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The need for speed: observational study of physician driving behaviors.
The BMJ ( IF 93.6 ) Pub Date : 2019-12-18 , DOI: 10.1136/bmj.l6354
André Zimerman 1 , Christopher Worsham 1, 2, 3 , Jaemin Woo 1 , Anupam B Jena 2, 4, 5
Affiliation  

OBJECTIVE To determine whether fast driving, luxury car ownership, and leniency by police officers differ across medical specialties. DESIGN Observational study. SETTING Florida, USA. PARTICIPANTS 5372 physicians and a sample of 19 639 non-physicians issued a ticket for speeding during 2004-17. MAIN OUTCOME MEASURES Observed rates of extreme speeding (defined as driving >20 mph above the speed limit), luxury car ownership, and leniency of the speeding ticket by police officers, by physician specialty, after adjustment for age and sex. RESULTS The sample included 5372 physicians who received 14 560 speeding tickets. The proportion of drivers who were reported driving at speeds greater than 20 mph was similar between physicians and a sample of 19 639 non-physicians who received a ticket for speeding (26.4% v 26.8% of tickets, respectively). Among physicians who received a ticket, psychiatrists were most likely to be fined for extreme speeding (adjusted odds ratio of psychiatry compared with baseline specialty of anesthesia 1.51, 95% confidence interval 1.07 to 2.14). Among drivers who received a ticket, luxury car ownership was most common among cardiologists (adjusted proportion of ticketed cardiologists who owned a luxury car 40.9%, 95% confidence interval 35.9% to 45.9%) and least common among physicians in emergency medicine, family practice, pediatrics, general surgery, and psychiatry (eg, adjusted proportion of luxury car ownership among family practice physicians 20.6%, 95% confidence interval 18.2% to 23.0%). Speed discounting, a marker of leniency by police officers in which ticketed speed is recorded at just below the threshold at which a larger fine would otherwise be imposed, was common, but rates did not differ by specialty and did not differ between physicians and a sample of non-physicians. CONCLUSIONS Rates of extreme speeding were highest among psychiatrists who received a ticket, whereas cardiologists were the most likely to be driving a luxury car when ticketed. Leniency by police officers was similar across specialties and between physicians and non-physicians.

中文翻译:

速度需求:医生驾驶行为的观察性研究。

目的确定警务人员的快速驾驶,豪华轿车拥有权和宽大处理是否在医学专业之间有所不同。设计观察性研究。地点美国佛罗里达。参与者5372名医生和19 639名非医师的样本在2004-17年度期间发出了超速驾驶罚单。主要观察指标由警官,医师专业人员根据年龄和性别进行调整后,观察到的超速超速行驶速度(定义为高于速度限制> 20 mph的行驶速度),豪华车拥有量和超速驾驶罚单的宽大程度。结果样本包括5372名医生,他们收到了14 560张超速驾驶罚单。据报道,医生与19 639名获得超速驾驶罚单的非医师样本(分别为26.4%对26.8%的罚单)之间的差异与医生报告的时速大于20 mph的驾驶者相似。在收到罚单的医生中,精神科医生最有可能因极速超速而被罚款(精神病学调整后的优势比与基础麻醉的专一性相比为1.51,95%的置信区间为1.07至2.14)。在收到罚单的驾驶员中,拥有私家车是心脏病专家中最常见的事情(拥有豪华车的持票心脏病专家的调整比例为40.9%,置信区间为35.9%至45.9%,置信区间为35.9%至45.9%),而在急诊医学,家庭执业医生中则最不常见,儿科,普外科和精神病学(例如,家庭执业医师中豪华车拥有量的调整比例为20.6%,置信区间为95%,从18.2%降至23.0%)。速度折扣 警务人员宽大处理的一种标记,在这种情况下,记录的售票速度刚好低于否则将要处以更高罚款的门槛,这是很普遍的,但是费率因专业而异,并且在医生和非犯罪样本之间也没有差异。医生。结论在收到罚单的精神科医生中,超速驾驶的比率最高,而心脏病医生在被罚单时最有可能驾驶豪华车。在各个专业之间以及在医师和非医师之间,警务人员的宽容程度相似。而心脏病专家在购票时最有可能驾驶豪华车。在各个专业之间以及在医师和非医师之间,警务人员的宽容程度相似。而心脏病专家在购票时最有可能驾驶豪华车。在各个专业之间以及在医师和非医师之间,警务人员的宽容程度相似。
更新日期:2019-12-19
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