Medliorate

Improving medical students

Comparing Years in Practice & Quality of Care Provided

Posted by medliorator on October 30, 2008

Purpose: To systematically review studies relating medical knowledge and health care quality to years in practice and physician age.

Data Synthesis: Overall, 32 of the 62 (52%) evaluations reported decreasing performance with increasing years in practice for all outcomes assessed; 13 (21%) reported decreasing performance with increasing experience for some outcomes but no association for others; 2 (3%) reported that performance initially increased with increasing experience, peaked, and then decreased (concave relationship); 13 (21%) reported no association; 1 (2%) reported increasing performance with increasing years in practice for some outcomes but no association for others; and 1 (2%) reported increasing performance with increasing years in practice for all outcomes.

Conclusions: Physicians who have been in practice longer may be at risk for providing lower-quality care. Therefore, this subgroup of physicians may need quality improvement interventions.

Niteesh K. Choudhry, MD; Robert H. Fletcher, MD, MSc; and Stephen B. Soumerai, ScD.  Systematic Review: The Relationship between Clinical Experience and Quality of Health CareAnnals of Internal Medicine 15 February 2005 Volume 142 Issue 4 Pages 260-273

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