The greying intensivist: Ageing and medical practice - everyone's problem

Medical Journal of Australia

Volumn 196, Issue 8, 2012, Pages

  Skowronski, George A ^a,b   Peisah, Carmelle ^a,c  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

^b ST GEORGE HOSPITAL   (Australia)

^c BANKSTOWN LIDCOMBE HOSPITAL   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

AGING; ANXIETY DISORDER; ARTICLE; CAREER MOBILITY; CHRONIC DISEASE; COGNITIVE DEFECT; COLOR DISCRIMINATION; DEPRESSION; EPISODIC MEMORY; EXECUTIVE FUNCTION; HEALTH CARE PLANNING; HEART DISEASE; HUMAN; INSTITUTIONALIZATION; MANDATORY PROGRAM; MEDICAL PRACTICE; MEDICAL SPECIALIST; MENTAL PERFORMANCE; PHYSICIAN ATTITUDE; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; PROFESSIONAL COMPETENCE; RECEPTIVE FIELD; RETIREMENT; RISK ASSESSMENT; RISK FACTOR; SOCIAL STATUS; VISUAL ACUITY; WELLBEING; WORK ENVIRONMENT; WORKLOAD; AUSTRALIA; CLINICAL COMPETENCE; INTENSIVE CARE; ORGANIZATION AND MANAGEMENT; PHYSICIAN; PROFESSIONAL PRACTICE;

AGING; AUSTRALIA; CLINICAL COMPETENCE; HUMANS; INTENSIVE CARE; PHYSICIANS; PROFESSIONAL PRACTICE; RETIREMENT; WORKLOAD;

EID: 84861584544     PISSN: 0025729X     EISSN: 13265377     Source Type: Journal    
DOI: 10.5694/mja11.11579     Document Type: Article

References (28)

1. Australian Institute of Health and Welfare. Medical labour force 2008. Canberra: AIHW, 2010. (AIHW. Cat. No. AUS 131; Bulletin No. 82.) http://www.aihw.gov.au/publication-detail/?id=6442468395&tab=2 (accessed Mar 2012).
2. 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.
3. Schofield DJ, Beard JR. Baby boomer doctors and nurses: demographic change and transitions to retirement. Med J Aust 2005; 183: 80-83.
4. Adsett J, Roddis M. Do senior doctors need career development? BMJ Careers 2005; 26 Nov. http://careers.bmj.com/careers/advice/view-article.html?id=1301 (accessed Mar 2012).
5. American College of Emergency Physicians. Considerations for emergency physicians in pre-retirement years. Ann Emerg Med 2009; 54: 641.
6. Waljee JF, Greenfield LJ, Dimick JB, Birkmeyer JD. Surgeon age and operative mortality in the United States. Ann Surg 2006; 244: 353-362.
7. Drag LL, Bieliauskas LA, Langenecker SA, Greenfield LJ. Cognitive functioning, retirement status, and age: results from the Cognitive Changes and Retirement among Senior Surgeons study. J Am Coll Surg 2010; 211: 303-307.
8. Peisah C, Latif E, Wilhelm K, Williams B. Secrets to psychological success: why older doctors might have lower psychological distress and burnout than younger doctors. Aging Ment Health 2009; 13: 300-307.
9. Garland, A. Multicentre Intensivist Weekend Scheduling Study 2010. http://clinicaltrials.gov/ct2/show/NCT01145443 (accessed Mar 2012).
10. Carpenter LM, Swerdlow AJ, Fear NT. Mortality of doctors in different specialties: findings from a cohort of 20000 NHS hospital consultants. Occup Environ Med 1997; 54: 388-395.
11. Baldisseri MR. Impaired healthcare professional. Crit Care Med 2007; 35 (2 Suppl): S106-S116.
12. Australian Medical Association. Health and wellbeing of doctors and medical students - 2011. http://ama.com.au/node/6551 (accessed Mar 2012).
13. Riley GJ. Understanding the stresses and strains of being a doctor. Med J Aust 2004; 181: 350-353.
14. Guntupalli K K, Fromm RE Jr. Burnout in the internist- intensivist. Intensive Care Med 1996; 22: 625-630.
15. Shehabi Y, Dobb G, Jenkins I, et al, Burnout syndrome among Australian intensivists: a survey. Crit Care Resusc 2008; 10: 312-315.
16. Dobb G. Stresses change, but do not go away. Australian Medicine 2009; 21: 12.
17. Peisah C, Wilhelm K. Physician don't heal thyself: a descriptive study of impaired older doctors. Int Psychogeriatr 2007; 19: 974-984.
18. Australian Medical Association. Work-life flexibility survey: report of findings. Canberra: AMA, 2008. http://ama.com.au/node/4168 (accessed Mar 2012).
19. Peisah C, Willhelm K. The impaired ageing doctor. Intern Med J 2002; 32: 457-459.
20. Turnbull J, Cunnington J, Unsal A, et al. Competence and cognitive difficulty in physicians: a follow-up study. Acad Med 2006; 81: 915-918.
21. Christensen H. What cognitive changes can be expected with normal ageing? Aust N Z J Psychiatry 2001; 35: 768-775.
22. Eva K W. The aging physician: changes in cognitive processing and their impact on medical practice. Acad Med 2002; 77 (10 Suppl): S1-S6.
23. Khaliq AA, Dimassi H, Huang CY, et al. Disciplinary action against physicians: who is likely to get disciplined? Am J Med 2005; 118: 773-777.
24. Collier R. Diagnosing the aging physician. CMAJ 2008; 178: 1121-1123.
25. Finucane PM, Bourgeois-Law GA, Ineson SL, Kaigas TM; International Performance Assessment Coalition. A comparison of performance assessment programs for medical practitioners in Canada, Australia, New Zealand, and the United Kingdom. Acad Med 2003; 78: 837-843.
26. Peisah C, Gautam M, Goldstein MZ. Medical masters: a pilot study of adaptive ageing in physicians. Australas J Ageing 2009; 28: 134-138.
27. Baker AB. The ageing anaesthetist. In: Riley R, editor. Australasian Anaesthesia 2001. Melbourne: Australian and New Zealand College of Anaesthetists, 2001: 1-12.
28. Morgan TJ. How long should you work as an intensive care consultant, and should there be consultant shift work? In: Proceedings of the College of Intensive Care Medicine Australian Scientific Meeting 2011 - Pushing the Boundaries of Intensive Care. Melbourne: College of Intensive Care Medicine, 2011: 36-39.