A federal judge in Los Angeles said this week that he was inclined to give final approval to the University of Southern California’s $215 million class-action settlement with former patients of Dr. George Tyndall, the campus gynecologist accused of sexual misconduct involving hundreds of patients during his decades-long tenure.

The judge, Stephen V. Wilson of United States District Court, said in court on Monday that he was “inclined to accept” the settlement, which would clear the way for the university to start writing checks to more than 18,000 women who saw Dr. Tyndall during their time at the university, according to lawyers involved in the case.

Under the terms of the settlement, each woman would be guaranteed a $2,500 payment, whether or not she had alleged abuse. Women who allege the worst abuse and would be willing to be screened by a psychologist could be eligible for payments of up to $250,000.

The university said in a statement that it was pleased with the court’s decision. “This settlement provides respectful and confidential relief to Tyndall patients at the student health center and formalizes a broad array of campus reforms,” the statement said.