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Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions
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Published on: April 23, 2021

Do physicians referred for competency evaluations have underlying cognitive problems?

Lauri L Korinek1, Laetitia L Thompson, Cynthia McRae

  • 1Neuropsychological Services, Colorado Mental Health Institute at Fort Logan, Denver, Colorado, USA. Lauri.Korinek@state.co.us

Academic Medicine : Journal of the Association of American Medical Colleges
|July 30, 2009
PubMed
Summary
This summary is machine-generated.

Physicians undergoing competency evaluations show significant differences in cognitive abilities, including lower processing speed and accuracy, compared to their peers. Neuropsychological screening is crucial for these evaluations.

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Area of Science:

  • Neuropsychology
  • Medical Education
  • Physician Assessment

Background:

  • Concerns exist regarding the neuropsychological functioning of physicians undergoing competency evaluations.
  • Academic health centers frequently evaluate and remediate physicians.

Purpose of the Study:

  • To compare the cognitive abilities of physicians referred for competency evaluations with a control group.
  • To identify potential neuropsychological differences impacting physician performance.

Main Methods:

  • Utilized the MicroCog, a computerized neuropsychological screening tool, for assessment.
  • Compared 267 physicians referred for competency evaluations with 68 control physicians.
  • Data collected from January 1997 to January 2004 at the Center for Personalized Education for Physicians (CPEP).

Main Results:

  • Physicians referred for competency evaluations had a higher proportion with scores indicating possible cognitive impairment.
  • The competency evaluation group performed significantly lower in processing speed, accuracy, and cognitive proficiency.
  • The control group outperformed the age- and education-corrected normative sample.

Conclusions:

  • Significant neuropsychological differences exist between physicians referred for competency evaluations and those not under review.
  • Recommends the inclusion of neuropsychological screening as a standard component of physician competency evaluations.