Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Nov 22;7(6):e10916.
doi: 10.1002/aet2.10916. eCollection 2023 Dec.

Our responsibility to patients: Maintain competency or … stop practicing

Sally A Santen  1   2 , Robin R Hemphill  3 , Martin Pusic  4   5 , Stephen John Cico  6 , Meg Wolff  7 , Chris Merritt  8
Affiliations

Our responsibility to patients: Maintain competency or … stop practicing

Sally A Santen et al. AEM Educ Train. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest. Robin Hemphill is an employee of the Veteran's Health Administration (VHA). These views are her own and do not represent the views of the VHA.

Figures

FIGURE 1
FIGURE 1
Experience curve showing both rapid learning during residency training and then the fight to maintain competency over time. Figure shows learning curve with rapid learning that peeks after the development of competence. It is followed by continued competence with practice or skill degradation without maintaining practice.
See this image and copyright information in PMC

References

    1. Leape LL, Brennan TA, Laird N, et al. The Nature of Adverse Events in Hospitalized Patients — Results of the Harvard Medical Practice Study II. 1991;324:377‐384. doi: 10.1056/NEJM199102073240605 - DOI - PubMed
    1. de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in‐hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216‐223. doi: 10.1136/qshc.2007.023622 - DOI - PMC - PubMed
    1. Shappell E, Dutta S, Sakaria S, McEvoy DS, Egan DJ. Variability in emergency department procedure rates and distributions in a regional health system: a cross‐sectional observational study. Ann Emerg Med. 2023;81(5):624‐629. doi: 10.1016/j.annemergmed.2022.12.016 - DOI - PubMed
    1. Beeson MS, Bhat R, Broder JS, et al. The 2022 model of the clinical practice of emergency medicine. J Emerg Med. 2023;64(6):659‐695. doi: 10.1016/j.jemermed.2023.02.016 - DOI - PubMed
    1. Pusic MV, Kessler D, Szyld D, Kalet A, Pecaric M, Boutis K. Experience curves as an organizing framework for deliberate practice in emergency medicine learning. Acad Emerg Med. 2012;19(12):1476‐1480. doi: 10.1111/acem.12043 - DOI - PubMed

LinkOut - more resources