Evidence map›Paper›PMID 37693707›Full record

ReviewFrontiers in public health2023

A rationale and framework for addressing physician cognitive impairment.

Victor A Del Bene, David S Geldmacher, George Howard, Catherine Brown, Elizabeth Turnipseed, T Charles Fry, Keith A Jones, Ronald M Lazar

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. A model for the cognitive assessment of physicians.Frontiers in public health · 2025
    Observational
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Victor A Del BeneDepartment of Neurology, Division of Neuropsychology, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, United States.
David S GeldmacherDepartment of Neurology, Division of Neuropsychology, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, United States.
George HowardSchool of Public Health, The University of Alabama at Birmingham, Birmingham, AL, United States.
Catherine BrownNursing Academic Affairs, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, United States.
Elizabeth TurnipseedDepartment of Medicine, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, United States.
T Charles FryUniversity of Alabama Health Services Foundation, P.C., Birmingham, AL, United States.
Keith A JonesUniversity of Alabama Health Services Foundation, P.C., Birmingham, AL, United States.
Ronald M LazarDepartment of Neurology, Division of Neuropsychology, Heersink School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, United States.
University of Alabama at Birmingham · USUniversity of Alabama · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medical error is costly, in terms of the health and wellbeing of the patient, their family, and the financial burden placed on the medical system. Reducing medical error is paramount to minimizing harm and improving outcomes. One potential source of medical error is physician cognitive impairment. Determining how to effectively assess and mange physician cognitive impairment is an important, albeit difficult problem to address. There have been calls and attempts to implement age-based cognitive screening, but this approach is not optimal. Instead, we propose that neuropsychological assessment is the gold standard for fitness-for-duty evaluations and that there is a need for the development of physician-based, normative data to improve these evaluations. Here, we outline the framework of our research protocol in a large, academic medical center, in partnership with hospital leadership and legal counsel, which can be modeled by other medical centers. With high rates of physician burnout and an aging physician population, the United States is facing a looming public health crisis that requires proactive management.

Indexed as

Cognitive DysfunctionPhysiciansAgingBurnout, PsychologicalExerciseHumansaging physicianscognitioncompetenceimpaired physiciansneuropsychology

Identifiers

PMID37693707
PMCPMC10485616
OpenAlexW4386160416

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.