Clinical Experience and Quality of Health Care
Authors: Roy M. Poses, Joseph A. Diaz
Journal: Annals of Internal Medicine (2005)

Letters5 July 2005Clinical Experience and Quality of Health CareRoy M. Poses, MD and Joseph A. Diaz, MDRoy M. Poses, MDFrom Brown University Center for Primary Care and Prevention and Memorial Hospital of Rhode Island, Pawtucket, RI. and Joseph A. Diaz, MDFrom Brown University Center for Primary Care and Prevention and Memorial Hospital of Rhode Island, Pawtucket, RI.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-143-1-200507050-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The review by Choudhry and colleagues on physicians' clinical experience versus the quality of their care (1) created headlines. Most media coverage suggested that older doctors are dumber than younger ones (2). However, such conclusions appear to go beyond the data provided in the article.Choudhry and colleagues did not use a priori standards to exclude original articles of poor methodologic quality or to rate the methodologic quality of any article they did review. Such standards are available (3, 4). Thus, the review article included original articles whose criteria for physician performance were not evidence-based, such as ...References1. 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 Scholar2. Allen S. Greater risk seen with older doctors. Boston Globe. 15 February 2005:A1. Google Scholar3. Naylor CD, Guyatt GH. Users' guides to the medical literature. XI. How to use an article about a clinical utilization review. Evidence-Based Medicine Working Group. JAMA. 1996;275:1435-9. [PMID: 8618371] CrossrefMedlineGoogle Scholar4. Naylor CD, Guyatt GH. Users' guides to the medical literature. X. How to use an article reporting variations in the outcomes of health services. The Evidence-Based Medicine Working Group. JAMA. 1996;275:554-8. [PMID: 8606478] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Brown University Center for Primary Care and Prevention and Memorial Hospital of Rhode Island, Pawtucket, RI.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 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 CareClinical Experience and Quality of Health Care Martin A. Samuels and Allan H. Ropper Metrics Cited ByPotentially Avoidable Hospitalizations for COPD and Pneumonia 5 July 2005Volume 143, Issue 1Page: 84-85KeywordsChartsClinical epidemiologyConflicts of interestDrugsHealth care quality ePublished: 5 July 2005 Issue Published: 5 July 2005 CopyrightCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...