Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-29T00:33:01.207Z Has data issue: false hasContentIssue false

Chapter 7 - The Aging Surgeon

from Part I - General Ethics

Published online by Cambridge University Press:  29 May 2020

Stephen Honeybul
Affiliation:
Sir Charles Gairdner Hospital, Royal Perth and Fiona Stanley Hospitals
Get access

Summary

Over the past two hundred years the average global life expectancy has increased from just over thirty years of age to well over seventy years of age. There are many reasons for this ranging from the eradication of certain diseases, life style changes and improvements in public health. As people have lived longer, so they have worked longer, and this is reflected in the changing demographic of the workforce. However, notwithstanding this increase in life expectancy the aging process can takes in toll in terms of cognitive and functional decline which may have an impact on the ability of the older person to perform satisfactorily in the workplace. Where this involves physicians and surgeons there is obvious concern for patient safety.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Greenfield, L. J., Proctor, M. C. When should a surgeon retire? Adv. Surg. 1999; 32: 38593.Google Scholar
Eva, K. W. The aging physician: changes in cognitive processing and their impact on medical practice. Acad. Med. 2002; 77(10 Suppl): S16.CrossRefGoogle ScholarPubMed
Cherian, S. M., Nicks, R., Lord, R. S. Ernst Ferdinand Sauerbruch: rise and fall of the pioneer of thoracic surgery. World J. Surg. 2001; 25: 101220.CrossRefGoogle ScholarPubMed
Choudhry, N. K., Fletcher, R. H., Soumerai, S. B. Systematic review: the relationship between clinical experience and quality of health care. Ann. Intern. Med. 2005; 142: 26073.CrossRefGoogle ScholarPubMed
Hartz, A. J., Kuhn, E. M., Pulido, J. Prestige of training programs and experience of bypass surgeons as factors in adjusted patient mortality rates. Med. Care 1999; 37: 93103.Google Scholar
O’Neill, L., Lanska, D. J., Hartz, A. Surgeon characteristics associated with mortality and morbidity following carotid endarterectomy. Neurology 2000; 55: 77381.Google Scholar
Waljee, J. F., Greenfield, L. J., Dimick, J. B., et al. Surgeon age and operative mortality in the United States. Ann. Surg. 2006; 244: 35362.CrossRefGoogle ScholarPubMed
Tsugawa, Y., Newhouse, J. P., Zaslavsky, A. M., et al. Physician age and outcomes in elderly patients in hospital in the US: observational study. BMJ 2017; 357; j1797.CrossRefGoogle ScholarPubMed
DesRoches, C. M., Rao, S. R., Fromson, J. A., et al. Physicians’ perceptions, preparedness or reporting, and experiences related to impaired and incompetent colleagues. JAMA 2010; 304: 18793.Google Scholar
American Medical Association. Report of the Council of Medical Education, Report 5, Competency and the Aging Physician. 2015. Available at: www.cppph.org/wp-content/uploads/2016/02/AMA-Council-on-Medical-Education-Aging-Physician-Report-2015.pdf.Google Scholar
Ries, M. L., Jabbar, B. M., Schmitz, T. W., et al. Anosognosia in mild cognitive impairment: Relationship to activation of cortical midline structures involved in self-appraisal. J. Int. Neuropsychol. Soc. 2007; 13: 45061.Google Scholar
Katlic, M. R., Coleman, J. The aging surgeon. Adv. Surg. 2016; 50: 93103.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×