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Adaptive ageing surgeons.

Carmelle Peisah, Chanaka Wijeratne, Bruce Waxman

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    |May 31, 2014
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    Summary

    The aging surgical workforce faces challenges in performance and welfare. Surgeons should engage in self-screening to promote adaptive aging and maintain professional skills.

    Area of Science:

    • Medicine
    • Gerontology
    • Surgical Workforce Studies

    Background:

    • The surgical workforce is aging, raising concerns about future supply, planning, and surgeon performance.
    • Surgical practice demands significant physical and cognitive skills, some of which may decline with age.

    Purpose of the Study:

    • To address the complex issue of aging and surgical performance.
    • To promote discussion and explore strategies for successful aging in surgeons.
    • To encourage adaptive practice and self-monitoring among aging surgeons.

    Main Methods:

    • Literature review and consensus building on age-related changes in surgical skills.
    • Discussion of self-screening as a tool for insight into performance changes.
    • Emphasis on holistic wellness and seeking professional support.

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    Main Results:

    • Some evidence suggests age-related cognitive changes in surgeons and increased operative mortality for certain procedures performed by older surgeons.
    • Great inter-individual variation exists in skill decline.
    • Self-screening can enhance insight into age-related performance changes.

    Conclusions:

    • Guidance is needed for individualizing retirement timing and encouraging adaptive practice.
    • Self-screening, focusing on cognition, mental, and physical wellness, is recommended.
    • Acceptance of professional treatment and support is crucial for maintaining surgical competence.