Article: Doctors who have been in practice longer may provide lower quality of care.(NURSING ECONOMIC$: DATA BANK)(Brief Article)

Although "practice makes perfect," in some situations physicians' knowledge and performance may decline with the passage of time, suggests Stephen B. Soumerai, ScD, of the HMO Research Network Center for Education and Research on Therapeutics which receives support from the Agency for Healthcare Research and Quality (HSl1843). This study was led by Niteesh K. Choudhry, MD, of Harvard Medical School.

The researchers conducted a systematic review of studies from 1966 to June 2004 relating medical knowledge and health care quality to physician age and years in practice. Of 62 published studies, more than half (52%) suggested that physician performance declined over time for ...

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