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

Competence and cognitive difficulty in physicians: a follow-up study.

John Turnbull1, John Cunnington, Ayse Unsal

  • 1McMaster University, Hamilton, Ontario, Canada. turnbull@mcmaster.ca

Academic Medicine : Journal of the Association of American Medical Colleges
|September 21, 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

<i>Mycobacteroides abscessus:</i> Identification and Treatment Challenges.

The Journal of clinical and aesthetic dermatology·2025
Same author

When I say … intuition.

Medical education·2025
Same author

Platform Trials in ALS.

JAMA·2025
Same author

Diagnostic reasoning and cognitive error in emergency medicine: Implications for teaching and learning.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2024
Same author

Mantle Cell Lymphoma and Exaggerated Mosquito Bite Reactions: A New Perspective on Treatment Options.

The Journal of clinical and aesthetic dermatology·2024
Same author

Dual process models of clinical reasoning: The central role of knowledge in diagnostic expertise.

Journal of evaluation in clinical practice·2024

Cognitive impairment significantly impacts physician competence and remediation success. Many incompetent physicians show neuropsychological deficits that hinder improvement with continuing medical education (CME).

Area of Science:

  • Neuropsychology
  • Medical Education
  • Physician Competency

Background:

  • Remediation of incompetent physicians is challenging.
  • Understanding underlying causes of physician incompetence is crucial.

Purpose of the Study:

  • To determine if neuropsychological impairment explains physician incompetence.
  • To assess if impairment affects improvement after remedial continuing medical education (CME).

Main Methods:

  • Neuropsychological screening of 45 physicians in a competency assessment program (1997-2001).
  • Correlation of reassessment findings with neuropsychological scores after remediation.

Main Results:

  • Physicians performing poorly often had significant neuropsychological deficits.

Related Experiment Videos

  • Cognitive impairment was more pronounced in older physicians.
  • No physician with moderate/severe impairment succeeded in competency reassessment.

    • Conclusions:

    • A substantial minority of underperforming physicians have cognitive impairment explaining their incompetence.
    • Neuropsychological deficits impede successful remediation through CME.