Professional liability is the biggest issue confronting ob/gyns, as documented by a recent survey published in Obstetrics & Gynecology. A significant contributor to the current crisis is the often inconsistent and unsubstantiated testimony of a small group of "professional" plaintiff experts. Because of this concern, the American College of Obstetricians and Gynecologists (ACOG) has developed a very structured and well-thought-out grievance process that is designed to sanction Fellows who provide unethical/unsupported testimony in medical liability cases. Under ACOG's Code of Professional Ethics, a Fellow can be issued a warning, censured, suspended, or expelled from the College for such behavior.
This is ACOG's major non-legislative initiative in the area of medical liability. Unfortunately, the process has been underutilized, and in my opinion, its effectiveness is unproven. I base this on the following personal experience.