KNOWLEDGE AND ATTITUDES AMONG MEDICAL RESIDENTS TOWARDS THE RESPONDEAT SUPERIOR DOCTRINE

https://doi.org/10.22146/jpki.106167

Andreas Onggo(1), Yoni Syukriani(2*), Sani Tanzilah(3), Annisa Anwar Muthaher(4), Sigid Kirana Lintang Bhima(5), Tuntas Dhanardhono(6)

(1) Sultan Syarif Mohamad Alkadrie General Hospital, Pontianak, West Kalimantan, Indonesia
(2) Department of Forensic Medicine and Medicolegal, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia
(3) Department of Forensic Medicine and Medicolegal, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia
(4) Department of Forensic Medicine and Medicolegal, Faculty of Medicine, Universitas Hasanudin – dr. Wahidin Sudirohusodo General Hospital, Makassar, South Sulawesi, Indonesia
(5) Department of Forensic Medicine and Medicolegal, Faculty of Medicine, Universitas Diponegoro – dr. Kariadi General Hospital, Semarang, Central Java, Indonesia
(6) Department of Forensic Medicine and Medicolegal, Faculty of Medicine, Universitas Diponegoro – dr. Kariadi General Hospital, Semarang, Central Java, Indonesia
(*) Corresponding Author

Abstract


Background: Medical residents are doctors undergoing specialized training through an apprenticeship under attending physicians. The requirement for them to hold a special practice license raised questions about their extent of responsibilities in the event of a lawsuit when performing their duty.

Objectives: This research investigates the knowledge and attitudes of medical residents towards the doctrine of respondeat superior, which pertains to liability in hierarchical medical contexts.

Methods: Questionnaires were distributed to residents across seven universities in Indonesia, representing surgical, medical, and diagnostic specialist groups. Statistical analyses were performed using univariate, bivariate, and multivariate approaches.

Results: Results showed that only 26.58% (n=538) of the participants understood the doctrine well, although they generally held a positive attitude towards it. There was no significant correlation between knowledge and attitudes or between specialist groups (all p>0.05). However, a significant correlation was found between residents’ levels and attitudes towards respondeat superior (p<0.01), indicating that higher-level residents exhibited more positive attitudes. Multidimensional scaling revealed surgical residents showing more significant divergence from those in medical programs.

Conclusion: Results suggested although the attitude was positive, understanding regarding respondeat superior among residents is insufficient, particularly to clarify responsibilities among residents and supervisors. Therefore, specific education related to the matter is recommended.


Keywords


Medicolegal; Resident; Supervisor; Respondeat Superior; Vicarious Liability

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References

Jung JY, Kim SY, Kim DG et al. Analysis of lawsuit cases in the Department of Surgery in Korea. Annals of Surgical Treatment and Research. 2018;94(3):113-117

Miyagami T, Watari T, Harada T et al. Medical Malpractice and Diagnostic Errors in Japanese Emergency Departments. The Western Journal of Emergency Medicine. 2023; 24(2):340-347

Murphy B. Resident medical liability lawsuits: Why and how often they happen. American Medical Association. July 10, 2020 (accessed: August 14, 2023)

Widjaja G, Ayuningtyas D. Malpractice: Causes and Disputes Resolution Choices. Journal of Indonesian Health Policy and Administration. 2015;1-7

Shenoy A, Shenoy GN, Shenoy GG. Respondeat superior in medicine and public health practice: The question is – Who is accountable for whom? Ethics Medicine and Public Health. 2021;17

Harper MC. Using The Anglo‐American Respondeat Superior Principle to Assign Responsibility for Worker Statutory Benefits and Protections. Global Studies Law Review. 2019;18(1)

Zhang G, Wu H, Xie AN et al. The association between medical student research engagement with learning outcomes. Medical Education Online. 2022;27(1):2100039

Education Coordinating Committee. [Supervision Level Procedures for Medical Students and Trainees]. Dr. Hasan Sadikin General Hospital. Bandung, 2018.

Ngo E, Paterick ZR, Patel N, et al. Professional Liability Pertinent to Graduate Medical Education: The Intersection of Medical Education, Patient Care, and Law. Journal of Medical Practice and Management. 2016;31(4).

Kachalia A, Studdert DM. Professional Liability Issues in Graduate Medical Education. JAMA. 2004;292(9)

Appiah-Agyekum NN, Kayi EA. Knowledge and Awareness of Vicarious Liability: Views of Healthcare Workers in Ghana. Online Journal of Health Ethics. 2013;9(1)

Regina A. Bailey. Resident Liability in Medical Malpractice. Annual of Emergency Medicine. 2013;61:114-117

Ministry of Education and Culture of The Republic of Indonesia. The National Higher Education Database. [accessed August 20, 2023]

The Republic of Indonesia Law No. 17 Year 2023 on Health.

Keshavarzi MH, Azandehi SK, Koohestani H. et al. Exploration the role of a clinical supervisor to improve the professional skills of medical students: a content analysis study. BMC Medical Education. 2022;22:399

Zhao B, Cajas-Monson LC, Ramamoorthy S. Malpractice Allegations: A Reality Check for Resident Physicians. The American Journal of Surgery. 2018;217(2):350-355

Ghaith S, Campbell RL, Pollock JR et al. Medical Malpractice Lawsuits Involving Trainees in Obstetrics and Gynecology in the USA. Healthcare. 2022;10:1328.

Rukmini E, Bogar KJ. Exploratory study on medical graduates with nonclinicians career. The Indonesian Journal of Medical Education. 2021;10(1):86-98

Tibble HM, Broughton NS, Studdert DM et al. Why do surgeons receive more complaints than their physician peers? ANZ Journal of Surgery. 2018;88(4):269–273

Suryadi T, Kulsum K. Knowledge and Attitude Among Resident Doctors Related to Ethical and Medicolegal Issues In A Teaching Hospital. Jurnal Pendidikan Kedokteran Indonesia. 2022;11(4):349-362



DOI: https://doi.org/10.22146/jpki.106167

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Copyright (c) 2026 Andreas Onggo, Yoni Syukriani, Sani Tanzilah, Annisa Anwar Muthaher, Sigid Kirana Lintang Bhima, Tuntas Dhanardhono

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