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When should surgeons retire?

N R Bhatt1, M Morris1,2, A O'Neil2

  • 1Department of Surgery, University of Dublin, Trinity College, at the Adelaide and Meath Hospital, Tallaght, Ireland.

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As surgeons age, their functional abilities vary, impacting patient care. Individual functional assessment, not chronological age, should guide retirement policies for surgeons to ensure patient safety.

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Area of Science:

  • Geriatric Medicine
  • Surgical Science
  • Neuroscience

Background:

  • Global retirement policies for surgeons vary significantly.
  • Ageing is associated with natural declines in human functional abilities.
  • Increasing life expectancy raises concerns about the performance of ageing surgeons and patient safety.

Purpose of the Study:

  • To investigate the impact of ageing on surgeon performance.
  • To identify practical strategies for transitioning older surgeons out of practice.

Main Methods:

  • A narrative review of MEDLINE-indexed articles using keywords 'ageing' and 'surgeon'.
  • Article selection guided by Modified PRISMA guidelines.
  • Inclusion criteria focused on studies exploring age-related brain changes and their effect on surgical performance.

Main Results:

  • 36 articles were included from 1811 initial results.
  • Significant individual variation exists in the functional abilities of ageing surgeons.
  • Patient outcomes showed considerable variability linked to surgeon age, with a lack of specific neuroimaging research and performance markers.

Conclusions:

  • Surgical competence assessment should prioritize individual functional ability over chronological age.
  • Retirement policies for surgeons need to be informed by objective, individual-based functional assessments.
  • Standardized, age-related surgical ability policies are currently lacking worldwide.