title: Orthopedic board certification and physician performance: an analysis of medical malpractice, hospital disciplinary action, and state medical board disciplinary action rates.
abstract: Specialty board certification status has become the de facto standard of competency by which the profession and the public recognize physician specialists. However, the relationship between orthopedic board certification and physician performance has not been established. Rates of medical malpractice claims, hospital disciplinary actions, and state medical board disciplinary actions were compared between 1309 board-certified (BC) and 154 non-board-certified (NBC) orthopedic surgeons in 3 states. There was no significant difference between BC and NBC surgeons in medical malpractice claim proportions (BC, 19.1% NBC, 16.9% P = .586) or in hospital disciplinary action proportions (BC, 0.9% NBC, 0.8% P = 1.000). There was a significantly higher proportion of state medical board disciplinary action for NBC surgeons (BC, 7.6% NBC, 13.0% P = .028). An association between board certification status and physician performance is necessary to validate its status as the de facto standard of competency. In this study, BC surgeons had lower rates of state medical board disciplinary action.
authors.affiliation: Department of Orthopaedic Surgery, Children's Hospital, Boston, MA, 02115, USA. mininder.kocher@tch.harvard.edu
authors.forename: Mininder S
authors.initials: MS
authors.lastname: Kocher
authors.forename: Laura
authors.initials: L
authors.lastname: Dichtel
authors.forename: James R
authors.initials: JR
authors.lastname: Kasser
authors.forename: Mark C
authors.initials: MC
authors.lastname: Gebhardt
authors.forename: Jeffery N
authors.initials: JN
authors.lastname: Katz
mesh_terms: D002568:Certification; D002983:Clinical Competence / Q000592:standards*; D004650:Employee Performance Appraisal; D006075:Governing Board; D006761:Hospitals; D006801:Humans; D008318:Malpractice / Q000706:statistics & numerical data*; D009985:Orthopedics / Q000592:standards*; D010815:Physician Impairment / Q000706:statistics & numerical data; D011364:Professional Practice / Q000592:standards*; D013044:Specialty Boards / Q000706:statistics & numerical data*