Resident

Second Stage Labor – Part 2: Management & Risk Mitigation

Typical interventions used during the second stage of labor frequently impede oxygen delivery and increase risk to the patient, fetus, and practitioner. Underutilization of laboring down, open-glottis breathing and upright positions by physicians is evident nationwide. This activity outlines the…

Beyond Informed Consent

Informed Consent continues to be a source of medical error and medical malpractice claims. Obtaining consent is sometimes delegated to someone other than the physician performing the procedure; it is sometimes reduced to obtaining a signature on a piece of…

Nursing Home Patients: Managing the Risks of Long Term Care

Nursing home patients today are older, sicker, and more frail than ever before. Multiple chronic conditions, reduced mobility, and cognition put them at risk for polypharmacy, falls, malnutrition, and pressure ulcers. Primary care physicians not based in the nursing home…

Physician Health and Quality of Care: Who Heals the Healer?

Recent large-scale surveys of physicians show high numbers of respondents endorsing statements of stress and burnout. This video presentation by an emergency medicine physician examines the quantifiable effects of physician stress on the physician’s physiology and on the patient’s quality…

Retinal Tears: Risk Issues in General Ophthalmology

Conditions of the retina including retinal tears are the conditions most commonly associated with medical malpractice claims against general ophthalmologists. This monograph will provide an overview of ophthalmology claims, a closed claim analysis of a case of retinal detachment, the…

Cardiothoracic Surgery Risk and Claims

The number of cardiothoracic (CT) surgeons is declining, and there is a projected shortage by 2035. At the same time, CT surgery continues to be a high-risk specialty for those practicing it. This activity looks at trends in CT surgery…

Aortic Disease II: Diagnosing Dissection

Screening for aortic aneurysm is under-utilized. It lacks a high profile awareness campaign, colored ribbon or celebrity fund raiser. Elective repair of abdominal aortic aneurysm (AAA) carries risk that increases with age, making it important to determine whether, who and…

Aortic Disease I: Diagnosing Aneurysm

Screening for aortic aneurysm is under-utilized. It lacks a high profile awareness campaign, colored ribbon or celebrity fund raiser. Elective repair of abdominal aortic aneurysm (AAA) carries risk that increases with age, making it important to determine whether, who and…

Clinical Practice Guidelines and the Standard of Care

Twenty years ago, the AMA noted an alarming trend by physicians and hospitals: they were treating the terms “standard of care” and “clinical practice guidelines” virtually interchangeably, a trend that has only increased over time. In a video interview, cardiologist…

Ophthalmology Closed Claim Analysis: Good Surgery, Bad Outcome

An adverse surgical event led to a professional liability claim against the primary care physician, the referring ophthalmologist, the retinal specialist, the anesthesiologist, the surgery center, and the surgery center nurse. Using an event chronology, this monograph traces the errors…