Canadian Medical Association Journal, Vol 143, Issue 11 1193-1199, Copyright © 1990 by Canadian Medical Association

JOURNAL ARTICLE

Five-year results of the peer assessment program of the College of Physicians and Surgeons of Ontario

R. G. McAuley, W. M. Paul, G. H. Morrison, R. F. Beckett and C. H. Goldsmith
College of Physicians and Surgeons of Ontario, Toronto.

The office practices of 918 physicians selected through stratified random sampling from the College of Physicians and Surgeons of Ontario (CPSO) registry were assessed by peers and the Peer Assessment Committee of the CPSO from 1981 to 1985. The sample comprised 662 general practitioners (GPs) and family physicians (FPs) and 256 specialists in 11 fields. Of the physicians 749 (82%) had neither deficient records nor an unsatisfactory level of patient care. Of the GPs and FPs 97 (15%) had serious deficiencies in one or both areas, as compared with 4 (2%) of the specialists (p2 less than 0.00001). The proportions of certificants of the Royal College of Physicians and Surgeons of Canada and of the College of Family Physicians of Canada (CFPC) with serious deficiencies were low (2% and 3% respectively). Three statistically significant predictors of physician performance were found among the GPs and FPs: age, CFPC membership status and type of practice. Of the 56 physicians who were reassessed 6 to 12 months later 29 (52%) had made the improvements recommended by the committee. Our findings demonstrate the need, feasibility and acceptance of a peer assessment program of office practices in Ontario.

This article has been cited by other articles:

				R. Gagnon, A. Jacques, M. Billard, and F. Goulet Determining the Number of Patient Charts Necessary for a Reliable Assessment of Practicing Family Physicians' Performance Eval Health Prof, March 1, 2010; 33(1): 109 - 122. [Abstract] [PDF]

				F. Goulet, A. Jacques, R. Gagnon, P. Racette, and W. Sieber Assessment of Family Physicians' Performance Using Patient Charts: Interrater Reliability and Concordance With Chart-Stimulated Recall Interview Eval Health Prof, December 1, 2007; 30(4): 376 - 392. [Abstract] [PDF]

				D. C. Schachter and I. Kleinman Psychiatrists' Attitudes About and Informed Consent Practices for Antipsychotics and Tardive Dyskinesia Psychiatr Serv, June 1, 2004; 55(6): 714 - 717. [Abstract] [Full Text] [PDF]

				R. Tamblyn, M. Abrahamowicz, W. D. Dauphinee, J. A. Hanley, J. Norcini, N. Girard, P. Grand'Maison, and C. Brailovsky Association Between Licensure Examination Scores and Practice in Primary Care JAMA, December 18, 2002; 288(23): 3019 - 3026. [Abstract] [Full Text] [PDF]

				W D. Dauphinee Revalidation of doctors in Canada BMJ, October 30, 1999; 319(7218): 1188 - 1190. [Full Text]

				W. Hall, C. Violato, R. Lewkonia, J. Lockyer, H. Fidler, J. Toews, P. Jennett, M. Donoff, and D. Moores Assessment of physician performance in Alberta: the Physician Achievement Review Can. Med. Assoc. J., July 1, 1999; 161(1): 52 - 57. [Abstract] [Full Text] [PDF]

				T. &stbye and P. Hurlen The Electronic House Call: Consequences of Telemedicine Consultations for Physicians, Patients, and Society Arch Fam Med, May 1, 1997; 6(3): 266 - 271. [Abstract] [PDF]

				R. Tamblyn Is the Public being Protected? Prevention of Suboptimalmedical Practice Through Training Programs and Credentialing Examinations Eval Health Prof, June 1, 1994; 17(2): 198 - 221. [Abstract] [PDF]

				F. Rosner, J. A. Balint, and R. M. Stein Remedial Medical Education Arch Intern Med, February 14, 1994; 154(3): 274 - 279. [Abstract] [PDF]

				M. M. Ward, J. P. Leigh, and J. F. Fries Progression of Functional Disability in Patients With Rheumatoid Arthritis: Associations With Rheumatology Subspecialty Care Arch Intern Med, October 11, 1993; 153(19): 2229 - 2237. [Abstract] [PDF]

				R. F. Beckett Periodic Physician Recredentialing JAMA, June 26, 1991; 265(24): 3245 - 3245. [Abstract] [PDF]

HOME	CURRENT ISSUE	PAST ISSUES	COLLECTIONS	HELP	SEARCH
Copyright 1995-1990, Canadian Medical Association. All rights reserved. ISSN 1488-2329 (e) 0820-3946 (p) All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association.