Assessing Adverse Outcomes and Learning Needs in Canadian Psychiatric Independent Medical Examinations.

Canada forensic psychiatry independent medical examinations liability psychiatry

Journal

The journal of the American Academy of Psychiatry and the Law
ISSN: 1943-3662
Titre abrégé: J Am Acad Psychiatry Law
Pays: United States
ID NLM: 9708963

Informations de publication

Date de publication:
11 Mar 2024
Historique:
medline: 12 3 2024
pubmed: 12 3 2024
entrez: 11 3 2024
Statut: epublish

Résumé

Despite the importance of independent medical examinations (IMEs), there is virtually no literature on the risks to the IME assessor nor the learning needs of psychiatrists in this area. To address this deficit, a retrospective chart review of nearly 38,000 cases from the Canadian Medical Protective Association (CMPA) identified 108 files involving complaints or legal actions against psychiatrists performing IMEs. Most complaints identified by the CMPA were to regulatory bodies, including biased opinion, inadequate assessment, inappropriately relying on a requester's information without independent evaluation, nonadherence to regulatory body policies, cursory documentation lacking relevant details, and communication breakdowns. A survey by the Canadian Academy of Psychiatry and the Law (CAPL) and the Canadian Psychiatric Association (CPA) had 306 Canadian psychiatrist respondents. About 37 percent of psychiatrists completing IMEs reported medico-legal consequences, including complaints to regulatory authorities. Only 40 percent of those doing IMEs and 20 percent of all psychiatrists had formal training in doing IMEs. The studies confirm that despite a low but important risk of medico-legal consequences, many psychiatrists performing IMEs do not have formalized training. Using the new CAPL

Identifiants

DOI: 10.29158/JAAPL.230116-23 PMID: 38467444
pubmed: 38467444
pii: JAAPL.230116-23
doi: 10.29158/JAAPL.230116-23
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

33-40

Informations de copyright

© 2024 American Academy of Psychiatry and the Law.

Auteurs

Brad D Booth (BD)

Dr. Booth is an Associate Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Ottawa and Forensic Psychiatrist, Integrated Forensic Program, Royal Ottawa Health Care Group Ottawa, ON. Dr. Waldman is an Assistant Professor, Department of Psychiatry, Faculty of Medicine, University of Manitoba and Medical director, Roblin Medical Forensic Group, Winnipeg, MB. Ms. Fortier is a Medical Analyst Researcher for Safe Medical Care Research, Canadian Medical Protective Association Ottawa, ON. Dr. Garber is a Professor in the Department of Medicine and the School of Public Health and Epidemiology, University of Ottawa, Ottawa, ON, a Professor in the Department of Medicine, University of Toronto, Toronto, ON, and Director of Safe Medical Care Research, Canadian Medical Protective Association. Ms. Hardy is Chief Executive Officer, Canadian Psychiatric Association. Dr. Lemay is a Medical Analyst Researcher, Safe Medical Care Research, Canadian Medical Protective Association. Mr. Liu is a Statistical Data Analyst, Safe Medical Care Research, Canadian Medical Protective Association. Dr. Tomita is a Clinical Associate Professor, University of British Columbia, Vancouver, BC. Dr. Ramshaw is an Assistant Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Toronto and a Forensic Psychiatrist, Forensic Service, Centre for Addiction and Mental Health (CAMH), Toronto, ON. brad.booth@theroyal.ca.

Jeffrey C Waldman (JC)

Dr. Booth is an Associate Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Ottawa and Forensic Psychiatrist, Integrated Forensic Program, Royal Ottawa Health Care Group Ottawa, ON. Dr. Waldman is an Assistant Professor, Department of Psychiatry, Faculty of Medicine, University of Manitoba and Medical director, Roblin Medical Forensic Group, Winnipeg, MB. Ms. Fortier is a Medical Analyst Researcher for Safe Medical Care Research, Canadian Medical Protective Association Ottawa, ON. Dr. Garber is a Professor in the Department of Medicine and the School of Public Health and Epidemiology, University of Ottawa, Ottawa, ON, a Professor in the Department of Medicine, University of Toronto, Toronto, ON, and Director of Safe Medical Care Research, Canadian Medical Protective Association. Ms. Hardy is Chief Executive Officer, Canadian Psychiatric Association. Dr. Lemay is a Medical Analyst Researcher, Safe Medical Care Research, Canadian Medical Protective Association. Mr. Liu is a Statistical Data Analyst, Safe Medical Care Research, Canadian Medical Protective Association. Dr. Tomita is a Clinical Associate Professor, University of British Columbia, Vancouver, BC. Dr. Ramshaw is an Assistant Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Toronto and a Forensic Psychiatrist, Forensic Service, Centre for Addiction and Mental Health (CAMH), Toronto, ON.

Jacqueline H Fortier (JH)

Dr. Booth is an Associate Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Ottawa and Forensic Psychiatrist, Integrated Forensic Program, Royal Ottawa Health Care Group Ottawa, ON. Dr. Waldman is an Assistant Professor, Department of Psychiatry, Faculty of Medicine, University of Manitoba and Medical director, Roblin Medical Forensic Group, Winnipeg, MB. Ms. Fortier is a Medical Analyst Researcher for Safe Medical Care Research, Canadian Medical Protective Association Ottawa, ON. Dr. Garber is a Professor in the Department of Medicine and the School of Public Health and Epidemiology, University of Ottawa, Ottawa, ON, a Professor in the Department of Medicine, University of Toronto, Toronto, ON, and Director of Safe Medical Care Research, Canadian Medical Protective Association. Ms. Hardy is Chief Executive Officer, Canadian Psychiatric Association. Dr. Lemay is a Medical Analyst Researcher, Safe Medical Care Research, Canadian Medical Protective Association. Mr. Liu is a Statistical Data Analyst, Safe Medical Care Research, Canadian Medical Protective Association. Dr. Tomita is a Clinical Associate Professor, University of British Columbia, Vancouver, BC. Dr. Ramshaw is an Assistant Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Toronto and a Forensic Psychiatrist, Forensic Service, Centre for Addiction and Mental Health (CAMH), Toronto, ON.

Gary Garber (G)

Dr. Booth is an Associate Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Ottawa and Forensic Psychiatrist, Integrated Forensic Program, Royal Ottawa Health Care Group Ottawa, ON. Dr. Waldman is an Assistant Professor, Department of Psychiatry, Faculty of Medicine, University of Manitoba and Medical director, Roblin Medical Forensic Group, Winnipeg, MB. Ms. Fortier is a Medical Analyst Researcher for Safe Medical Care Research, Canadian Medical Protective Association Ottawa, ON. Dr. Garber is a Professor in the Department of Medicine and the School of Public Health and Epidemiology, University of Ottawa, Ottawa, ON, a Professor in the Department of Medicine, University of Toronto, Toronto, ON, and Director of Safe Medical Care Research, Canadian Medical Protective Association. Ms. Hardy is Chief Executive Officer, Canadian Psychiatric Association. Dr. Lemay is a Medical Analyst Researcher, Safe Medical Care Research, Canadian Medical Protective Association. Mr. Liu is a Statistical Data Analyst, Safe Medical Care Research, Canadian Medical Protective Association. Dr. Tomita is a Clinical Associate Professor, University of British Columbia, Vancouver, BC. Dr. Ramshaw is an Assistant Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Toronto and a Forensic Psychiatrist, Forensic Service, Centre for Addiction and Mental Health (CAMH), Toronto, ON.

Katie Hardy (K)

Dr. Booth is an Associate Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Ottawa and Forensic Psychiatrist, Integrated Forensic Program, Royal Ottawa Health Care Group Ottawa, ON. Dr. Waldman is an Assistant Professor, Department of Psychiatry, Faculty of Medicine, University of Manitoba and Medical director, Roblin Medical Forensic Group, Winnipeg, MB. Ms. Fortier is a Medical Analyst Researcher for Safe Medical Care Research, Canadian Medical Protective Association Ottawa, ON. Dr. Garber is a Professor in the Department of Medicine and the School of Public Health and Epidemiology, University of Ottawa, Ottawa, ON, a Professor in the Department of Medicine, University of Toronto, Toronto, ON, and Director of Safe Medical Care Research, Canadian Medical Protective Association. Ms. Hardy is Chief Executive Officer, Canadian Psychiatric Association. Dr. Lemay is a Medical Analyst Researcher, Safe Medical Care Research, Canadian Medical Protective Association. Mr. Liu is a Statistical Data Analyst, Safe Medical Care Research, Canadian Medical Protective Association. Dr. Tomita is a Clinical Associate Professor, University of British Columbia, Vancouver, BC. Dr. Ramshaw is an Assistant Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Toronto and a Forensic Psychiatrist, Forensic Service, Centre for Addiction and Mental Health (CAMH), Toronto, ON.

Karen Lemay (K)

Dr. Booth is an Associate Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Ottawa and Forensic Psychiatrist, Integrated Forensic Program, Royal Ottawa Health Care Group Ottawa, ON. Dr. Waldman is an Assistant Professor, Department of Psychiatry, Faculty of Medicine, University of Manitoba and Medical director, Roblin Medical Forensic Group, Winnipeg, MB. Ms. Fortier is a Medical Analyst Researcher for Safe Medical Care Research, Canadian Medical Protective Association Ottawa, ON. Dr. Garber is a Professor in the Department of Medicine and the School of Public Health and Epidemiology, University of Ottawa, Ottawa, ON, a Professor in the Department of Medicine, University of Toronto, Toronto, ON, and Director of Safe Medical Care Research, Canadian Medical Protective Association. Ms. Hardy is Chief Executive Officer, Canadian Psychiatric Association. Dr. Lemay is a Medical Analyst Researcher, Safe Medical Care Research, Canadian Medical Protective Association. Mr. Liu is a Statistical Data Analyst, Safe Medical Care Research, Canadian Medical Protective Association. Dr. Tomita is a Clinical Associate Professor, University of British Columbia, Vancouver, BC. Dr. Ramshaw is an Assistant Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Toronto and a Forensic Psychiatrist, Forensic Service, Centre for Addiction and Mental Health (CAMH), Toronto, ON.

Richard Liu (R)

Dr. Booth is an Associate Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Ottawa and Forensic Psychiatrist, Integrated Forensic Program, Royal Ottawa Health Care Group Ottawa, ON. Dr. Waldman is an Assistant Professor, Department of Psychiatry, Faculty of Medicine, University of Manitoba and Medical director, Roblin Medical Forensic Group, Winnipeg, MB. Ms. Fortier is a Medical Analyst Researcher for Safe Medical Care Research, Canadian Medical Protective Association Ottawa, ON. Dr. Garber is a Professor in the Department of Medicine and the School of Public Health and Epidemiology, University of Ottawa, Ottawa, ON, a Professor in the Department of Medicine, University of Toronto, Toronto, ON, and Director of Safe Medical Care Research, Canadian Medical Protective Association. Ms. Hardy is Chief Executive Officer, Canadian Psychiatric Association. Dr. Lemay is a Medical Analyst Researcher, Safe Medical Care Research, Canadian Medical Protective Association. Mr. Liu is a Statistical Data Analyst, Safe Medical Care Research, Canadian Medical Protective Association. Dr. Tomita is a Clinical Associate Professor, University of British Columbia, Vancouver, BC. Dr. Ramshaw is an Assistant Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Toronto and a Forensic Psychiatrist, Forensic Service, Centre for Addiction and Mental Health (CAMH), Toronto, ON.

Todd M Tomita (TM)

Dr. Booth is an Associate Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Ottawa and Forensic Psychiatrist, Integrated Forensic Program, Royal Ottawa Health Care Group Ottawa, ON. Dr. Waldman is an Assistant Professor, Department of Psychiatry, Faculty of Medicine, University of Manitoba and Medical director, Roblin Medical Forensic Group, Winnipeg, MB. Ms. Fortier is a Medical Analyst Researcher for Safe Medical Care Research, Canadian Medical Protective Association Ottawa, ON. Dr. Garber is a Professor in the Department of Medicine and the School of Public Health and Epidemiology, University of Ottawa, Ottawa, ON, a Professor in the Department of Medicine, University of Toronto, Toronto, ON, and Director of Safe Medical Care Research, Canadian Medical Protective Association. Ms. Hardy is Chief Executive Officer, Canadian Psychiatric Association. Dr. Lemay is a Medical Analyst Researcher, Safe Medical Care Research, Canadian Medical Protective Association. Mr. Liu is a Statistical Data Analyst, Safe Medical Care Research, Canadian Medical Protective Association. Dr. Tomita is a Clinical Associate Professor, University of British Columbia, Vancouver, BC. Dr. Ramshaw is an Assistant Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Toronto and a Forensic Psychiatrist, Forensic Service, Centre for Addiction and Mental Health (CAMH), Toronto, ON.

Lisa A L Ramshaw (LAL)

Dr. Booth is an Associate Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Ottawa and Forensic Psychiatrist, Integrated Forensic Program, Royal Ottawa Health Care Group Ottawa, ON. Dr. Waldman is an Assistant Professor, Department of Psychiatry, Faculty of Medicine, University of Manitoba and Medical director, Roblin Medical Forensic Group, Winnipeg, MB. Ms. Fortier is a Medical Analyst Researcher for Safe Medical Care Research, Canadian Medical Protective Association Ottawa, ON. Dr. Garber is a Professor in the Department of Medicine and the School of Public Health and Epidemiology, University of Ottawa, Ottawa, ON, a Professor in the Department of Medicine, University of Toronto, Toronto, ON, and Director of Safe Medical Care Research, Canadian Medical Protective Association. Ms. Hardy is Chief Executive Officer, Canadian Psychiatric Association. Dr. Lemay is a Medical Analyst Researcher, Safe Medical Care Research, Canadian Medical Protective Association. Mr. Liu is a Statistical Data Analyst, Safe Medical Care Research, Canadian Medical Protective Association. Dr. Tomita is a Clinical Associate Professor, University of British Columbia, Vancouver, BC. Dr. Ramshaw is an Assistant Professor, Division of Forensic Psychiatry, Department of Psychiatry, Faculty of Medicine, University of Toronto and a Forensic Psychiatrist, Forensic Service, Centre for Addiction and Mental Health (CAMH), Toronto, ON.

Classifications MeSH