Clinical Experience and Quality of Health Care
Authors: Martin A. Samuels, Allan H. Ropper
Journal: Annals of Internal Medicine (2005)

Letters5 July 2005Clinical Experience and Quality of Health CareMartin A. Samuels, MD and Allan H. Ropper, MDMartin A. Samuels, MDFrom Brigham and Women's Hospital and Caritas St. Elizabeth's Medical Center, Boston, MA.Search for more papers by this author and Allan H. Ropper, MDFrom Brigham and Women's Hospital and Caritas St. Elizabeth's Medical Center, Boston, MA.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-143-1-200507050-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Choudhry and colleagues' paper may be technically flawed, but more important, in our view it is potentially destructive (1). Behind the mask of “evidence-based medicine,” the authors reviewed 59 articles, selected by their own peculiar process from hundreds of potential papers relevant to the subject. They then analyzed this sample according to 4 criteria: knowledge; adherence to standards of practice for diagnosis, screening, and prevention; adherence to standards of appropriate therapy; and outcomes. They concluded that physicians who have been practicing longer may be at risk for providing lower-quality care and may need quality improvement interventions.This ...Reference1. Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005;142:260-73. [PMID: 15710959] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Brigham and Women's Hospital and Caritas St. Elizabeth's Medical Center, Boston, MA.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoSystematic Review: The Relationship between Clinical Experience and Quality of Health Care Niteesh K. Choudhry , Robert H. Fletcher , and Stephen B. Soumerai Clinical Experience and Quality of Health Care Roy M. Poses and Joseph A. Diaz Clinical Experience and Quality of Health Care Ronald S. Szabo Clinical Experience and Quality of Health Care Geoffrey R. Norman and Kevin W. Eva Clinical Experience and Quality of Health Care Elizabeth W. Loder Clinical Experience and Quality of Health Care Niteesh K. Choudhry , Robert H. Fletcher , and Stephen B. Soumerai Clinical Experience and Quality of Health Care Metrics Cited byDeliberate Practice in Medicine: The Motivation to Engage in Work-Related Learning and Its Contribution to ExpertiseWhat do physicians gain (and lose) with experience? Qualitative results from a cross-national study of diabetesPotentially Avoidable Hospitalizations for COPD and Pneumonia 5 July 2005Volume 143, Issue 1Page: 84KeywordsConflicts of interestDeath ratesDrugsEvidence based medicineFallsHealth care qualityInternetPatient advocacyQuality improvementSystematic reviews ePublished: 5 July 2005 Issue Published: 5 July 2005 Copyright & PermissionsCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...