Abstract Proceedings EROC 2011 - New York Osteopathic Medical ...

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EROC 2011 Abstract Proceedings – March 4, 2011 Traditional Rotating Internship, St. John’s Episcopal Hospital, Far Rockaway, NY Title: Medical malpractice caps effects on medical specialty and its influence on physician supply Author: Wayne D. Sherman, DO, MBA, MS St. John’s Episcopal Hospital, Dept. of American Osteopathic Association, Far Rockaway, NY 11691 Purpose: The purpose is to investigate two hypotheses: (1) Medical Malpractice caps have a bigger effect on one specialty more than the other, and (2) Medical Malpractice caps have increased the supply of physicians in states that have caps. Background: The medical malpractice insurance crisis that begun in the mid 1970s, and resurfaced in the 1980s, is once again threatening the American healthcare system. Malpractice premiums vary considerably across medical specialties, state boarders, and within state counties. Physicians in three states have already immobilized and initiated work stoppages in protest to the rapidly rising malpractice premiums. Currently, thirty-two states have legislation either capping noneconomic damages or limiting total damages. States with caps have experienced a more rapid increase in their supply of physicians. Methods: Information about State medical liability laws was obtained from the National Conference of State Legislatures, the American Tort Reform Association, and the law office of McCullough, Campbell & Lane. Medical malpractice payment data was obtained from the National Practitioner Data Bank and the General Accounting Office. Physician data was supplied by the U.S. Department of Health and Human Services and the various state medical licensing boards. As this is healthcare policy research, IRB approval was not necessary. Results: Medical malpractice caps have increased physician supply in rural counties. Conclusion: Medical malpractice caps have not made a major impact on physician supply statewide. However, the caps have increased physician supply by 3% - 5% in the rural counties. This increase has been most prominent in the surgical specialties and the support specialties. Furthermore, states with caps of $250,000 or less have seen the greatest impact on physician supply. 22
EROC 2011 Abstract Proceedings – March 4, 2011 Dept. of Surgery, St. John’s Episcopal Hospital, Far Rockaway, NY Title: Stapeling Parietex Progrip mesh to gastric band ports vs suturing ports results in improved postop comfort Authors: Jasmine Weaver DO, Anh-thy Nguyen DO Hospital: St. John’s Episcopal Hospital Program Director: Nick Gabriel DO DME: Sheldon Sirota DO Background: Traditionally when performing laparoscopic obesity surgery the access port is sutured in place. This study determines if stapling mesh to the access port instead improves patient pain and comfort. Objective: The objective of this study is to assess if stapling mesh to gastric band ports instead of suturing ports, improves patient post operative symptoms of pain. Methods: The research involves a retrospective study that examines 50 patients that underwent laparoscopic obesity surgery. These patients were all operated on by the same surgeons using the same technique other than the method in which the port was secured. 25 charts were reviewed of patients in which the access port was sutured into the abdomen and 25 charts were reviewed of patients in which the access port was secured using staples and mesh. Factors such as cost, pain and overall comfort were compared. Results: Patients in whom mesh was used had the same report of pain. Conclusions: Pain is same when mesh is used verses suture. Further conclusions and data are still being developed. 23
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