Table 2. Frequency of defensive medical practices among survey respondents by training level and experience (total respondents = 49) .
Training year 1 | Training year 2 | Training year 3 | P-value | ||||
Number of residents | Percent (%) | Number of residents | Percent (%) | Number of residents | Percent (%) | ||
Prior clinical training | 0.16 | ||||||
No | 15 | 83.3 | 12 | 54.5 | 6 | 66.7 | |
Yes | 3 | 16.7 | 10 | 45.5 | 3 | 33.3 | |
Graduation country | 0.09 | ||||||
International | 15 | 83.3 | 33 | 100.0 | 7 | 77.8 | |
United States | 3 | 16.7 | 0 | 0.0 | 2 | 22.2 | |
Perceived risk of malpractice lawsuit during residency | 0.19 | ||||||
Low | 7 | 38.9 | 12 | 54.5 | 8 | 88.9 | |
Moderate | 10 | 55.6 | 9 | 40.9 | 1 | 11.1 | |
High | 1 | 5.6 | 1 | 4.5 | 0 | 0.0 | |
I view patients as a potential lawsuit | 0.23 | ||||||
Never | 6 | 35.3 | 3 | 15.0 | 1 | 11.1 | |
All other responses | 11 | 64.7 | 17 | 85.0 | 8 | 88.9 | |
I am not as honest as I could be with my patients | 0.19 | ||||||
Never | 10 | 58.8 | 10 | 50.0 | 7 | 87.5 | |
All other responses | 7 | 41.2 | 10 | 50.0 | 1 | 12.5 | |
I consult specialists more often than clinically indicated | 0.58 | ||||||
Never | 2 | 11.8 | 2 | 10.0 | 0 | 0.0 | |
All other responses | 15 | 88.2 | 18 | 90.0 | 9 | 100.0 | |
I prescribe more medication than clinically indicated | 0.42 | ||||||
Never | 7 | 41.2 | 6 | 30.0 | 5 | 55.6 | |
All other responses | 10 | 58.8 | 14 | 70.0 | 4 | 44.4 | |
I order more tests than medically indicated | 0.94 | ||||||
Never | 2 | 11.8 | 2 | 15.0 | 1 | 11.1 | |
All other responses | 15 | 88.2 | 17 | 85.0 | 8 | 88.9 |