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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

Published on: January 11, 2020

A rationale and framework for addressing physician cognitive impairment.

Victor A Del Bene¹, David S Geldmacher¹, George Howard²

¹Department of Neurology, Division of Neuropsychology, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, United States.

Frontiers in Public Health

|September 11, 2023

Summary

Physician cognitive impairment can lead to medical errors. Neuropsychological assessment, not age-based screening, is the best method for evaluating fitness for duty, requiring physician-specific data.

Keywords:

aging physicians cognition competence impaired physicians neuropsychology

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Area of Science:

Medical error reduction
Physician cognitive function
Public health

Background:

Medical errors impose significant patient, family, and financial costs.
Physician cognitive impairment is a potential contributor to medical errors.
Current methods for assessing physician cognitive impairment are suboptimal.

Purpose of the Study:

To propose neuropsychological assessment as the gold standard for physician fitness-for-duty evaluations.
To highlight the need for physician-specific normative data in cognitive assessments.
To outline a research protocol for implementing these evaluations in an academic medical center.

Main Methods:

Developing a research protocol for fitness-for-duty evaluations.
Establishing partnerships with hospital leadership and legal counsel.
Focusing on neuropsychological assessment rather than age-based screening.

Main Results:

Neuropsychological assessment is proposed as the optimal method for evaluating physician cognitive impairment.
The study outlines a framework for implementing these assessments.
The need for physician-normative data is emphasized.

Conclusions:

Effective assessment and management of physician cognitive impairment are crucial for patient safety.
Neuropsychological testing offers a superior approach to fitness-for-duty evaluations.
Proactive management is necessary due to physician burnout and an aging physician population.