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To the Editor: As subspecialists (endocrinologists) we have been informed by our malpractice insurer that curbside consultations should not be rendered under any circumstances because of the potential medicolegal burden. Did Dr Kuo and colleagues¹ take this admonition into account when they interviewed the primary care physicians and medical subspecialists to see what effect this might have on their responses? How many other medical malpractice insurers impose such restrictions on their insured? This would be an interesting area to explore and may have widespread impact on this issue.

Marshall B. Block, MD
Phoenix, Ariz

1. Kuo D, Gifford DR, Stein MD. Curbside consultation practices and attitudes among primary care physicians and medical subspecialists. JAMA. 1998;280:905-909. FREE FULL TEXT

In Reply: We did not collect information about how insurance company policies might influence how physicians practice or feel about curbsiding. We feel it is unfortunate that Dr Block's malpractice insurer has chosen to prohibit curbside consultations because of the potential liability. One of the main findings of our study was the disagreement between primary care . . . [Full Text of this Article]

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RELATED ARTICLE

Curbside Consultation Practices and Attitudes Among Primary Care Physicians and Medical Subspecialists
David Kuo, David R. Gifford, and Michael D. Stein
JAMA. 1998;280(10):905-909.
ABSTRACT | FULL TEXT