Interesting discussion of a thorny issue.
"A suggested schedule might include no further on-call duties for those aged 60 yr and older, no further high-acuity cases for those aged 65 yr and older, and retirement from operating room (OR) clinical practice (with possible continuation of non-OR clinical or other non-clinical activities, if desired) at age 70 yr." ..."Physicians have a strong cognitive reserve, resulting from higher education and advanced medical training, that may mask signs of early cognitive impairment."... "The older physician's wisdom and experience often compensate for any cognitive impairment, and this compensatory method fails only in advanced stages of cognitive impairment."
"The Micro-cog(R) test in the Wechsler Adult Intelligence Scale test has been used to test cognitive decline of reactivity, attention, numeric recall, visuospatial facility, verbal memory, reasoning, and mental calculation, although the correlation with clinical ability is not established."
[Regarding the 360-degree assessment by peers:]"other healthcare professionals may have limited insight into expertise in anesthesiology"
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