A JAMA study suggests the variability of standard of care in malpractice cases:
The locality rule was a 19th century concept intended to protect rural physicians from being held to the same standards as physicians working in urban areas or at academic institutions, the authors said.But, they note, modern communication has removed barriers to standardization — no place is more than a phone call or a mouse click away from the latest evidence-based findings.
As a result, a rule originally intended as a protection now “imposes additional duties and legal risk on physicians. Not only must they remain aware of advances in their own specialty, physicians must also be aware of the standard of care in their locality, whether or not that standard is considered substandard at the national level,” the authors wrote.
(via Medrants)
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Additionally, 80 to 85% of American physicians are American Board of Medical Specialities board certified or board-eligable so it is reasonable to hold those physicians and surgeons to a national standard.
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