Lessons Learned - Internal Medicine Closed Claims Study

Program Description

The Doctors Company rigorously analyzed 1,180 claims* against internal medicine physicians that closed from 2007–2014. Regardless of the outcome, all cases that closed from 2007–2014 were included in this analysis—an approach that helps better understand what motivates patients to pursue claims and gain a broader overview of the system failures and processes that result in patient harm. This course, based on the study, focuses on the following areas:

  • Most common patient allegations.
  • Most common patient injuries.
  • Injury severity.
  • Factors contributing to patient injury.
  • Most common clinical conditions resulting in patient harm.
  • Strategies for mitigating risk.

Insight from experts and relevant cases in the report were converted to interactive learning examples. By completing this course, physicians can gain knowledge that can help them identify system weaknesses in their office and hospital practices, thereby reducing the risk of harm to patients.

*A written notice, demand, lawsuit, arbitration proceeding, or screening panel in which a demand is made for money or a bill reduction and which alleges injury, disability, sickness, disease, or death of a patient arising from the physician’s rendering or failing to render professional services.    


After completing this activity, learners will be able to:

  • Educate colleagues about the most frequent allegations and patient injuries identified in the analysis of malpractice claims related to internal medicine practices.
  • Assess areas of risk and opportunities for improvement in your own practice.
  • Implement one or more strategies that are proven to reduce malpractice risks associated with internal medicine practices.


No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests. No commercial support was provided for this activity. 

Course Developers

David B. Troxel, MD, Secretary of the Board of Governors and Medical Director of The Doctors Company

Robin Diamond, MSN, JD, RN, Senior Vice President, Department of Patient Safety and Risk Management, The Doctors Company

Darrell Ranum, JD, CPHRM, Vice President, Department of Patient Safety and Risk Management, NE Region, The Doctors Company

Jacqueline Ross, PhD, RN, CPAN, Analysis and Coding Manager, The Doctors Company

Julie Hopkins, MA, MBA, Director, Continuing Medical Education, Patient Safety and Risk Management Department, The Doctors Company

Continuing Education Credit

The Doctors Company is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education activities for physicians.

The Doctors Company designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Doctors Company estimates one hour for completion of this course. A passing score of 80 percent or greater is required to successfully complete the activity and earn AMA PRA Category 1 Credit™.

Course ID#: TDE 16021.0
Issue Date for This Activity: 10/19/2016
Expiration Date for This Activity: 07/31/2020

Maintenance of Certification (MOC)

The Doctors Company is required to submit learner completion data for physicians who seek recognition of completion of this accredited CME activity for the ABIM MOC requirements. The information you provide will be used for this purpose and will not be shared. The data is submitted to the certifying boards through the ACCME’s Program and Activity Reporting System (PARS). The completion data includes information from your profile and additional data requested on the evaluation form for this course. We can only submit your completion data if you provide the additional information.  Your credit will be reported by The Doctors Company on your behalf within 30 days’ post completion of this course.

American Board of Internal Medicine

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points (and Patient Safety MOC credits) in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.


The information and guidelines contained in this enduring material activity are generalized and may not apply to all practice situations. The faculty recommends that legal advice be obtained from a qualified attorney for specific application to your practice. The information is intended for educational purposes only.

Complies with State Requirements
Please SEE the Federation of State Medical Boards overview of Continuing Medical Education requirements by State.   

Technical Requirements

This activity is best experienced using the most current browser (or one back) of Firefox, Chrome, Safari, or Microsoft Edge. Internet Explored is not supported by this platform. For all activities featuring audio you must have a sound card and speakers. To view graphic images and references that appear in separate "pop-up" windows, you must have JavaScript and session cookies enabled on your computer.  Adobe Acrobat Reader may be required for certain activities.


Click Here to download a PDF with resources related to this program.

Contact Us

If you have questions, contact educationsupport@thedoctors.com or call 800.421.2368, extension 1243.