ArticleBMJ (Clinical research ed.)2013
Association between physicians' experience after training and maternal obstetrical outcomes: cohort study.
Article in BMJ (Clinical research ed.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Systematic Review: Association Between Physicians' Clinical Experience and Quality of Care and Patient Outcomes.Journal of general internal medicine · 2026Pooled it
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Complications after complex device implantation: how important is implanter seniority?Open heart · 2025Article
- From Chrysalis to Taking Flight, the Metamorphosis of the ACGME During Dr Thomas Nasca's Tenure as CEO.Journal of graduate medical education · 2024Article
- Validity evidence and psychometric evaluation of a socially accountable health index for health professions schools.Advances in health sciences education : theory and practice · 2024Article
- Duration of consultant experience and patient outcome following acute medical unit admission: an observational cohort study.Clinical medicine (London, England) · 2023Observational
- When a Doctor Falls from the Sky: The Impact of Easing Doctor Supply Constraints on Mortality.The American economic review · 2023Article
- Does experience matter? The relationship between nephrologist characteristics and end stage kidney disease patient outcomes.Hemodialysis international. International Symposium on Home Hemodialysis · 2022Article
- Physicians' clinical experience and its association with healthcare quality: a systematised review.BMJ open quality · 2021Article
- The age-old question: Thematic analysis of focus groups on physician experiences of aging in emergency medicine.Journal of the American College of Emergency Physicians open · 2021Article
- Benefits of developing graduate medical education programs in community health systems.Journal of community hospital internal medicine perspectives · 2021Review
- Physician-Level Variation in Outcomes of Mechanically Ventilated Patients.Annals of the American Thoracic Society · 2018Article
- AN OUTCOMES-BASED APPROACH ACROSS THE MEDICAL EDUCATION CONTINUUM.Transactions of the American Clinical and Climatological Association · 2018Article
- Association of Surgeon Age and Experience With Congenital Heart Surgery Outcomes.Circulation. Cardiovascular quality and outcomes · 2017Article
- Physician age and outcomes in elderly patients in hospital in the US: observational study.BMJ (Clinical research ed.) · 2017Observational
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the association between obstetricians' years of experience after training and the maternal complications of their patients during their first 40 years of post-residency practice.
designRetrospective cohort analysis.
settingObstetrical discharges from acute care hospitals in Florida and New York between academic years 1992 and 2009. POPULATION: 6,704,311 deliveries performed by 5175 obstetricians.
main outcome measureThree composite measures of maternal complication rates per physician year from vaginal and cesarean births separately and combined, adjusted for secular trends.
resultsObstetricians' maternal complication rates declined during the first three decades after completion of residency. The improvement was largest in the first decade and diminished thereafter. For all deliveries, the change was -0.21 (95% confidence interval -0.23 to -0.19) percentage points per year in the first decade, -0.11 (-0.13 to -0.09) percentage points per year in the second decade, and -0.05 (-0.08 to -0.01) percentage points in the third decade (P<0.001 for second to first decade comparison; P=0.001 for third to second decade comparison). The patterns were comparable for cesarean deliveries and vaginal deliveries and across several sensitivity checks.
conclusionsAmong obstetricians practicing in Florida and New York, those with more years of experience had fewer maternal complications. This association persisted over the first three decades of practice but diminished in magnitude.
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