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 Concept Videos

History of Microbiology01:28

History of Microbiology

3.0K
Microbiology, a scientific field dedicated to the study of microorganisms, has undergone profound development since its inception in the 17th century. Its history is marked by key discoveries and technological advancements that have shaped our understanding of life at the microscopic level and transformed medicine, agriculture, and industry.Early Foundations of MicrobiologyThe early foundations of microbiology were built on groundbreaking observations and the development of pioneering...
3.0K
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.3K
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

5.8K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.8K
Prescription, Nonprescription and Orphan Drugs01:02

Prescription, Nonprescription and Orphan Drugs

848
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
848
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

1.1K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.1K
Barriers to Effective Communication II01:21

Barriers to Effective Communication II

3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K

You might also read

Related Articles

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

Sort by
Same author

Loss of proximal tubule lactate dehydrogenase A exacerbates nephrotoxic acute kidney injury through metabolic dysregulation.

American journal of physiology. Renal physiology·2026
Same author

A sequence knowledge-guided deep learning method for single-cell multi-omics translation.

Genome biology·2026
Same author

Local microstrain variation in the compression of bionic bone with fracture fixation.

Clinical biomechanics (Bristol, Avon)·2026
Same author

High-fat diet and obesity each increase tumor cell proliferation and muscle wasting in experimental cancer cachexia.

American journal of physiology. Cell physiology·2026
Same author

On the Consistency of Automatic Scoring with Large Language Models.

Educational and psychological measurement·2026
Same author

scGACL: a generative adversarial network with multi-scale contrastive learning for accurate single-cell RNA sequencing imputation.

Briefings in bioinformatics·2026
Same journal

Decision-making in programmatic assessment is only a challenge when we make it one.

Advances in health sciences education : theory and practice·2026
Same journal

Historicizing health professions education research: history as a strategic analytic resource.

Advances in health sciences education : theory and practice·2026
Same journal

Factors influencing workplace collaboration and learning between resident doctors and senior nurses: a scoping review.

Advances in health sciences education : theory and practice·2026
Same journal

Grave lessons: a guide to historiographical research in health professions education.

Advances in health sciences education : theory and practice·2026
Same journal

A scoping review of inquiry in medicine and nursing using Dewey's perspective.

Advances in health sciences education : theory and practice·2026
Same journal

"Teaching is important, but it's not important": a qualitative study of teacher identity among early-career academics in health professions.

Advances in health sciences education : theory and practice·2026
See all related articles

Related Experiment Video

Updated: Sep 13, 2025

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
05:47

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems

Published on: June 13, 2025

584

Medical knowledge decline: the role of active usage.

Yunting Liu1,2, Yanlin Jiang3, Andrew D Dallas3

  • 1Berkeley School of Education, University of California, Berkeley, CA, USA. yunting99@berkeley.edu.

Advances in Health Sciences Education : Theory and Practice
|July 30, 2025
PubMed
Summary
This summary is machine-generated.

Physician knowledge decline is linked to how often it's used in practice. Less frequently used medical knowledge, like that in physician assistant (PA) re-certification exams, decays faster, impacting patient care.

Keywords:
Clinical competenceContinuing medical education (CME)Knowledge retentionLatent transition analysisLongitudinal AssessmentMaintenance of Certification (MOC)

More Related Videos

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
06:40

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management

Published on: June 29, 2019

6.7K
A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

Published on: September 20, 2018

16.0K

Related Experiment Videos

Last Updated: Sep 13, 2025

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
05:47

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems

Published on: June 13, 2025

584
The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
06:40

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management

Published on: June 29, 2019

6.7K
A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

Published on: September 20, 2018

16.0K

Area of Science:

  • Medical Education
  • Continuing Professional Development
  • Health Professions

Background:

  • Physician assistants/associates (PAs) experience a decline in medical knowledge after initial certification.
  • This decline may be linked to the frequency of knowledge application in daily clinical practice.
  • Understanding knowledge retention patterns is crucial for effective continuing medical education and recertification.

Purpose of the Study:

  • To investigate the reasons behind the decline in PA medical knowledge post-certification.
  • To determine if the frequency of knowledge use in practice influences knowledge retention.
  • To inform improvements in competency assessment and recertification strategies for PAs.

Main Methods:

  • Analysis of data from Physician Assistant National Certifying Exam (PANCE) and Physician Assistant National Recertifying Exam – Longitudinal Assessment (PANRE-LA).
  • Classification of medical knowledge subdomains into 'dominant', 'relevant', and 'distant' based on frequency of use, verified by expert PAs.
  • Latent Transition Analysis (LTA) to model knowledge decay probabilities in relation to usage frequency.

Main Results:

  • Knowledge decline is significantly influenced by practice profile and frequency of use.
  • Less frequently used knowledge ('relevant' and 'distant') showed a higher likelihood of decline compared to 'dominant' knowledge (OR=2.31 and OR=2.26, respectively).
  • Dominant knowledge demonstrated a greater probability of improvement over time compared to relevant and distant knowledge.

Conclusions:

  • Medical knowledge decay is not uniform; it varies based on the specific knowledge domain and its clinical relevance.
  • Recertification assessments should consider the differential decay rates of medical knowledge based on usage frequency.
  • Tailoring continuing education and assessment strategies to address specific knowledge gaps can enhance PA competency maintenance.