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An electrophysiologist performed a cardiac ablation on a 66-year-old man

A 32-year-old man visited his primary care physician with neck and upper back pain radiating to the left arm.

A 61-year-old woman came to the ED reporting chest tightness, shortness of breath, and fingertip tingling and numbness.

A 52-year-old man had been treated for chronic hepatitis C and cirrhosis

A 53-year-old man came to the ED with an ankle injury from a fall.

A 31-year-old woman came to a stand-alone emergency center reporting excruciating shoulder and neck pain.

A 68-year-old man came to the ED with urge incontinence, low urine output, and severe pain.

A 70-year-old man came to the ED with dizziness, fatigue, tachycardia, left upper abdominal pain, and dark stools.

A 42-year-old man came to Neurosurgeon A for neck pain radiating to his upper arms

A 60-year-old man came to the ED with severe right foot pain.

A 61-year-old man was taken to the ED after being thrown from a dirt bike.

A 63-year-old man came to Ophthalmologist A for treatment of sagging eyelids.

A 31-year-old woman came to her ob-gyn with pelvic and abdominal pain

A woman came to her ob-gyn to begin prenatal care.

An 8-year-old girl with congenital bicuspid aortic valve and aortic stenosis was scheduled for dental work.

A 14-year-old girl came for a well-child visit where she received a second dose of the HPV vaccine

A 67-year-old woman came to an orthopedic surgeon reporting neck pain

A 31-year-old man came to his internal medicine physician for symptom-focused visits.

A 42-year-old patient was referred for a screening mammogram.

A 68-year-old man reported a “several month” history of worsening memory

A woman came to the ED with abdominal pain, nausea, and constipation.

A 51-year-old man came to his primary care physician and reported insomnia.

A 58-year-old man came to Neurosurgeon A for neck pain with radiation to his arms

A 20-month-old boy was brought to his pediatrician’s office with a one-day history of fever — up to 104 degrees.

A 40-year-old man with an 18-year history of migraine headaches came to his family physician.

A 60-year-old woman came to her primary care physician’s office with abdominal pain and fullness

A 68-year-old woman came to an orthopedic surgeon for pain in both knees

A 60-year-old man called his family physician to report great pain from a twisted ankle

A 26-year-old woman came to her ob-gyn after visiting the ED with pain in her right lower abdomen

A patient was being treated for chronic pain related to failed back syndrome

A 46-year-old man came to a general surgeon for treatment of inguinal and umbilical hernias.

A 53-year-old woman came to a dermatologist for treatment of a mastectomy scar.

A 75-year-old woman was experiencing weakness and falls at home

A 45-year-old man came to see a pain management physician for treatment of neck, back, and shoulder pain.

A 48-year-old man was brought the ED by air ambulance.

A woman brought her 10-month-old son to Pediatrician A’s office for head asymmetry and earache.

A 30-year-old woman came to her family physician with a positive pregnancy test.

A 67-year-old man came to Orthopedic Surgeon A for right knee pain and stiffness.

A 34-year-old man was taken to the OR for a hernia repair.

A 40-year-old woman came to a breast care center on referral from her ob-gyn

Following a normal prenatal course, 30-year-old woman went into labor at 39 weeks.

A 43-year-old man came to the ED with sudden epigastric pain radiating to his back with severe nausea and vomiting.

A 55-year-old man came to Family Physician A with a two-month history of chest pain after exertion.

A 74-year-old woman came to the ED with acute lower back pain.

A 30-year-old woman came to a local hospital in premature labor. The fetus was in the breech presentation with cord prolapse.

A 74-year-old woman came to see Ophthalmologist A for evaluation of her right-eye cataract.

A 63-year-old woman came to her internal medicine physician reporting lower back and flank pain.

A 42-year-old man came to urgent care after he injured himself playing basketball.

A 28-year-old woman came to an orthopedic clinic with right hip pain lasting for two weeks.

A 24-year-old pregnant woman came to her ob-gyn with a headache and high blood pressure

A woman came to the ED with pain, pressure, and tightness in the center of her chest.

A 60-year-old man called to report that he had twisted his ankle and was in great pain.

Closed claim study on communication

A 17-year-old boy came to his pediatrician with a two-week history of fever, cough, and congestion.

A 55-year-old man consulted Neurosurgeon A about low back pain and numbness

A 64-year-old woman was taken to the ED after falling down a staircase in her home.

A 69-year-old woman came to her family physician for hip pain

A 58-year-old woman came to Ob-gyn A for postmenopausal bleeding and dysmenorrhea.

A patient with chronic pain, spinal injuries and procedures came to Anesthesiologist A for pain management.

A 41-year-old man came to the ED with severe abdominal pain for 5 days, along with vomiting, and nausea

A 31-year-old woman arrived at a rural hospital ED with severe nausea, vomiting, and abdominal pain.

A 41-year-old woman came to an orthopedic surgeon. Her history included lumbar scoliosis and congenital diastematomyelia.

A 56-year-old man was referred to an orthopedic surgeon due to sensory changes in his upper arms.

A 43-year-old man came to the ED of a metropolitan hospital reporting chest pain, dizziness, diaphoresis, shortness of breath, and pain going down his arms.

A woman in her early 60s went to a cardiologist for chest pain and dyspnea on exertion.

A pregnant woman arrived in the ED at or near term. She was experiencing one-minute, moderate contractions every three minutes.

A dermatologist performed a TCA chemical peel to minimize the appearance of a patient’s facial skin discolorations.

A woman came to the ED in labor. Her scheduled cesarean delivery had been changed due to low amniotic fluids

Good documentation by the physician and staff help disprove a patient’s claims

Experts reviewing this case felt strongly that the defendant physician was not required to perform a culture earlier

A case involving the diagnosis of DiGeorge syndrome in an infant.

Good documentation practices and clear communication between physicians influenced the jury’s decision in this case.

The defense argued that the patient had shingles outbreak when he saw the defendant physician and later developed necrotizing fasciitis.

The jury found it was reasonable for the defendant physician to ascribe the patient’s back pain to mechanical causes

A 17-year-old girl was injured at a sporting event when she fell approximately 7 feet. Orthopedic Surgeon A examined her on the sidelines.

An ob-gyn encounters fetal macrosomia and shoulder dystocia

A patient alleges failure to properly perform breast augmentation surgery resulting in a disfiguring injury.

A patient leaves out details of his medical history while being treated in the emergency department.

An eight-year-old boy came with his mother to a local ED with pain in his lower left leg from a fall.

A 43-year-old woman with left leg pain came to an orthopedic surgeon

A patient is injured when the wrong concentration of acetic acid is used.

A General Surgeon is sued for allegations of leaving a ribbon retractor in a patient's abdomen.

Clear and direct communication between physicians may have led to a better outcome.

A patient reports pain and swelling following a vasectomy.

Claims that a patient did not understand why he needed to take propranolol.

An eight-year-old girl was brought to the ED with a groin injury from a bicycle accident

The patient was a 47-year-old woman with a history of anal cancer and surgery

The patient claimed that the physician told him that the rectal bleeding was due to his diverticulosis and was not life threatening.

A pain management specialist ordered an MRI of the thoracic spine.

A 58-year-old woman with a history of morbid obesity, type 2 diabetes, hypertension, and high cholesterol arrived in the ED by ambulance. She reported numbness and blurred vision.

A 27-year-old woman came to Ob-gyn A. An ultrasound revealed that she was pregnant with twins.

A 28-year-old man was involved in a motorcycle collision, sustaining multiple injuries.

A 35-year-old woman fell while stepping off a boat, injuring her chin, jaw, wrist, and hand.

A 90-year-old woman fell at her assisted living facility. She reported severe right hip pain.

A 42-year-old woman came to Ob-Gyn A with abnormal uterine bleeding and abdominal and pelvic pain.

A 68-year-old man saw Orthopedic Surgeon A for pain in his right knee, leg, and lower back.

The patient sought treatment from a dermatologist for a scaly plaque on his scalp

A 51-year-old man was scheduled for a right knee replacement revision at a local hospital.

A general surgeon performed a sleeve gastrectomy and duodenal switch on a 35-year-old man.

A 50-year-old man came to a nephrologist for renal insufficiency.

How to prepare for Cybersecurity Awareness Month in October.

TMLT's Robin Desrocher discusses the issues that can increase the risk of a liability claim.

TMLT's Tanya Babitch offers help and tips for dismissing patients appropriately and safely

Additional tips and recommendations when terminating the physician-patient relationship

TMLT's Robin Desrocher on improving patient communication

TMLT webinar hosts discuss the in-depth requirements of Recognized Security Practices.

Understanding HIPAA privacy requirements is crucial for safeguarding patients' sensitive health information.

In this webinar, Cathy Bryant and Kassie Toerner discuss the rules for treating minors in Texas

Charlotte Howard, Ph.D. and Tori Olds, Ph.D., from Deep Eddy Psychotherapy, share valuable tools to support physician wellness. To earn CME credit, complete the course here

Part 2 covers informed consent, medical spa regulations, physician advertising, and leaving a medical practice.

All policies with the cyber insurance endorsement issued or renewed on or after July 1, 2023 contain new coverage enhancements.

In this two-part webinar, we discuss some of the challenging rules that govern the practice of medicine in Texas.

TMLT is partnering with the Travis County Medical Society to bring their confidential Safe Harbor Counseling Program to TMLT policyholders.

A discussion of how phishing can affect your practice and how to avoid an attack.

Learn what physicians must do before retiring, closing, or leaving a practice.

Cyber attorney Shawn Tuma discusses why "Recognized Security Practices" are important to your practice.

Learn practical ways to communicate with disruptive or angry patients.

In this webinar, TMLT's Kassie Toerner moderates a discussion with Cathy Bryant, a TMLT cyber expert, and Linda Comerford of AmTrust Cyber Claims about the intricacies of cyber insurance coverage.

A discussion of patient access and release of medical records.

Attorney Karin Zaner on the risks of responding to social media posts

Learn about federal Information Blocking Rules, how to assess your current practices, and develop a compliance plan.

Learn techniques for de-escalating disruptive patients.

Learn how to spot the cues of a potentially disruptive patient

Learn what actions to avoid when de-escalating a disruptive patient

Learn about email security issues from a cyber security attorney.

How to minimize medical liability risks in your medical practice

How contingency plans can minimize loss and damage

Communication techniques to prevent tense conversations from escalating.

Learn about common HIPAA compliance issues found in OCR investigations.

Learn the basic but necessary steps for keeping patient data safe in this webinar.

Cyber security attorney Shawn Tuma shares best practices for protecting patient data from ransomware attacks.

Learn how to ensure that your electronic communications meet HIPAA requirements.

Cyber attorney Adrian Senyszyn talks about business associate agreements, when they're required, and the reporting requirements for business associates.

Cyber attorney Adrian Senyszyn answers FAQs about cyber security, current cyber threats, HIPAA, and breach investigations.

Attorney Brett Rowe provides an update on the implications of the Texas Prescription Monitoring Program for physician practices.

Find out about the new Information Blocking rule that goes into effect on April 5, 2021.

Learn about access to health care records, the release of PHI to third parties, and how much a practice can charge for these services.

A discussion of how to identify threats and vulnerabilities to medical practices and how to protect your networks.

A message about where TMLT has been and where we are going.

See how TMLT is supporting policyholders during the COVID-19 pandemic

A discussion of how to manage your online presence.

A review of current regulatory requirements for telemedicine in Texas.

Hear from a Texas physician about his practice's OCR investigation and how it was resolved.

Learn the most important steps to take following a cyber incident or breach.

10 common errors that can increase the risk of a malpractice suit.

Russell Krienke, MD, of Austin Regional Clinic and a TMLT board member, offers some quick guidelines on protecting patient privacy on the job and in public.

CEO Robert Donohoe describes how TMLT continues to follow the original doctrines created by its founders to put physicians needs and interest first.

Dr. Rohweder shares his thoughts on working with TMLT on the event of its 40th Anniversary.

Members of TMLT's Defense Counsel offer their memories, thoughts, and congratulations to TMLT.

Attorney William Abernethy of Donnell, Abernethy & Kieschnick, PC offers advice to new defense attorneys working with TMLT.

Members of TMLT's governing board reflect on 40 years of TMLT.

Employees describe TMLT in one word.

Maryann Baca, Mary Gonzales, and Laura Hunter reflect on their 20-year friendship at TMLT.

Get a glimpse inside TMLT and hear from employees in our 2017 annual report video.

The TMLT claims and risk management departments have seen an alarming increase in the number of claims filed related to Wernicke’s encephalopathy (WE) following bariatric surgery. Here are some risk m

TMLT's CEO and President Bob Donohoe provides an overview of TMLT's accomplishments in 2016.

TMLT Risk Management manager Tanya Babitch offers 8 tips for improving patient satisfaction with a physician practice or office.

TMLT Risk Management manager Robin Desrocher provides helpful tips to help minimize patient frustration in an office setting.

TMLT's CEO and President Bob Donohoe provides an overview of TMLT's annual report in 2015.

Learn the most commonly made documentations and how to avoid them.

Dan Ballard answers audience questions about the TMB.

This season, we explore how improv techniques can be used by physicians to enhance conversations and relationships with patients, colleagues, and staff members. (33:59)

In episode two, we discuss how to deal with difficult patients, including setting boundaries, reflecting positive intent, and using such improv techniques as “blending." (33:48)

In this concluding episode, we discuss how to improve communications with other physicians, colleagues, and staff members through improv. (27.13)

In this series “extra,” trainer Shana Merlin describes how to use “signposting” techniques in your conversations to help patients more clearly understand your meaning and overall messaging. (4:33)

In episode three of this series, Shana Merlin discusses how to use improv techniques to build rapport, help patients understand treatment goals, and break the “curse of knowledge.” (45:12)

Jim Boston of Boston & Hughes, PC, fields such questions as how does a lawsuit usually start? How do you stay ahead of an aggressive patient? What are some documentation best practices? And much more.

Attorney Jim Boston is back to review the five top things that get physicians sued, including issues with communication, documentation, follow-up, referrals, and medication errors.

Attorney Jim Boston reviews the differences between a lawsuit and a Texas Medical Board case; how board complaints are filed and what to expect; common patient complaints; and much more.

TMLT’s risk management leaders Tanya Babitch and Robin Desrocher discuss common liability exposures – and how to avoid them. Learn risk management tips to help you minimize risk of medical liability.

In this episode, Adrian Senyszyn, principal attorney with Germer PLLC, discusses potential sources of liability from current technologies being adopted in health care, including AI and ChatGPT.

Guests Dr. Charlotte Howard and Dr. Tori Olds explore how the brain responds to stressors and how being more mindful can help us better handle stress. A mindfulness exercise is also offered.

Guests Dr. Charlotte Howard and Dr. Tori Olds discuss how exercising self-compassion can help prevent burnout and improve performance. Includes a guided exercise in self-compassion.

In this episode, host Tony Passalacqua welcomes guests Dr. Charlotte Howard and Dr. Tori Olds to discuss how stress and burnout specifically affect the physician population.

In this episode, guests Dr. Charlotte Howard and Dr. Tori Olds review how to get the most out of therapy, what to expect when seeking counseling, and generally how healing through therapy works.

Two of TMLT’s risk management experts discuss how to dismiss a patient safely and effectively, including typical scenarios that can make the process more difficult.

A discussion of two medical malpractice claims involving issues with EHRs

Learn how TMA and TMLT work together. Special guests: Sylvia Salazar and Mari Hosek

Dr. Brian Sayers and attorney Stacy Simmons offer useful and practical strategies

Learn about the basics, costs, psychology, and safeguards against phishing email attacks.

A discussion on practical safeguards to take against phishing email attacks.

Join attorney Dan Ballard to discuss how COVID-19 has transformed the way we use telemedicine.

Explore the basics, costs, psychology, and safeguards against phishing.

In part two, explore how telemedicine rules may change in 2021

Attorney Jim Boston discusses the complexities of providing a second opinion.

Learn more about TMLT's medical director coverage.

Learn how to optimize your virtual office for telehealth visits.

Advice for health care professionals on managing their online reputations.

Explore closed claims involving medical director coverage with TMLT's Greg Harmon.

A discussion of hacking and high-level tips and tricks to keep your practice safe.

A talk with Dr. Brian Sayers

TMB rules have been reorganized, language simplified and shortened

TMLT and Travis CMS team up to bring counseling program to policholders

A summary of internal medicine claims data from the MPL Association Data Sharing Project

Answers to your questions about the release and retention of medical records

A how-to guide for medical record release

Improper disposal of electronic devices increases the risk of a breach.

Answers to questions about HIPAA, the Texas Medical Records Privacy Act, and other rules

Sample letters for termination of the physician-patient relationship

Texas physicians required to check the Texas Prescription Monitoring database before prescribing opioids, benzodiazepines, barbiturates, or carisoprodol.

Recommendations to help minimize the risk of lawsuits related to patient refusals

A hospital received an email invoice from their ED group with instructions to send payment to a new account.

Requirements for ending the physician-patient relationship

Mr. Fields served as CEO of TMLT from 2006 to 2011

TMLT declares 20th dividend

A no-fear guide to medical liability insurance

Factors that make up a medical malpractice insurance quote

Two ways de-escalation can work in your practice

Help patients move from cross to calm with these de-escalating phrases

Medical liability coverage during a temporary absence

TMB rules for non-surgical medical cosmetic procedures

Requirements for prescribers

And do I need it?

Resources for physicians experiencing stress and burnout

Your guide to understanding the vocabulary of medical liability insurance

Most medical professionals are required to have malpractice insurance, as a part of their employment or to maintain privileges or payer contracts

Dividends applied to the renewal premium the year after they are declared

Dr. Randolph Zuber and his son — defense attorney Blake Zuber — have a long history of service

Randolph Clark Zuber, MD, was a founder and member of TMLT's first Board of Trustees

Learn practical ways to communicate with disruptive or angry patients.

Learn about our state's landmark medical liability reforms

TMA and TMLT have worked together for decades to provide coverage and advocacy

If you're not sure which type of medical liability coverage is right for you, this article can help

Learn about limits of liability and how pricing is determined

A new process changes multi-state licensing

Read about practical ways to manage difficult patient interactions

Tips for managing challenging patient relationships

Case studies about violations of patient privacy on social media and the web.

Case studies about violations of HIPAA privacy rules.

Case studies about ransomware incidents and the investigations that follow

Policyholders receive a 10 percent dividend for 2021 policy year

How to defuse tense or angry situations in the office

We are sad to announce the passing of John Raymond Lomenzo, TMLT’s first president

A summary of radiology closed claim data from the MPL Association Data Sharing Project.

A summary of orthopedic closed claim data from the the MPL Association Data Sharing Project

A summary of ob-gyn surgery claims data from the MPL Association Data Sharing Project

A summary of internal medicine claims data from the MPL Association Data Sharing Project

Updated on May 20, 2020. Policyholders should check their email to request a supply of masks.

New dividend will save policyholders $13 million in premium

Learn about this new coverage for retired Texas physicians who want to join the fight against COVID-19

Coverage offered at no cost to Texas physicians who volunteer in direct response to the COVID-19 emergency.

Dr. Gerald "Ray" Callas, TMLT's Governing Board Chairman, was interviewed on the CBS-TV affiliate in Beaumont, TX regarding COVID-19.

How to stay safe from cybersecurity threats

Dallas dental practice fined $10,000 after publishing PHI in response to a patient review

How to notify patients that you're retiring, closing, or leaving a practice

These incidents highlight the catastrophic consequences of ransomware attacks

Tips and and practices to help you defend against cyber criminals

How and when to report concerns

Learn the top violations that prompt investigations of medical spas

Medical spas come with increased risk for physicians offering these services in their practices

A company by any other name is not the same.

A closed claim study from 1986

Times change, but the advice stays the same

Learn how to de-escalate angry patients or diffuse a tense situation in the office.

Would you like that in Beta or VHS?

What happens when a system failure brings down the EMR?

Let me give you my card . . .

When it was all recorded by hand on paper

Our first ad

20 years on the web

A review of significant TMB changes and trends over the last 40 years.

TMLT's founders created a company to provide the service and support Texas physicians deserved.

From beepers to smartphones

Despite the advances in telecommunication tools, the law has changed very little.

TMLT has a long-standing record of advocating for physicians and the medical community.