In reply:

We appreciate the comments and previous work by Drs. Calder and McDougall.1 Malpractice litigation is a complicated issue influenced by patient, provider, and environmental factors. Our work that examines factors associated with being named in a malpractice claim represents only a single view of factors associated with a malpractice claim in a single group of emergency physicians.2 Our data allowed us to examine several provider factors such as years in practice and operational factors, including length of stay and practice intensity at a macrolevel.

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