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Should we screen aging physicians for cognitive decline?

Natalia Shilnikova1,2, Franco Momoli1,3, Mohamed Kadry Taher2,3,4

  • 1Risk Sciences International, Ottawa, Canada.

Aging & Mental Health
|September 11, 2023
PubMed
Summary
This summary is machine-generated.

Cognitive decline in older physicians may affect clinical performance. Implementing cognitive testing requires careful consideration of interpretation challenges and limited evidence linking test results to actual practice.

Keywords:
Physicianclinical performancecognitive agingcognitive assessmentcompetencefitness for practice

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Area of Science:

  • Geriatric Medicine
  • Medical Education
  • Neuroscience

Background:

  • Physician cognitive abilities may decline with age, potentially impacting clinical performance.
  • Self-assessment of cognitive decline is often inaccurate among practicing physicians.
  • Physicians may be reluctant to report colleagues' cognitive issues, complicating peer review.

Approach:

  • A systematic literature search was conducted across major databases (Medline, EMBASE, PsycInfo, ERIC).
  • Key findings regarding physician cognitive function, performance, and assessment were abstracted and synthesized.
  • Evidence relevant to cognitive testing of older physicians was compiled to inform decision-making.

Key Points:

  • Cognitive scores are lower in physicians referred for performance concerns.
  • Most cognitive assessment tools lack physician-specific normative data.
  • Limited scientific evidence directly links cognitive test results to physician performance.
  • No established threshold for cognitive decline defines unfitness to practice.
  • Cognitive domains relevant to practice vary by medical specialty.

Conclusions:

  • Physician cognitive decline is a potential concern for clinical performance.
  • Implementing cognitive assessment for older physicians necessitates addressing the complexities of interpreting test results.
  • Further research is needed to establish clearer links between cognitive function and clinical practice standards.