Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Problem doctors: is there a system-level solution?

Lucian L Leape1, John A Fromson

  • 1Harvard School of Public Health and Harvard Medical School, Boston, Massachusetts 02215, USA. leape@hsph.harvard.edu

Annals of Internal Medicine
|January 19, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Reducing Burnout in Women Physicians: An Organizational Roadmap from the Harvard Radcliffe Institute Exploratory Seminar.

Journal of women's health (2002)·2025
Same author

(In)Equality and Beyond: Achieving Justice in Gender-Affirming Hormone Initiation.

Harvard review of psychiatry·2022
Same author

Postpartum Depression in Surgeons and Workplace Support for Obstetric and Neonatal Complication: Results of a National Study of US Surgeons.

Journal of the American College of Surgeons·2022
Same author

Immediate psychological distress in quarantined patients with COVID-19 and its association with peripheral inflammation: A mixed-method study.

Brain, behavior, and immunity·2020
Same author

Skills-Based Psychotherapy Training for Inpatient Psychiatry Residents: a Needs Assessment and Evaluation of a Pilot Curriculum.

Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·2019
Same author

Catatonia Due to Tacrolimus Toxicity 16 Years After Renal Transplantation: Case Report and Literature Review.

Journal of psychiatric practice·2019
Same journal

Correction to I.M. Matters News: Sleep medicine for seniors.

Annals of internal medicine·2026
Same journal

Adverse Events After Same-Day COVID-19 and Influenza Vaccination Versus Influenza Vaccination Alone : A Target Trial Emulation.

Annals of internal medicine·2026
Same journal

Leveraging Real-World Evidence to Inform Regulatory, Clinical, and Coverage Decisions Related to Glucagon-Like Peptide-1-Based Therapies: Synopsis of a National Institute of Diabetes and Digestive and Kidney Diseases Workshop.

Annals of internal medicine·2026
Same journal

Methodological Approaches to Real-World Evidence Generation for Glucagon-like Peptide-1-Based Therapies: Synopsis of a National Institute of Diabetes and Digestive and Kidney Diseases Workshop.

Annals of internal medicine·2026
Same journal

Weekly and Biweekly Treatment With Bofanglutide Versus Semaglutide in Chinese Patients With Type 2 Diabetes : A Phase 2b Randomized Clinical Trial.

Annals of internal medicine·2026
Same journal

Grappling with GLP-1 prescribing.

Annals of internal medicine·2026
See all related articles

Physician performance failures threaten patient safety, yet hospitals lack systems to address them. A national effort is needed to improve physician performance measurement and remediation programs.

Area of Science:

  • Medical quality and safety
  • Healthcare administration
  • Physician performance evaluation

Background:

  • Physician performance failures are frequent and endanger patient welfare.
  • Hospitals often fail to respond effectively to physician performance issues.
  • Lack of formal systems for monitoring and correcting physician shortcomings is a significant problem.

Purpose of the Study:

  • To highlight the deficiency in current hospital systems for addressing physician performance failures.
  • To advocate for the development and implementation of improved physician performance monitoring and remediation systems.
  • To emphasize the need for a national collaborative effort to enhance physician accountability and patient safety.

Main Methods:

  • The study is a conceptual analysis and call to action based on existing literature and expert opinion.

Related Experiment Videos

  • It identifies the lack of formal systems as a primary reason for inadequate response to physician failures.
  • It proposes the expansion of external assessment and remediation programs.

    • Main Results:

    • Hospitals lack formal systems to monitor physician performance and correct deficiencies.
    • Existing systems are insufficient to ensure quality and safety of physician performance.
    • A national collaborative effort is required to develop better performance measures and remediation programs.

    Conclusions:

    • Ensuring physician competence is a fiduciary responsibility that requires robust monitoring and remediation systems.
    • Individual hospitals cannot address this issue alone; collaboration among national medical organizations is essential.
    • Developing better performance measures and expanding assessment/remediation programs are critical next steps.