Problem Doctors: Is There a System-Level Solution?
Authors: David R. Gifford, Robert S. Crausman, Bruce W. Mcintyre
Journal: Annals of Internal Medicine (2006)

Letters6 June 2006Problem Doctors: Is There a System-Level Solution?David R. Gifford, MD, MPH, Robert S. Crausman, MD, MMS, and Bruce W. Mcintyre, JDDavid R. Gifford, MD, MPHFrom Rhode Island Department of Health, Providence RI 02908.Search for more papers by this author, Robert S. Crausman, MD, MMSFrom Rhode Island Department of Health, Providence RI 02908.Search for more papers by this author, and Bruce W. Mcintyre, JDFrom Rhode Island Department of Health, Providence RI 02908.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-144-11-200606060-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Although we agree with Leape and Fromson's (1) call for action about the need to address physician performance failures, we do not believe that relying on the hospital credentialing process will adequately address this vexing problem for several reasons. First, many physicians do not have admitting privileges to any hospital. Second, among those who do have these privileges, most admit very few patients (2). Third, with the advent of hospitalists and the shift of more health services to the ambulatory setting, hospital credentialing committees now only oversee a fraction of the practicing physicians' delivery of service. Fourth, ...References1. Leape LL, Fromson JA. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144:107-15. [PMID: 16418410] LinkGoogle Scholar2. Miller ME, Welch WP, Englert E. Physicians practicing in hospitals: implications for a medical staff policy. Inquiry. 1995;32:204-10. [PMID: 7601518] MedlineGoogle Scholar3. Citizen Advocacy Center. PreP 4 Patient Safety: The Practitioner Remediation and Enhancement Partnership Pilot Project. Accessed at www.4patientsafety.net/ on 10 April 2006. Google Scholar Author, Article, and Disclosure InformationAuthors: David R. Gifford, MD, MPH; Robert S. Crausman, MD, MMS; Bruce W. Mcintyre, JDAffiliations: From Rhode Island Department of Health, Providence RI 02908.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoProblem Doctors: Is There a System-Level Solution? Lucian L. Leape and John A. Fromson Problem Doctors: Is There a System-Level Solution? Lucian L. Leape and John A. Fromson Problem Doctors: Is There a System-Level Solution? Duncan M. Kuhn Problem Doctors: Is There a System-Level Solution? Mark S. Gold and Kimberly Frost-Pineda Problem Doctors: Is There a System-Level Solution? Martin T. Donohoe Metrics Cited byProblem Doctors: Is There a System-Level Solution?Duncan M. Kuhn, MD 6 June 2006Volume 144, Issue 11Page: 862-863KeywordsDrug abuseHealth care facilitiesHealth services administration and managementHospitalistsHuman sexual behaviorInternetMedical servicesOutpatientsRisk managementSafety ePublished: 6 June 2006 Issue Published: 6 June 2006 Copyright & PermissionsCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...