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Related Experiment Videos

Cognitive difficulty in physicians.

J Turnbull1, R Carbotte, E Hanna

  • 1Department of Continuing Education, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. turnbull@fhs.csu.McMaster.ca

Academic Medicine : Journal of the Association of American Medical Colleges
|February 29, 2000
PubMed
Summary
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A significant minority of incompetent physicians exhibit neuropsychological impairments that explain their poor performance and lack of improvement with continuing medical education (CME). Neuropsychological screening is crucial for physician review programs.

Area of Science:

  • Medical Education
  • Neuropsychology
  • Physician Performance

Background:

  • Remediation of incompetent physicians is often challenging.
  • Continuing Medical Education (CME) may not effectively address underlying issues in some cases.

Purpose of the Study:

  • To investigate if neuropsychological impairments underlie physician incompetence.
  • To determine if these impairments explain resistance to remedial CME.

Main Methods:

  • A neuropsychological screening battery was administered to 27 participants in a physician competency assessment program (PREP).
  • The study was conducted over a one-year period (1996-97).

Main Results:

  • Physicians performing poorly on competency assessments frequently showed significant neuropsychological impairments.

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  • These impairments were sufficient to explain poor performance and were more pronounced in older physicians.
  • Competent physicians generally performed well on neuropsychological tests.

    • Conclusions:

    • Cognitive impairments contribute to physician incompetence and hinder improvement with remedial CME for a notable minority.
    • Neuropsychological screening in physician review programs can identify treatable conditions, guide management, and facilitate compensation.
    • Incorporating neuropsychological screening into intensive physician review programs is recommended.