title: Trouble in academia: ten years of litigation in medical education.
abstract: BACKGROUND
  This study looks at a disturbing increase in medical education ("ME") litigation over the past ten years (1993-2002).
  
  
  METHODS
  Using the LEXIS/NEXIS online legal database, this study identifies and analyzes cases in which a medical student, resident, or faculty member ("ME participants") was involved in a lawsuit with their respective institution or some other aspect of ME.
  
  
  RESULTS
  The majority of claims lodged against institutions by ME participants concern the ME participant's termination from their respective institution and allege institutional discrimination or the failure to provide adequate due process protections.
  
  
  CONCLUSIONS
  Discrimination and due process claims are direct challenges to the effectiveness of an institution's policies and procedures regarding physician review, promotion, and termination. All relevant events in a student or resident's education, positive and negative, must be fully documented. The failure to establish and faithfully implement comprehensive policies and procedures leaves institutions particularly vulnerable to this most frequent cause of litigation.
authors.affiliation: Nixon Peabody LLP, Garden City, NY 11530, USA. rminicucci@nixonpeabody.com
authors.forename: Richard F
authors.initials: RF
authors.lastname: Minicucci
authors.forename: Bryan F
authors.initials: BF
authors.lastname: Lewis
mesh_terms: D002961:Civil Rights / Q000331:legislation & jurisprudence*; D035881:Compensation and Redress / Q000331:legislation & jurisprudence; D006233:Persons with Disabilities / Q000331:legislation & jurisprudence; D004501:Education, Medical / Q000331:legislation & jurisprudence*; D004651:Employment / Q000331:legislation & jurisprudence*; D005180:Faculty, Medical; D006801:Humans; D017406:Sexual Harassment / Q000331:legislation & jurisprudence; D013337:Students, Medical / Q000331:legislation & jurisprudence; D014481:United States