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March 12 2005
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Do Older Doctors Drop the Ball When it Comes to Quality Care?

 
Doctors Examine an X-ray

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:

  • In the largest specialty--internal medicine--about half of the 150,000 practicing internists have been grandfathered in because they passed board exams prior to 1990

  • About 87 percent of physicians are board certified (nationally)

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



Dr. Mercola Dr. Mercola's Comments:

This study provides further evidence that the health care system is in desperate need of drastic reform. Too many lives are being lost at the hands of not only conventional medicine, but also of inept older physicians. Many states have poorly enforced continuing medical education (CME) requirements that allow physicians to escape continued learning. However, even if the CME requirement were more rigidly enforced that would still not solve the problem.

The major problem with the conventional medical paradigm is a lack of open mindedness to embrace the truth and the tendency to remain in their safety cocoon of legal protection to not go outside the norm to provide better care. The majority of physicians have long ago lost the pursuit of authentic truth in their search for healing approaches that will address the underlying cause of disease. Most have chosen to take the easy, expedient way out and rely on the drug companies for the solutions to their patient's health care challenges.

If you have been reading this newsletter for any length of time, you know that approach is a prescription for disaster and the 50,000 pages on this Web site details many specifics of the abysmal failure of this approach.

Are Doctors to Blame?

In the summer of 2000, I ran an article that was widely circulated through the Internet: Doctors Are the Third Leading Cause of Death. I based this article on a study that was published in the Journal of the American Medical Association (JAMA) by Dr. Barbara Starfield, who was professor of public health at the most prestigious hospital in the United States, Johns Hopkins. Yet, it now appears that, based on a variety of references, some from prior to 2000 and some after, doctors are in fact the LEADING cause of death in this country. Not heart disease, not cancer -- but the conventional medical system.

In all fairness, doctors themselves are not entirely responsible for this. The entire modern health care system, largely influenced by the powerful drug companies are the real culprit.

Seeing Through the Scope of My Vision

It is my vision to facilitate the transformation of the existing medical paradigm from one addicted to pharmaceuticals, surgeries and other methods that only conceal or remove specific symptoms--with morbid results to our health and economy--to one focused on treating and preventing the underlying causes.

Progressively increasing percentages of the population simply do not have the energy they need to get through the day, while millions of others are suffering with painful crippling diseases because they have violated basic health principles. The bottom line is that the system is crumbling before our eyes. Our country simply cannot afford this nightmare mess and gets nothing--except lining the pockets of pharmaceutical companies--in return.

Therefore, if you want to take a giant step toward better health for you and your family, as well as eliminate your dependence on the dishonest and harmful health care system, please consider my Total Health Program. My how-to book goes into much greater detail about the proven health strategies I discuss on my Web site and use in my practice--and life--every day.

Also, if you haven't done so already, I encourage you to look at my site and subscribe to my semi-weekly newsletter, but most of all join me in my quest to transform the medical paradigm to one that is sincerely dedicated to listening to the patients' concerns and expressing commitment to their health and well-being.

Related Articles:

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Why Death Rates Decrease When Doctors Go On Strike

Why do Doctors Use Treatments That Don't Work?

Death by Medicine

Hospitals Can Make You Sicker

Death By Medicine, The Sequel

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