Despite what many may believe, the "wise, old doctor"
may not be the most equipped to treat patients. A team of researchers
who analyzed 62 studies conducted over the past four decades found
the quality of patient care was conversely related to a doctor's
experience and age.
Older doctors, according to nearly 75 percent of the studies analyzed,
were less likely to:
- Stick to guidelines for cancer screening
- Use proper medications to treat heart attacks
- Adopt other evidence-based treatments
One of the most shocking results came from a 2000 study involving
over 4,500 internists, cardiologists and family doctors. Findings
showed that patient mortality increased by 0.5 percent for every
year after a doctor graduated from medical school. However, the
lead researcher of the study explained the findings are general--admitting
there certainly are physicians who have been around for a long time
who are excellent, just as there are young physicians who are really
terrible.
Possible Solution: Keeping Doctors Updated
One reason for the lack of performance demonstrated by older doctors
may be due to the explosion in medical knowledge, as well as the
inadequacy of continuing medical education (CME) to help keep doctors
fresh and up to date. Regardless, efforts to boost competence are
necessary; and unlike the members of the American Board of Medical
Specialists who are required to take periodic exams to maintain
their board certification, older doctors are usually exempt from
such requirements.
Some additional facts to chew on:
Annals
Of Internal Medicine February 15, 2005, Volume 142, Issue 4,
pgs.260-273 (free full-text article)
The
Journal News.com March 1, 2005
|