Systematic Review: The Relationship Between Clinical Experience and Quality of Health Care - American Board of Medical Specialties

In this paper, researchers conducted a systematic review to evaluate the relationship between years of experience practicing and performance outcomes. Their review findings suggest that physicians who have been practicing longer have less factual knowledge, follow standard care practices less often, and may have worse patient outcomes. Overall, there appears to be a risk that more experience in the field may be associated with lower quality of care delivered. The researchers suggest one of the reasons for this discrepancy is that many physician “toolkits” are used during training and not regularly updated. The Maintenance of Certification (MOC) program could play a large role in filling this void and ensuring that longer practicing physicians are still being exposed to new practice innovations.

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