. The power of apology. Fam Pract Manag. 2010;17(1):40.
McBride JL. Five ways to respond to a medical mistake. Fam Pract Manag. 2009;16(2):40.
Mastroianni AC, Mello MM, Sommer S, Hardy M, Gallagher TH. The flaws in state ‘apology’ and ‘disclosure’ laws dilute their intended impact on malpractice suits. Health Aff (Millwood). 2010;29(9):1611–9. doi:10.1377/hlthaff.2009.0134.
Kapp MB. Assorted legal issues affecting medical practice. Chest. 2010;137(5):1190–4. doi:10.1378/chest.09-2392.
Gallagher TH, Waterman AD, Garbutt JM, Kapp JM, Chan DK, Dunagan WC, et al. US and Canadian physicians’ attitudes and experiences regarding disclosing errors to patients. Arch Intern Med. 2006;166(15):1605–11. doi:10.1001/archinte.166.15.1605.
Dillard B. Advice on the Run: Proceed With Caution When Giving Curbside Consults. John Wiley & Sons, Inc., Medscape. 2007. http://www.medscape.com/viewarticle/565468_1. Accessed 20 Dec 2015.
Mossman D. ‘Curbside’ consults: Know your liability. Current Psychiatry. 2012;11(6):42–45. http://www.currentpsychiatry.com/home/article/curbside-consults-know-your-liability/cc81f2dfd88d5223776a6924eff1045d.html. Accessed 20 Dec 2015.
Reynolds v. Decatur Memorial Hosp. NE 2d: Ill: Appellate Court, 4th Dist.; 1996. p. 235.
Campbell v. Haber. AD 2d: NY: Appellate Div., 4th Dept.; 2000. p. 946.
Grant-Kels JM, Kels BD. The curbside consultation: legal, moral, and ethical considerations. J Am Acad Dermatol. 2012;66(5):827–9. doi:10.1016/j.jaad.2011.12.025.
Kern BS. Will you be forced to settle your malpractice case? In: Medscape. 2009. http://www.medscape.com/viewarticle/705368. Accessed 20 Dec 2015.
Segalla TF, Biggie BR. The unsettling nature of the right to settle provisions in a professional liability policy. FDCC Q. 2008;59(1):31.
Chesanow N. When to Settle a Suit and When to Fight. Medscape Business of Medicine, Medscape. 2013. http://www.medscape.com/viewarticle/811323. Accessed 22 Dec 2015.
Suk M. I’ve Been Served … Now What? J Orthop Trauma. 2015;29:S15–6.
Teichman PG, Bunch NE. Depositions: defending your care. Fam Pract Manag. 2001;8(7):34–6.
Brenner IR. Your malpractice advisor: eight things to never do at your deposition. Medscape. 2010. http://www.medscape.com/viewarticle/730950. Accessed 20 Jan 2016.
Zurad EG. Don’t be a target for a malpractice suit. Fam Pract Manag. 2006;13(6):57–64.
Sullivan W, Stacey K. Physician risk management. Editorial. 2012;1(1):1–12. http://www.thehealthlawpartners.com/docs/prm_july_2012_issue__2_.pdf. Accessed 30 Mar 2016.
Linder DO. Juror empathy and race. Tenn L Rev. 1995;63:887.
Miller LA. The national practitioner data bank: a primer for clinicians. J Perinat Neonatal Nurs. 2011;25(3):224–5. doi:10.1097/JPN.0b013e3182257331.
Charles SC. Coping with a medical malpractice suit. West J Med. 2001;174(1):55–8.
Carney PA, Frederick PD, Reisch LM, Knezevich S, Piepkorn MW, Barnhill RL et al. How concerns and experiences with medical malpractice affect dermatopathologists’ perceptions of their diagnostic practices when interpreting cutaneous melanocytic lesions. J Am Acad Dermatol. 2016;74(2):317–24; quiz 24 e1–8. doi:10.1016/j.jaad.2015.09.037.
Gallegos A. Life after lawsuit: How doctors pick up the pieces. American Medical Association. 2011. http://www.thehybridsolution.com/articles/Lifeafterlawsuit.pdf. Accessed 20 Dec 2015.
Kmietowicz Z. Doctors facing complaints have severe depression and suicidal thoughts, study finds. BMJ. 2015;350:h244. doi:10.1136/bmj.h244.
Balch CM, Oreskovich MR, Dyrbye LN, Colaiano JM, Satele DV, Sloan JA, et al. Personal consequences of malpractice lawsuits on American surgeons. J Am Coll Surg. 2011;213(5):657–67. doi:10.1016/j.jamcollsurg.2011.08.005.
Saitta N, Hodge SD. Efficacy of a physician’s words of empathy: an overview of state apology laws. J Am Osteopath Assoc. 2012;112(5):302–6.
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All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this manuscript, take responsibility for the integrity of the work as a whole, and have given final approval for the version to be published.
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Vidhi V. Shah B.A., Marshall B. Kapp J.D., M.P.H., and Stephen E. Wolverton M.D. declare they have no conflicts of interest.
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The writing of this article was not supported by external funding.
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Shah, V.V., Kapp, M.B. & Wolverton, S.E. Medical Malpractice in Dermatology—Part II: What To Do Once You Have Been Served with a Lawsuit. Am J Clin Dermatol 17, 601–607 (2016). https://doi.org/10.1007/s40257-016-0224-2
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DOI: https://doi.org/10.1007/s40257-016-0224-2