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Physician Licensing and Discipline: Lessons From Indiana

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  • Jing Liu
  • David A. Hyman

Abstract

Using physician licensing data from 1972–2015 obtained from Indiana, we examine the performance of the disciplinary process in enforcing minimum performance standards. Only 1.2 percent of the physicians in our dataset were disciplined. Drug diversion, substance abuse, and sexual misconduct account for 60 percent of all disciplinary actions. Male physicians are at higher risk for disciplinary action for sexual misconduct and drug diversion, but not for other types of misconduct. Graduates of U.S. and non‐U.S. medical schools have the same overall risk of disciplinary action—but for non‐U.S. educated physicians, this is the result of averaging a significantly lower risk of discipline for drug and alcohol abuse and drug diversion with a significantly higher risk of discipline for negligence and sexual misconduct. Physicians who attended medical school in the Caribbean have a significantly higher risk of discipline for negligence/incompetence, but not for other causes.

Suggested Citation

  • Jing Liu & David A. Hyman, 2021. "Physician Licensing and Discipline: Lessons From Indiana," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 18(3), pages 629-659, September.
    • Handle: RePEc:wly:empleg:v:18:y:2021:i:3:p:629-659
    DOI: 10.1111/jels.12292
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    References listed on IDEAS

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    1. David A. Hyman & Mohammad Rahmati & Bernard Black, 2021. "Medical Malpractice and Physician Discipline: The Good, The Bad and The Ugly," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 18(1), pages 131-166, March.
    2. Azza AbuDagga & Sidney M Wolfe & Michael Carome & Robert E Oshel, 2016. "Cross-Sectional Analysis of the 1039 U.S. Physicians Reported to the National Practitioner Data Bank for Sexual Misconduct, 2003–2013," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-13, February.
    3. Jing Liu & David A. Hyman, 2019. "Targeting Bad Doctors: Lessons from Indiana, 1975–2015," Journal of Empirical Legal Studies, John Wiley & Sons, vol. 16(2), pages 248-280, June.
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