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Identification of poor performance in a national medical workforce over 11 years: an observational study.
Donaldson LJ, Panesar SS, McAvoy PA, Scarrott DM. BMJ Qual Saf. 2014;23:147-152.
This study reviewed data from the United Kingdom's National Clinical Assessment Service concerning referrals due to poor physician performance. Approximately 5 per 1000 doctors are referred annually. Physicians were more likely to be referred when they were men, in the late stages of their career, or acquired their first medical qualification outside the country.