美国哈佛医学院Anupam B Jena团队取得一项新突破。他们对医师超速驾驶行为进行了观察研究。这一研究成果于2019年12月18日发表在国际顶尖学术期刊《英国医学杂志》上。

为探讨快速驾驶、豪车拥有、警察宽大处理在医学各科中的差异，研究组在美国佛罗里达州进行了一项观察性研究。

2004-2017年，共有5372名医生和19639名非医生因超速驾驶而被开罚单。5372名医生共收到14560张超速罚单。医生组的罚单中每小时超速20英里占26.4%，非医生组为26.8%。在收到罚单的医生中，精神科医生最有可能因超速被罚款。在收到罚单的司机中，心脏科医生的豪车拥有率最高，为40.9%，而急诊科、家庭实践科、儿科、普外科和精神科医生的豪车拥有率最低。

速度折扣意味着警察宽大处理，即记录的罚单速度可能刚好低于更高罚款的门槛。速度折扣很常见，在不同科室医生中，以及在医生和非医生之间，速度折扣率均无明显差异。

总之，在收到罚单的医生中，精神科医生超速率最高，心脏科医生更有可能驾驶豪车。警察的宽大处理在不同科室间以及医生和非医生间相差不大。

附：英文原文

Title: The need for speed: observational study of physician driving behaviors

Author: André Zimerman, Christopher Worsham, Jaemin Woo, Anupam B Jena

Issue&Volume: 2019/12/18

Abstract: 

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.

DOI: 10.1136/bmj.l6354

Source: https://www.bmj.com/content/367/bmj.l6354