{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T13:49:26Z","timestamp":1791553766158,"version":"4.3.4"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&R"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Regulatory complaints provide insight into physician performance and professionalism. Although complaint patterns have been described for the collective physician workforce, little is known about complaint risk among physical medicine and rehabilitation (PM&R) specialists (physiatrists).<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To examine the rate, type, and predictors of complaints among Alberta physiatrists and to compare complaint patterns across specialties.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Population\u2010based cohort study using linked administrative data on physician demographics, practice characteristics, prescribing, and complaints.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Province of Alberta, Canada; data from a provincial medical regulatory authority.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n All 11,315 physicians licensed in the province in 2025, including 114 physiatrists.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n N\/A.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n Presence of any nondismissed complaint (NDC), NDC rate per registration year, and distribution of complaint types.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Physiatrists had lower complaint rates than other physicians (10% vs. 21%). The mean NDC rate per registration year was 0.009 for physiatrists, less than half the rate observed among other physicians (0.021). Complaint rates were highest among surgical specialties and family medicine. The nature of complaints against physiatrists differed substantially from other specialties: practice management (48%) and medical reporting (19%) accounted for most complaints, whereas quality\u2010of\u2010care concerns predominated in other specialties. Increasing years since registration (odds ratio [OR]\u2009=\u20092.48, 95% confidence interval [CI]\u2009=\u20091.33\u20135.28) and international medical training (OR\u2009=\u20094.87, 95% CI\u2009=\u20091.15\u201320.99) were associated with higher odds of NDCs, although estimates were limited by small sample size.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Although complaint rates were lower among physiatrists in this cohort, their complaints demonstrated a distinct pattern characterized by communication, documentation, and medicolegal interactions rather than clinical error. These findings highlight specialty\u2010specific differences in regulatory complaints and suggest areas for targeted professional development in rehabilitation practice.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmrj.70228","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:58:07Z","timestamp":1791550687000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Regulatory complaint patterns in physical medicine and rehabilitation: A population\u2010based cohort study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8221-9812","authenticated-orcid":false,"given":"Nigel","family":"Ashworth","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Dentistry University of Alberta Edmonton Alberta Canada"},{"name":"Analytics, Innovation and Research Department College of Physicians & Surgeons of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9159-5841","authenticated-orcid":false,"given":"Nicole","family":"Kain","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Dentistry University of Alberta Edmonton Alberta Canada"},{"name":"Analytics, Innovation and Research Department College of Physicians & Surgeons of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1961-235X","authenticated-orcid":false,"given":"Homeira","family":"Hamayeli\u2010Mehrabani","sequence":"additional","affiliation":[{"name":"Analytics, Innovation and Research Department College of Physicians & Surgeons of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8349-848X","authenticated-orcid":false,"given":"Kushagr","family":"Kumar","sequence":"additional","affiliation":[{"name":"Analytics, Innovation and Research Department College of Physicians & Surgeons of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1238-9941","authenticated-orcid":false,"given":"Nancy","family":"Hernandez\u2010Ceron","sequence":"additional","affiliation":[{"name":"Analytics, Innovation and Research Department College of Physicians & Surgeons of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6671-022X","authenticated-orcid":false,"given":"Iryna","family":"Hurava","sequence":"additional","affiliation":[{"name":"Analytics, Innovation and Research Department College of Physicians & Surgeons of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb03183.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1506137"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2012-001691"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2014-003834"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-017-0829-1"},{"issue":"4","key":"e_1_2_10_7_1","first-page":"e166","article-title":"The characteristics of physicians disciplined by professional colleges in Canada","volume":"5","author":"Alam A","year":"2011","journal-title":"Open Med"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.020521"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001250"},{"key":"e_1_2_10_10_1","unstructured":"Provincial medical regulatory authority.Nature of complaint definitions.https:\/\/cpsa.ca\/about\u2010cpsa\/statistics\/Accessed 16 March 2026."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170363"},{"key":"e_1_2_10_12_1","unstructured":"Royal Australian College of General Practitioners.Prescribing drugs of dependence in general practice. Evidence\u2010based guidance for benzodiazepines.https:\/\/www.racgp.org.au\/clinical\u2010resources\/clinical\u2010guidelines\/key\u2010racgp\u2010guidelines\/view\u2010all\u2010racgp\u2010guidelines\/drugs\u2010of\u2010dependence\/part\u2010b\/evidence\u2010based\u2010guidance\u2010for\u2010benzodiazepinesAccessed 13 March 2026."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-021-01415-x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.17.04565-8"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp09X420248"}],"container-title":["PM&R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70228","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.70228","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T12:58:08Z","timestamp":1791550688000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.70228"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,9]]},"references-count":14,"alternative-id":["10.1002\/pmrj.70228"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.70228","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,9]]},"assertion":[{"value":"2026-05-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"pmrj.70228"}}