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Does Medical Liability Affect Obstetrics and Gynecology Resident Retention?
Journal article   Peer reviewed

Does Medical Liability Affect Obstetrics and Gynecology Resident Retention?

Aasta Mehta, Bo Park and Peter Schwartz
Obstetrics and gynecology (New York. 1953), v 123 Suppl 1(Supplement 1), pp 120S-120S
May 2014
DOI: https://doi.org/10.1097/01.AOG.0000447075.57362.53

Abstract

INTRODUCTION:To determine whether there was a correlation between posttraining of obstetrics and gynecology residents and costs of medical liability insurance premiums by state over a 6-year period. METHODS:We conducted a descriptive study of obstetrics and gynecology residents who graduated between 2005 and 2010. Data to calculate resident retention rates for each state were obtained from the Council for Resident Education in Obstetrics and Gynecology. For each year, the 10 states with the highest and lowest average base rate medical liability insurance premiums were identified using data obtained from the Medical Liability Monitor. Regression analysis was used to calculate the difference in resident retention rate by high and low medical liability base rate premiums. RESULTS:The overall national resident retention rate from 2005 to 2011 was 48%. Training in high premium states were associated with 14% decrease in average resident retention compared with lower premium states after adjusting for having children, marital status, and practice type (P<.001). CONCLUSION:Our results suggest that the cost of medical liability insurance affects resident retention posttraining. A direct causal relationship cannot be determined using the available data, however. More research is needed to determine whether a relationship exists between new physician migration and medical liability costs.

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Web of Science research areas
Obstetrics & Gynecology
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