Neuropsychological normative standards for late career physicians.

IF 3 3区 心理学 Q2 CLINICAL NEUROLOGY Clinical Neuropsychologist Pub Date : 2024-11-01 Epub Date: 2024-02-29 DOI:10.1080/13854046.2024.2319899
Deborah C Koltai, Paula-Ann E Chin, Michael W Lutz, Victoria L Bouvé, J Wynne Taylor, Alex L Gualtieri, Joel C Morgenlander
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Abstract

Objective: In the context of an aging, vital physician workforce, there is clear value in establishing a specialized neuropsychological normative dataset for the evaluation of late career physicians practicing clinical medicine. Methods: Physicians aged 60 and over in active clinical practice at 3 major medical centers in North Carolina were recruited to complete a comprehensive neuropsychological test battery. Results: The sample (n = 100) was aged 60-78. Reflecting medical school distributions for this age group, the sample was mostly male (76%) and was fairly racially homogenous (96% White). To amplify utility of the dataset, data were obtained for several measures across neurocognitive domains. Results are presented in percentile bands stratified by age and sex where needed, and regression formulas are presented for predictive precision for measures where both age and sex predicted performance. Important distinctions between our sample, the general population, and current comparative demographic norms were also confirmed. Conclusions: Here we present a preliminary normative dataset on a comprehensive neuropsychological test battery for late career physicians, the HEATS norms for highly educated aging treaters. These standards facilitate accurate, objective cognitive measurement as a part of clinical diagnostic and capacity evaluations. Co-norming the battery in a single, specialized sample further augments its utility in characterizing cognition. Future work to enhance the dataset to be maximally applicable across demographic groups is anticipated, as is research to explore the relationship between these standards and professional performance outcomes.

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职业生涯晚期医生的神经心理学规范标准。
目的:在医生队伍老龄化、活力不足的背景下,建立一个专门的神经心理学常模数据集来评估从事临床医学的晚期职业医生显然很有价值。方法:招募北卡罗来纳州 3 家主要医疗中心的 60 岁及以上活跃在临床实践中的医生完成全面的神经心理学测试。结果:样本(n = 100样本(n = 100)年龄在 60-78 岁之间。该样本反映了该年龄组的医学院分布情况,大部分为男性(76%),种族相当单一(96% 为白人)。为了提高数据集的实用性,我们还获得了多个神经认知领域的测量数据。在需要时,结果将按年龄和性别分层,以百分位数带的形式呈现,并对年龄和性别均可预测表现的指标给出预测精度回归公式。我们的样本、普通人群和当前比较人口统计学标准之间的重要区别也得到了证实。结论:在此,我们介绍了针对职业生涯晚期医生的综合神经心理测试的初步常模数据集,即针对受过高等教育的老年治疗师的 HEATS 常模。作为临床诊断和能力评估的一部分,这些标准有助于进行准确、客观的认知测量。在单一、专门的样本中共同制定标准,进一步增强了其在描述认知特征方面的实用性。预计未来的工作将加强数据集,使其最大限度地适用于不同的人口群体,同时还将开展研究,探索这些标准与专业绩效结果之间的关系。
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来源期刊
Clinical Neuropsychologist
Clinical Neuropsychologist 医学-临床神经学
CiteScore
8.40
自引率
12.80%
发文量
61
审稿时长
6-12 weeks
期刊介绍: The Clinical Neuropsychologist (TCN) serves as the premier forum for (1) state-of-the-art clinically-relevant scientific research, (2) in-depth professional discussions of matters germane to evidence-based practice, and (3) clinical case studies in neuropsychology. Of particular interest are papers that can make definitive statements about a given topic (thereby having implications for the standards of clinical practice) and those with the potential to expand today’s clinical frontiers. Research on all age groups, and on both clinical and normal populations, is considered.
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