MEDICAL RETREADS: A special report.; Doctors Punished by State But Prized at the Hospitals
By Jennifer Steinhauer and Ford Fessenden
Special report, Medical Retreads, focuses on ease with which doctors, disciplined for negligence by New York State, find work at other hospitals or are retained by hospital where problems occurred; neither state nor federal government lays out how hospitals should handle such doctors, nor does national organization that accredits hospitals; many New York hospitals routinely hire and retain doctors with bad records, especially those who bring in lot of money; hospital administrators, often doctors themselves, argue that almost every doctor who errs deserves second chance, or even third, and many receive them, sometimes moving from hospital to hospital between punishments for negligence or incompetent care; state data indicate more than three-fourths of doctors disciplined over last eight years resumed working almost immediately after state punished them, and that 285 who were disciplined kept medical licenses from 1992 until 1999; State Health Department officials, criticized for failing to revoke medical licenses, say complicated disciplinary system makes it hard to do so; argue that hospitals share responsibility to weed out bad doctors, but that they lack specific rules on hiring and monitoring doctors punished by state; health care policy experts say hospitals are hardly pressed to make do with troubled doctors in New York City, where ratio of doctors to population is 50 percent higher than national average; state data show, however, that doctors with disciplinary problems are often among top third of moneymakers at their hospitals; charts; photos (L)