There is an old nephrologist in Petoskey, Michigan who is unaware of current kidney
issues and seems not to have studied anything in his field since his medical
school education. HIs former patients are well aware of this and have had to
seek other nephrologists farther away. To say we are underserved in this
area is an under statement. I have to drive an hour and a half from Boyne City to
Grayling to meet a nephrologist from MIdland who drives there occasionally.
The Traverse City nephrologists are booked and accepting no new patients.
We wonder if we will live long enough to be able to be served properly.
I know a lot of incompetent young physicians and a lot of very competent older physicians. Of course, the reverse is also sometimes true. I have been a physician for 48 years. I maintain my cme and licensing requirements and my specialty board status. I continue to win the highest five star ratings by my patients and by independent rating services, while many younger physicians do not. I read journals avidly. I am at the top of my game professionally. What additional testing should I have to endure? EMR? Our group's I.T. guy said I learned our system faster than any of the other physicians in our group. I can (and do) handle all the latest electronic devices. I have over 200 apps on my iPhone and use them with facility. I could easily retire, but my patients beg me not to. Besides, I still love what I do. But if they add another burden like some kind of age-based competency test, that just might push me into retirement. I shudder to think that my patients, who are used to me knowing them and caring about them, providing them with excellent. If I leave the profession, there is a good chance they may have to deal with a younger physician who spends 5 minutes with them, never really listens to them or gives them a chance to talk, and spends the entire encounter staring into his computer.
Why not , my competence is evaluated for other things I do that require a license like drive and fly . I think the defacto competency test will be the EMR . once you loose that ability to fix all the IT issues , you are done. Its not like the old doc rounding on the wrong pts with paper charts at the nurses station anymore