Physicians reentering clinical practice: Characteristics and clinical abilities *

Grace, Elizabeth S.; Korinek, Elizabeth J.; Weitzel, Lindsay; Wentz, Dennis K.

doi:10.1002/chp.20079

Cited by 18 publications

(15 citation statements)

References 13 publications

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“…CPEP receives an average of approximately 100 referrals annually. Detailed descriptions of the CPEP competence assessment have been previously published [6][7][8] and can also be found on the CPEP Web site. 20 We note here only that the assessment is an indepth evaluation that is tailored to the physician's practice area and specialty.…”

Section: Cpep Assessmentmentioning

confidence: 99%

“…Previous publications have described the development of the CPEP program 5 and various characteristics of its participant physicians. [6][7][8] Although other published data about physicians who present for competence assessment in the United States and Canada are limited, this body of work is growing. 3,6,[9][10][11][12] In this study, we examine CPEP program data to identify the predictors of performance on CPEP competency assessment.…”

mentioning

confidence: 97%

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Predictors of Physician Performance on Competence Assessment

2014

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Findings suggest that important predictors of physician performance on competence assessment include personal characteristics, practice context, and reasons for assessment referral. These findings have implications for development of policies and programs designed to assess risk of poor physician performance and quality of care improvement efforts through organizational/practice design or remedial education.

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Section: Cpep Assessmentmentioning

confidence: 99%

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confidence: 97%

Predictors of Physician Performance on Competence Assessment

2014

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“…We also will incorporate an assessment of each candidate's surgical skill using surgical simulation. (Obstet Gynecol 2012;120:360-4) DOI: 10.1097/AOG.0b013e31825da13e P hysician reentry is a new challenge to the field of medicine. Not until recently have physicians left practice temporarily and found themselves without a clear path to return.…”

mentioning

confidence: 98%

“…Other programs function like a "miniresidency" with a personalized curriculum based on a detailed observation of the candidate's skills and planned scope of practice in which the trainee is an active part of the patient care team. 1,6,10 One such program at the University of Oregon has described their early experience with a physician reentry program in obstetrics and gynecology. 11 The most notable obstacles included appropriate candidate selection, perceived competition between the reentry candidate and resident trainees, and obtaining the commitment of faculty and medical staff.…”

mentioning

confidence: 98%

“…The structure and content of these programs vary considerably. 6,10,11 Some programs emphasize a refresher course approach to address remediation, whereas others rely on remote, online clinical skills assessment and a curriculum of simulated patient encounters without any "hands-on" patient contact. Other programs function like a "miniresidency" with a personalized curriculum based on a detailed observation of the candidate's skills and planned scope of practice in which the trainee is an active part of the patient care team.…”

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confidence: 99%

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Lessons Learned in Physician Reentry

Cass

Gordon

Kilpatrick

2012

Obstetrics & Gynecology

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We describe our early experience with two physicians who successfully completed an obstetrics and gynecology physician reentry program. A 10-step program using an individualized curriculum in a supervised preceptorship is tailored to the candidate's anticipated practice. A reentry curriculum is devised for the candidate based on the advances in the field since they left practice and Accreditation Council for Graduate Medical Education (ACGME) competencies for resident education. The program culminates with an oral boards examination conducted by a panel of obstetrician-gynecologists (ob-gyns). At the completion of the program, the candidate must demonstrate that they are conversant with the field of general obstetrics and gynecology. Both candidates had been part of the medical community, which facilitated their ability to complete the program. One candidate was trained and worked intermittently in obstetrics and gynecology in another country. She used cases from her most recent clinical rotation abroad. The other candidate gathered cases from her future partner and prior colleagues. Both candidates successfully completed the program within 3 months and returned to clinical practice. The first physician practiced as a faculty member for 1 year but had challenges assimilating into a busy resident service while balancing her research duties. We need to enhance opportunities for external reentry candidates to have access to preceptors and their patients. In the future, we will better screen candidates to identify those who are planning to return to active clinical practice. We no longer will accept a case log with cases drawn from other sites. We also will incorporate an assessment of each candidate's surgical skill using surgical simulation.

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Assessment and Remedial Clinical Education of Surgeons in California

Cosman

Alverson²,

Boal³

et al. 2011

Arch Surg

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Interventions: Structured assessment and remedial clinical education based on resident-education models. Main Outcome Measures: Assessment and clinical education results. Results: Forty-seven general, general/vascular, and colorectal surgeons were assessed by the University of California, San Diego, Physician Assessment and Clinical Education program in 2000 to 2010. Forty-six (98%) were male (mean [SD] age, 54 [11] years; range, 34-80 years). Thirty-three (70%) came from state medical board actions: 25 from California's disciplinary division, 2 from California's licensing division, 3 from other state boards, and 3 self-referred during other state board actions. Fourteen (30%) came from health care organizations: 8 from California hospitals, 3 from hospitals in other states, 2 self-referred during hospital proceedings, and 1 selfreferred during a medical group investigation. Twentythree (49%) underwent a 2-day assessment only, including a 1-hour mock oral board examination: 8 "passed" with no recommendations; 6, with minor recommendations; 6 had major recommendations; and 3 "failed." Twenty-four surgeons (51%) also completed 26 fiveday clinical education programs, with 20 "passes," 1 minor recommendation, 3 major recommendations, and 2 "fails." Conclusion: A program of assessment and remedial clinical education of surgeons designed to meet the needs of one medical board is being used by nongovernmental organizations as well, and it seems to meet the needs of some individual surgeons. This type of program may play a role in the profession's self-regulation.

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Physicians reentering clinical practice: Characteristics and clinical abilities *

Cited by 18 publications

References 13 publications

Predictors of Physician Performance on Competence Assessment

Predictors of Physician Performance on Competence Assessment

Lessons Learned in Physician Reentry

Assessment and Remedial Clinical Education of Surgeons in California

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