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Missionary Malpractice Survey Completed by Center for Medical Missions June, 2008 Completed by Center for Medical Missions June, 2008.

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Presentation on theme: "Missionary Malpractice Survey Completed by Center for Medical Missions June, 2008 Completed by Center for Medical Missions June, 2008."— Presentation transcript:

1 Missionary Malpractice Survey Completed by Center for Medical Missions June, 2008 Completed by Center for Medical Missions June, 2008

2 Sent to ~ 1000 e-Pistle Recipients 56 Responses

3 29 Countries Represented Peru x 2 Guatemala x 2 Ecuador x 2 Honduras x 4 Trinidad-Tobago Dominican Republic x 2 Bolivia USA Canada Nicaragua Belize Peru x 2 Guatemala x 2 Ecuador x 2 Honduras x 4 Trinidad-Tobago Dominican Republic x 2 Bolivia USA Canada Nicaragua Belize Africa Kenya x 4 Ethiopia x 2 Zambia x 2 Tanzania x 2 Ghana Sudan Chad Zimbabwe Kenya x 4 Ethiopia x 2 Zambia x 2 Tanzania x 2 Ghana Sudan Chad Zimbabwe Americas

4 Countries Continued Papua New Guinea x 4 India Philippines Thailand Macau Taiwan x 2 Pakistan Cambodia Papua New Guinea x 4 India Philippines Thailand Macau Taiwan x 2 Pakistan Cambodia EuropeAsia Ukraine Turkey Romania Albania Ukraine Turkey Romania Albania

5 Malpractice Coverage?

6 Coverage With Medical Protection Society - UK Kenya, Taiwan, Cambodia IMA PP Scheme - India UAP - Kenya Medical Protection Society - UK Kenya, Taiwan, Cambodia IMA PP Scheme - India UAP - Kenya

7 Had a Suit? 20% had a suit All against long term staff Countries -> Malpractice Ins.? Ecuador - N Kenya - Y Papua New Guinea - N, had but compensate now Pakistan - N Honduras - N Turkey - Y Taiwan - Y 80% no suit 20% had a suit All against long term staff Countries -> Malpractice Ins.? Ecuador - N Kenya - Y Papua New Guinea - N, had but compensate now Pakistan - N Honduras - N Turkey - Y Taiwan - Y 80% no suit

8 Suit Amounts/Results COUNTRYAMOUNTRESULT Ecuador $3,000Settled Taiwan $100-$200KSettled Turkey $5,000Doctor Won Honduras $10,000Settled Pakistan -Dropped Papua NG $100-$10,000Settled $50-$5,000 Kenya $15,000-$25,000Settled $10,000 Kenya $500,000Pending

9 How Common Are Suits?

10 How Likely is a Suit in Next Five Years? Very UnlikelyVery Likely

11 Should CMDA Develop a Malpractice Program? YES 52% NO 48%

12 30 Comments This is an area of increasing interest. Malpractice suits are not frequent but becoming more common. One issue is the desire on the part of many volunteers for malpractice coverage for trips overseas as well as the requirements by many medical schools and residency programs for this coverage. Our mission organization has pledged to be responsible for any malpractice claims lodged against us in country. Currently very low risk and malpractice is more likely to be taken up with the Medical Board than as a civil suit. Malpractice if becoming more common and it is a concern of both missionary and local physicians. We are told we have support from the college of medicine, but it is not reality. Honduras This is an area of increasing interest. Malpractice suits are not frequent but becoming more common. One issue is the desire on the part of many volunteers for malpractice coverage for trips overseas as well as the requirements by many medical schools and residency programs for this coverage. Our mission organization has pledged to be responsible for any malpractice claims lodged against us in country. Currently very low risk and malpractice is more likely to be taken up with the Medical Board than as a civil suit. Malpractice if becoming more common and it is a concern of both missionary and local physicians. We are told we have support from the college of medicine, but it is not reality. Honduras

13 Comments The malpractice situation in Ghana is changing rapidly. Doctors have been very arrogant and are repeating the mistakes made in the US; however, law groups now have agents in small villages looking for instances of malpractice that would result in successful law suits. PNG Highlands often demand compensation. They often threaten to sue. They rarely proceed to sue through legal channels. They often use threats, occasionally violence, to press their demands. Legal channels are rare, problematic, and dysfunctional. We no longer carry malpractice insurance because we were paying high premiums but always settling out of court… Our one suit showed that long term docs are at risk, not short term visitors. - Kenya The malpractice situation in Ghana is changing rapidly. Doctors have been very arrogant and are repeating the mistakes made in the US; however, law groups now have agents in small villages looking for instances of malpractice that would result in successful law suits. PNG Highlands often demand compensation. They often threaten to sue. They rarely proceed to sue through legal channels. They often use threats, occasionally violence, to press their demands. Legal channels are rare, problematic, and dysfunctional. We no longer carry malpractice insurance because we were paying high premiums but always settling out of court… Our one suit showed that long term docs are at risk, not short term visitors. - Kenya


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