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Table 2 Physicians Disciplined by the Texas Medical Board* Factors Associated With Medical License Revocation (N=1129)

Characteristic

Odds Ratio (95% Confidence Interval), %


{blacksquare} Years in practice 1.05 (1.04-1.07){dagger}
{blacksquare} Sex
{square} Men{ddagger} 1.00...
{square} Women 0.85 (0.38-1.88)
{blacksquare} Race
{square} White{ddagger} 1.00...
{square} Asian 1.33 (0.63-2.78)
{square} Black 0.91 (0.36-2.33)
{square} Hispanic 1.21 (0.60-2.46)
{square} Other 0.45 (0.10-2.14)
{blacksquare} Primary specialty
{square} Family medicine{ddagger} 1.00...
{square} Anesthesiology 2.45 (1.05-5.74){dagger}
{square} General practice 1.80 (1.01-3.19{dagger}
{square} Internal medicine 0.94 (0.48-1.87)
{square} Obstetrics and/or gynecology 1.02 (0.44-2.37)
{square} Pediatrics 1.23 (0.45-3.37)
{square} Psychiatry 2.68 (1.41-5.13){dagger}
{square} Surgery 1.62 (0.90-2.90)
{square} Other 1.69 (0.88-3.25)
{blacksquare} Licensure method
{square} Examination{ddagger} 1.00...
{square} Reciprocity§ 1.12 (0.79-1.58)
{blacksquare} Medical degree, type
{square} Allopathic
— United States graduate{ddagger} 1.00...
— International graduate 0.77 (0.45-1.32)
{square} Osteopathic|| 1.19 (0.71-2.00)
{blacksquare} History of disciplinary actions
{square} 1{ddagger} 1.00...
{square} ≥ 2 1.91 (1.29-2.83){dagger}
{blacksquare} Violation
{square} Negligence or incompetence{ddagger} 1.00...
{square} Prescribing practices 0.71 (0.39-1.27)
{square} Substance abuse 1.01 (0.54-1.87)
{square} Other 1.50 (1.02-2.22){dagger}

* Results are based on multiple logistic regression models comparing license revocation to all other disciplinary actions taken by the Texas Medical Board between January 1, 1989, and December 31, 1998. Results are adjusted for all other characteristics shown in the table.

{dagger} P<.05.

{ddagger} Referent group characteristic.

§ Reciprocity is medical licensure granted to a physician with an unrestricted active license from another state.

|| All osteopathic graduates noted held a DO (doctor of osteopathy) degree awarded in the United States.





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