A survey of the chairmen of pediatric radiology departments in childre
n's hospitals in Canada and the United States was undertaken to gain d
ata on the subject of malpractice in pediatric radiology. Sixty-two me
mbers of the Society of Chairmen of Radiology in Children's Hospitals
(SCORCH) were surveyed. Forty-two surveys (65%) were returned for anal
ysis. Malpractice premiums paid per pediatric radiologist per year ran
ged from $ 499-$ 29,000 (mean $ 8,630). Twenty-eight malpractice claim
s were reported from 1980 to 1992. The largest number of claims involv
ed gastrointestinal/abdomen and chest examinations, areas that were pe
rceived as low risk by the respondents. The incidence of lawsuits agai
nst pediatric radiologists in the midwest was statistically higher com
pared to Canada (p <0.05). Private practice models had a statistically
greater incidence of malpractice suits compared to university practic
e models (p < 0.04). No statistical difference between the number of m
alpractice suits and the number of examinations performed per year or
the number of pediatric radiologists in the group was found. We conclu
ded that pediatric radiologists run the risk of malpractice claims. Th
is data may aid in lessening this risk in the future.