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Research

Physician experience and outcomes among patients admitted to general internal medicine teaching wards

Finlay A. McAlister, Erik Youngson, Jeffrey A. Bakal, Jayna Holroyd-Leduc and Narmin Kassam
CMAJ October 06, 2015 187 (14) 1041-1048; DOI: https://doi.org/10.1503/cmaj.150316
Finlay A. McAlister
Division of General Internal Medicine (McAlister, Kassam); Patient Health Outcomes Research and Clinical Effectiveness Unit (McAlister, Youngson, Bakal), University of Alberta, Edmonton, Alta.; Data Integration Measurement and Reporting (Bakal), Alberta Health Services, Calgary, Alta.; Departments of Medicine and Community Health Sciences (Holroyd-Leduc), University of Calgary, Calgary, Alta.
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  • For correspondence: Finlay.McAlister@ualberta.ca
Erik Youngson
Division of General Internal Medicine (McAlister, Kassam); Patient Health Outcomes Research and Clinical Effectiveness Unit (McAlister, Youngson, Bakal), University of Alberta, Edmonton, Alta.; Data Integration Measurement and Reporting (Bakal), Alberta Health Services, Calgary, Alta.; Departments of Medicine and Community Health Sciences (Holroyd-Leduc), University of Calgary, Calgary, Alta.
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Jeffrey A. Bakal
Division of General Internal Medicine (McAlister, Kassam); Patient Health Outcomes Research and Clinical Effectiveness Unit (McAlister, Youngson, Bakal), University of Alberta, Edmonton, Alta.; Data Integration Measurement and Reporting (Bakal), Alberta Health Services, Calgary, Alta.; Departments of Medicine and Community Health Sciences (Holroyd-Leduc), University of Calgary, Calgary, Alta.
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Jayna Holroyd-Leduc
Division of General Internal Medicine (McAlister, Kassam); Patient Health Outcomes Research and Clinical Effectiveness Unit (McAlister, Youngson, Bakal), University of Alberta, Edmonton, Alta.; Data Integration Measurement and Reporting (Bakal), Alberta Health Services, Calgary, Alta.; Departments of Medicine and Community Health Sciences (Holroyd-Leduc), University of Calgary, Calgary, Alta.
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Narmin Kassam
Division of General Internal Medicine (McAlister, Kassam); Patient Health Outcomes Research and Clinical Effectiveness Unit (McAlister, Youngson, Bakal), University of Alberta, Edmonton, Alta.; Data Integration Measurement and Reporting (Bakal), Alberta Health Services, Calgary, Alta.; Departments of Medicine and Community Health Sciences (Holroyd-Leduc), University of Calgary, Calgary, Alta.
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  • Why denigrate experience
    G. Frank O. Tyers
    Posted on: 23 October 2015
  • Posted on: (23 October 2015)
    Page navigation anchor for Why denigrate experience
    Why denigrate experience
    • G. Frank O. Tyers, semiretired surgeon

    An excerpt on the front cover of the October 6 CMAJ states, "More physician experience does not mean more negative outcomes." In fact the referenced article showed the opposite, a 1.2% absolute reduction in the rather immutable endpoints of in hospital and 30 day death plus readmission rates, when comparing the highest vs the lowest quartile of physician experience. While the odds ratio of 0.88% was not statistically si...

    Show More

    An excerpt on the front cover of the October 6 CMAJ states, "More physician experience does not mean more negative outcomes." In fact the referenced article showed the opposite, a 1.2% absolute reduction in the rather immutable endpoints of in hospital and 30 day death plus readmission rates, when comparing the highest vs the lowest quartile of physician experience. While the odds ratio of 0.88% was not statistically significant, most laypersons who had these results explained to them would want to be looked after by the most experienced internist they could find. Me too.

    A more reflective summary would have been: given the high standard for doctor licensing in our country, lack of experience is not a detrimental as might have been expected.

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.
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Canadian Medical Association Journal: 187 (14)
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Vol. 187, Issue 14
6 Oct 2015
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Physician experience and outcomes among patients admitted to general internal medicine teaching wards
Finlay A. McAlister, Erik Youngson, Jeffrey A. Bakal, Jayna Holroyd-Leduc, Narmin Kassam
CMAJ Oct 2015, 187 (14) 1041-1048; DOI: 10.1503/cmaj.150316

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Physician experience and outcomes among patients admitted to general internal medicine teaching wards
Finlay A. McAlister, Erik Youngson, Jeffrey A. Bakal, Jayna Holroyd-Leduc, Narmin Kassam
CMAJ Oct 2015, 187 (14) 1041-1048; DOI: 10.1503/cmaj.150316
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  • Mortality of hospitalised internal medicine patients bedspaced to non-internal medicine inpatient units: retrospective cohort study
  • Patient characteristics, resource use and outcomes associated with general internal medicine hospital care: the General Medicine Inpatient Initiative (GEMINI) retrospective cohort study
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