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Problem Doctors: Is There a System-Level Solution?
TO THE EDITOR:
Leape and Fromson (1) should be commended for addressing physician performance failures. However, they overlook perhaps the most critical aspects of physician quality control while arguing for more onerous burdens on practicing physicians.
As suggested recently (2), performance problems are often evident long before a physician enters practice. In fact, many doctors would agree there is a lack of quality control, starting in medical school. More directly, it seems nearly impossible to fail medical school or be fired from residency. Regarding the latter, I have found that program …
