As a responsibility of our profession, physicians are obligated to provide self regulation to ensure that we continue to meet the expectations and secure the trust of our patients. The public, insurers, the federal government, and other stakeholders have asked physicians and the health care systems in which we work for improved quality and better value. But from studies assessing the quality of health care in the United States, there are data indicating that a significant proportion of patients fail to receive the recommended preventative care or care for acute and chronic conditions. Additionally, there is growing evidence that physician knowledge and quality of care decline the longer a physician remains in practice. In fact, a recent study of Canadian anesthesiologists indicated that the frequency of litigation and the severity of injury with adverse events were greater in patients cared for by anesthesiologists older than 65 compared to...

You do not currently have access to this content.