@article {635823,
	title = {Association between endoscopist personality and rate of adenoma detection},
	journal = {Clin Gastroenterol Hepatol},
	volume = {S1542-3565},
	number = {18},
	year = {2018},
	pages = {31140-6},
	abstract = {BACKGROUND \&amp; AIMS:There is significant variation among endoscopists in their\&nbsp;adenoma\&nbsp;detection\&nbsp;rates (ADRs). We explored associations between ADR and characteristics of endoscopists, including\&nbsp;personality\&nbsp;traits and financial incentives.METHODS:We collected electronic health record data from October 2013 through September 2015 and calculated ADRs for physicians from 4 health systems. ADRs were risk-adjusted for differences in patient populations. Physicians were surveyed to assess financial motivations, knowledge and perceptions about colonoscopy quality, and\&nbsp;personality\&nbsp;traits. Of 140 physicians sent the survey, 117 responded.RESULTS:The median risk-adjusted ADR for all surveyed physicians was 29.3\% (interquartile range, 24.1\%-35.5\%). We found no significant\&nbsp;association\&nbsp;between ADR and financial incentives, malpractice concerns, or physicians{\textquoteright} perceptions of ADR as a quality metric. ADR was associated with the degree of self-reported compulsiveness relative to peers: among endoscopists who described themselves as much more compulsive, the ADR was 33.1\%; among those who described themselves as somewhat more compulsive, the ADR was 32.9\%; among those who described themselves as about the same as others, the ADR was 26.4\%; and among those who described themselves as somewhat less compulsive, the ADR was 27.3\%) (P\&nbsp;= .0019). ADR also associated with perceived thoroughness (much more thorough than peers, ADR\&nbsp;= 31.5\%; somewhat more, 31.9\%; same/somewhat less, 27.1\%; P\&nbsp;= .0173). Physicians who reported feeling rushed, having difficulty pacing themselves, or having difficulty in accomplishing goals had higher ADRs. A secondary analysis found the same associations between\&nbsp;personality\&nbsp;and adenomas per colonoscopy.CONCLUSIONS:In a survey of endoscopists and comparison of results with ADRs, we found no significant\&nbsp;association\&nbsp;between ADR and financial incentives, malpractice concerns, or perceptions of ADR as a quality metric. However, ADRs were higher among physicians who described themselves as more compulsive or thorough, and among those who reported feeling rushed or having difficulty accomplishing goals.},
	author = {Ezaz G and Leffler DA and Beach S and Schoen RE and Crockett SD and Gourevitch RA and Rose S and Morris M and Carrell DS and Greer JB and Mehrotra A}
}
