Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: Dr Landon and colleagues1 described a number of difficulties with the use
of clinical outcomes to assess physicians' competence. We agree with their
conclusion that clinical performance assessment for this purpose currently
is not feasible.
Although Landon et al described "tension" between the use of performance
measurement for global quality improvement (QI) vs individual performance
assessment, we think that this could be resolved through a clearer understanding
of the role of such data. Thus, on behalf of the Physician Consortium for
Performance Improvement, convened by the American Medical Association,2 we propose a greater consensus for the use of such
measurement for QI. This proposal will require an overall electronic infrastructure
to ensure data integrity.
Cobin RH, Rosof BM, Sirio CA, Williams JR, for the Physician Consortium for Performance Improvement . Uses of Published Physician Performance Data. JAMA. 2003;290(24):3194-3195. doi:10.1001/jama.290.24.3194-a