Skip to main content
Erschienen in: Clinical Orthopaedics and Related Research® 2/2009

01.02.2009 | Symposium: Clinical Risk and Judicial Reasoning

The Problem of the Aging Surgeon: When Surgeon Age Becomes a Surgical Risk Factor

verfasst von: Ralph B. Blasier, MD, JD

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 2/2009

Einloggen, um Zugang zu erhalten

Abstract

The question of when a surgeon should retire has been the subject of debate for decades. Both anecdotal evidence and objective testing of surgeons suggest age causes deterioration in physical and cognitive performance. Medical education, residency and fellowship training, and technology evolve at a rapid pace, and the older a surgeon is, the more likely it is he or she is remote from his or her initial education in his or her specialty. Research also shows surgeons are reluctant to plan for retirement. Although there is no federally mandated retirement age for surgeons in the United States, surgeons must realize their skills will decline, a properly planned retirement can be satisfying, and the retired surgeon has much to offer the medical and teaching community.
Literatur
1.
Zurück zum Zitat Ahmad S, Lettsome L, Schuricht A. The role of laparoscopy in the management of groin hernia. JSLS. 1998;2:169–173.PubMed Ahmad S, Lettsome L, Schuricht A. The role of laparoscopy in the management of groin hernia. JSLS. 1998;2:169–173.PubMed
2.
Zurück zum Zitat Baratham G. 11th Chapter of Surgeons Lecture—the art of letting go. Ann Acad Med Singapore. 2001;30:89–92.PubMed Baratham G. 11th Chapter of Surgeons Lecture—the art of letting go. Ann Acad Med Singapore. 2001;30:89–92.PubMed
3.
Zurück zum Zitat Boothman R. Wayne State University Law School Lecture; Oct 27, 2005; Detroit, MI. Boothman R. Wayne State University Law School Lecture; Oct 27, 2005; Detroit, MI.
5.
Zurück zum Zitat Callaghan CJ, Couto E, Kerin MJ, Rainsbury RM, George WD, Purushotham AD. Breast reconstruction in the United Kingdom and Ireland. Br J Surg. 2002;89:335–340.PubMedCrossRef Callaghan CJ, Couto E, Kerin MJ, Rainsbury RM, George WD, Purushotham AD. Breast reconstruction in the United Kingdom and Ireland. Br J Surg. 2002;89:335–340.PubMedCrossRef
6.
Zurück zum Zitat Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005;142:260–273.PubMed Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005;142:260–273.PubMed
7.
Zurück zum Zitat Draper B, Winfield S, Luscombe G. The older psychiatrist and retirement. Int J Geriatr Psychiatry. 1997;12:233–239.PubMedCrossRef Draper B, Winfield S, Luscombe G. The older psychiatrist and retirement. Int J Geriatr Psychiatry. 1997;12:233–239.PubMedCrossRef
8.
Zurück zum Zitat Greenfield LJ. Farewell to surgery. J Vasc Surg. 1994;19:6–14.PubMed Greenfield LJ. Farewell to surgery. J Vasc Surg. 1994;19:6–14.PubMed
9.
Zurück zum Zitat Greenfield LJ, Proctor MC. Attitudes toward retirement. A survey of the American Surgical Association. Ann Surg. 1994;220:382–389; discussion 387–390.PubMedCrossRef Greenfield LJ, Proctor MC. Attitudes toward retirement. A survey of the American Surgical Association. Ann Surg. 1994;220:382–389; discussion 387–390.PubMedCrossRef
10.
Zurück zum Zitat Greenfield LJ, Proctor MC. When should a surgeon retire? Adv Surg. 1999;32:385–393.PubMed Greenfield LJ, Proctor MC. When should a surgeon retire? Adv Surg. 1999;32:385–393.PubMed
11.
Zurück zum Zitat Heck DA, Robinson RL, Partridge CM, Lubitz RM, Freund DA. Patient outcomes after knee replacement. Clin Orthop Relat Res. 1998;356:93–110.PubMedCrossRef Heck DA, Robinson RL, Partridge CM, Lubitz RM, Freund DA. Patient outcomes after knee replacement. Clin Orthop Relat Res. 1998;356:93–110.PubMedCrossRef
12.
Zurück zum Zitat Johnson FE, Novell LA, Coplin MA, Longo WE, Vernava AM, Wade TP, Virgo KS. How practice patterns in colon cancer patient follow-up are affected by surgeon age. Surg Oncol. 1996;5:127–131.PubMedCrossRef Johnson FE, Novell LA, Coplin MA, Longo WE, Vernava AM, Wade TP, Virgo KS. How practice patterns in colon cancer patient follow-up are affected by surgeon age. Surg Oncol. 1996;5:127–131.PubMedCrossRef
13.
Zurück zum Zitat Kirk RM. The retired surgeon: a potential teaching resource. Ann R Coll Surg Engl. 1997;79(Suppl):73–74.PubMed Kirk RM. The retired surgeon: a potential teaching resource. Ann R Coll Surg Engl. 1997;79(Suppl):73–74.PubMed
14.
Zurück zum Zitat Margenthaler JA, Johnson DY, Virgo KS, Fosko SW, Chan D, Goshima K, Handler BS, Johnson FE. Evaluation of patients with clinically suspected melanoma recurrence: current practice patterns of plastic surgeons. Int J Oncol. 2002;21:591–596.PubMed Margenthaler JA, Johnson DY, Virgo KS, Fosko SW, Chan D, Goshima K, Handler BS, Johnson FE. Evaluation of patients with clinically suspected melanoma recurrence: current practice patterns of plastic surgeons. Int J Oncol. 2002;21:591–596.PubMed
15.
Zurück zum Zitat Miscall BG, Tompkins RK, Greenfield LJ. ACS survey explores retirement and the surgeon. Bull Am Coll Surg. 1996;81:18–25.PubMed Miscall BG, Tompkins RK, Greenfield LJ. ACS survey explores retirement and the surgeon. Bull Am Coll Surg. 1996;81:18–25.PubMed
16.
Zurück zum Zitat Neumayer LA, Gawande AA, Wang J, Giobbie-Hurder A, Itani KM, Fitzgibbons RJ Jr, Reda D, Jonasson O. Proficiency of surgeons in inguinal hernia repair: effect of experience and age. Ann Surg. 2005;242:344–348; discussion 348–352.PubMed Neumayer LA, Gawande AA, Wang J, Giobbie-Hurder A, Itani KM, Fitzgibbons RJ Jr, Reda D, Jonasson O. Proficiency of surgeons in inguinal hernia repair: effect of experience and age. Ann Surg. 2005;242:344–348; discussion 348–352.PubMed
17.
Zurück zum Zitat O’Neill L, Lanska DJ, Hartz A. Surgeon characteristics associated with mortality and morbidity following carotid endarterectomy. Neurology. 2000;55:773–781.PubMed O’Neill L, Lanska DJ, Hartz A. Surgeon characteristics associated with mortality and morbidity following carotid endarterectomy. Neurology. 2000;55:773–781.PubMed
18.
Zurück zum Zitat Rovit RL. To everything there is a season and a time to every purpose: retirement and the neurosurgeon. J Neurosurg. 2004;100:1123–1129.PubMedCrossRef Rovit RL. To everything there is a season and a time to every purpose: retirement and the neurosurgeon. J Neurosurg. 2004;100:1123–1129.PubMedCrossRef
19.
Zurück zum Zitat Trunkey DD, Botney R. Assessing competency: a tale of two professions. J Am Coll Surg. 2001;192:385–395.PubMedCrossRef Trunkey DD, Botney R. Assessing competency: a tale of two professions. J Am Coll Surg. 2001;192:385–395.PubMedCrossRef
20.
Zurück zum Zitat Virshup B, Coombs RH. Physicians’ adjustment to retirement. West J Med. 1993;158:142–144.PubMed Virshup B, Coombs RH. Physicians’ adjustment to retirement. West J Med. 1993;158:142–144.PubMed
21.
Zurück zum Zitat Wang DS, Winfield HN. Survey of urological laparoscopic practice patterns in the midwest. J Urol. 2004;172:2282–2286.PubMedCrossRef Wang DS, Winfield HN. Survey of urological laparoscopic practice patterns in the midwest. J Urol. 2004;172:2282–2286.PubMedCrossRef
Metadaten
Titel
The Problem of the Aging Surgeon: When Surgeon Age Becomes a Surgical Risk Factor
verfasst von
Ralph B. Blasier, MD, JD
Publikationsdatum
01.02.2009
Verlag
Springer-Verlag
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 2/2009
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0587-7

Weitere Artikel der Ausgabe 2/2009

Clinical Orthopaedics and Related Research® 2/2009 Zur Ausgabe

Symposium: Clinical Risk and Judicial Reasoning

Beyond Informed Consent: Educating the Patient

Symposium: Clinical Risk and Judicial Reasoning

The Regulation of Medical Malpractice in Japan

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.