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Is physician competency a team sport?
About a year ago, I ran into a well-known physician quality leader at a national meeting. As we discussed various aspects of physician performance evaluation, he made a somewhat broad statement that sounded reasonable but felt unsettling. His view was that, since healthcare quality was really now about systems and was actually a team sport, individual physician performance evaluation (i.e., peer review) had become irrelevant. Having spent the past 15 years consulting with medical staffs on how to improve peer review, his comment gave me pause to reflect on whether perhaps I had wasted my time. And then I thought about baseball.
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