Martin A. Samuels, MD; Allan H. Ropper, MD
Potential Financial Conflicts of Interest: None disclosed.
Samuels M., Ropper A.; Clinical Experience and Quality of Health Care. Ann Intern Med. 2005;143:84. doi: 10.7326/0003-4819-143-1-200507050-00015
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Published: Ann Intern Med. 2005;143(1):84.
TO THE EDITOR:
Choudhry and colleagues' paper may be technically flawed, but more important, in our view it is potentially destructive (1). Behind the mask of “evidence-based medicine,” the authors reviewed 59 articles, selected by their own peculiar process from hundreds of potential papers relevant to the subject. They then analyzed this sample according to 4 criteria: knowledge; adherence to standards of practice for diagnosis, screening, and prevention; adherence to standards of appropriate therapy; and outcomes. They concluded that physicians who have been practicing longer may be at risk for providing lower-quality care and may need quality improvement interventions.
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