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Resident related liability in the emergency department.

In a recent article in Pediatrics, "Professional Liability in a Pediatric Emergency Department" by Reynolds et al, one of the major conclusions is that a disproportionate number of claims occurs when an attending physician is not present in the emergency department. Their conclusions from the facts that 46% of the claims arise from midnight to 8:00 AM when an attending physician is not present, while approximately 8% of total visits occur during this period, are as follows: "It may be that parents had higher expectations at 3:00 AM compared with 10:00 AM or that parents perceived the physician to be less experienced and less self-confident.