Patient safety and the ageing physician: a qualitative study of key stakeholder attitudes and experiences

BMJ Quality & Safety
Andrew A WhiteThomas H Gallagher

Abstract

Unprecedented numbers of physicians are practicing past age 65. Unlike other safety-conscious industries, such as aviation, medicine lacks robust systems to ensure late-career physician (LCP) competence while promoting career longevity. To describe the attitudes of key stakeholders about the oversight of LCPs and principles that might shape policy development. Thematic content analysis of interviews and focus groups. 40 representatives of stakeholder groups including state medical board leaders, institutional chief medical officers, senior physicians (>65 years old), patient advocates (patients or family members in advocacy roles), nurses and junior physicians. Participants represented a balanced sample from all US regions, surgical and non-surgical specialties, and both academic and non-academic institutions. Stakeholders describe lax professional self-regulation of LCPs and believe this represents an important unsolved challenge. Patient safety and attention to physician well-being emerged as key organising principles for policy development. Stakeholders believe that healthcare institutions rather than state or certifying boards should lead implementation of policies related to LCPs, yet expressed concerns about resistance by...Continue Reading

References

Jan 15, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Nasser M Gayed
Sep 19, 2003·Neurologic Clinics·Gregory R Jackson, Cynthia Owsley
Feb 16, 2005·Annals of Internal Medicine·Niteesh K ChoudhryStephen B Soumerai
Dec 7, 2007·Annals of Internal Medicine·Eric G CampbellDavid Blumenthal
Jul 16, 2010·JAMA : the Journal of the American Medical Association·Catherine M DesRochesEric G Campbell
Jul 13, 2011·The American Journal of Medicine·William N SouthernJulia H Arnsten
Jun 8, 2013·BMJ Quality & Safety·Kaveh G Shojania, Mary Dixon-Woods
Jan 15, 2014·Healthcare Management Forum·Renate Ilse
Mar 29, 2014·Annals of Surgery·Mark R Katlic, JoAnn Coleman
Jan 23, 2015·Journal of General Internal Medicine·Neda Laiteerapong, Elbert S Huang
Jul 18, 2015·Perspectives on Medical Education·William F Iobst, Eric S Holmboe
Aug 27, 2015·The Journal of Physician Assistant Education : the Official Journal of the Physician Assistant Education Association·Keith L Moore
Oct 13, 2015·Journal of Graduate Medical Education·Jessica E WasermanSheila Harms
Nov 28, 2015·The Surgical Clinics of North America·Paul J Schenarts, Samuel Cemaj
Aug 16, 2016·Advances in Surgery·Mark R Katlic, JoAnn Coleman
Nov 17, 2016·Human Resources for Health·Michelle Pannor SilverNatalie Irene Warrick
May 18, 2017·BMJ : British Medical Journal·Yusuke TsugawaAnupam B Jena
Jul 21, 2017·JAMA Surgery·E Patchen DellingerThomas H Gallagher
Sep 28, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Joanna M CainLuanne E Thorndyke
Oct 6, 2017·Journal of Marital and Family Therapy·Fred P Piercy, Amy A Morgan
Aug 28, 2018·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·William O CooperGerald B Hickson
Sep 21, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Thilan P WijesekeraDavid A Ross

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Citations

May 19, 2020·Journal of Geriatric Psychiatry and Neurology·Kelly Davis GarrettDavid E J Bazzo
Oct 9, 2020·JMIR Research Protocols·Evelien H van LeeuwenToon W Taris
May 22, 2021·Journal of Geriatric Psychiatry and Neurology·Charles E Gaudet, Victor A Del Bene
Jun 15, 2021·Frontiers in Psychology·Evelien H van LeeuwenJan-Willem J Lammers
Sep 22, 2021·Current Opinion in Anaesthesiology·Stefan De Hert

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