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ACOG survey: one in seven quit obstetrics from 1999 to 2003; These ob.gyns. say the risk of liability claims or lawsuits forced them out.(News)

OB GYN News

| August 15, 2004 | Silverman, Jennifer | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

One in seven fellows with the American College of Obstetricians and Gynecologists has stopped practicing obstetrics because of the risk of medical liability claims, an ACOG survey found.

Of the fellows surveyed, 14% said that the risk of liability claims or lawsuits forced them to stop doing obstetrics, a statistic that continues to grow. In a comparable professional liability survey conducted in 1999, only 8.9% of ACOG fellows reported that they no longer practiced obstetrics as a result of the risk of malpractice.

"This crisis is getting more serious by the day," ACOG President Dr. Vivian M. Dickerson said in a statement. "It's threatening [not only] today's ob.gyns., but also the future of our specialty."

Princeton Survey Research Associates designed and conducted the survey, which covered the time period 1999-2003. The response rate was 45.5%: Of the 4,919 surveys that were mailed, 2,185 completed, usable surveys were returned, an ACOG spokesman said.

Ob.gyns. have an average of 2.6 claims filed against them during their careers. During the time period covered by the survey, obstetric claims accounted for 61% of claims against ob.gyns. The top four primary obstetric allegations in 1999-2002 were infant neurologic impairment (34%); stillbirth or neonatal death (15%); other major infant injury (7%); and delay in diagnosis or failure to diagnose (7%).

Gynecologic claims accounted for 38% of claims against ob.gyns. during the same time period. Of these, delay in diagnosis or failure to diagnose accounted for 29% of the claims, and major patient injuries accounted for 25%.

In addition to dropping obstetrics, ACOG fellows made the following changes as a result of the risk of liability claims:

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