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Physicians reentering clinical practice: characteristics and clinical abilities
Elizabeth S Grace1, Elizabeth J Korinek, Lindsay B Weitzel
1Department of Family Medicine, University of Colorado School of Medicine, Denver, CO, USA. esgrace@cpepdoc.org
Physicians returning to practice after an absence are a diverse group. Most require some education, but few have significant deficits, suggesting objective assessments are crucial before re-entry.
Area of Science:
- Medical Education
- Physician Re-entry
- Clinical Competency Assessment
Background:
- Limited data exists on physicians returning to practice after career breaks.
- The Center for Personalized Education for Physicians (CPEP) offers reentry programs and assessments.
- This study examines licensure status, performance, and characteristics of reentering physicians.
Purpose of the Study:
- To assess the clinical competency of physicians reentering practice.
- To identify factors correlating with performance in reentering physicians.
- To inform policy regarding physician re-entry requirements.
Main Methods:
- Sixty-two physicians in a CPEP reentry program participated.
- Objective clinical skills assessment included interviews, simulated patients, and cognitive screening.
- Physicians were rated on educational needs from 1 (best) to 4 (worst).
Main Results:
- Participants averaged 53.7 years; 40.3% were female.
- Common reasons for absence: family, health, retirement, or administration.
- Performance varied, with 24.2% in the best group (rating 1) and 6.5% in the worst (rating 4).
- Longer absence and older age correlated with poorer performance.
Conclusions:
- Physicians reentering practice are heterogeneous.
- Most require some education, but few have global deficits.
- Objective assessment is justified for physicians returning to practice.
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