Cognitive changes and retirement among senior surgeons (CCRASS): Results from the CCRASS study
Cognitive changes and retirement among senior surgeons (CCRASS): Results from the CCRASS study
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DOI：
10.1016/j.jamcollsurg.2008.01.022
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发表时间：
2008-07-01
影响因子：
5.2
通讯作者：
Greenfield, Lazar J.
中科院分区：
文献类型：
--
作者：
Bieliauskas, Linas A.;Langenecker, Scott;Greenfield, Lazar J.
背景技术背景：由于个体的认知老化速度不同，因此人们对如何确保老年外科医生具有提供适当护理的体力和精神耐力、协调性、反应时间和判断力非常感兴趣。为了阐明与年龄相关的认知变化、退休决定和外科实践模式变化之间的潜在关系，本研究旨在确定高级外科医生认知变化的具体参数。计算机认知任务测量持续注意力，反应时间，视觉学习，在为期6年的美国外科医生学会年会上，对359名外科医生进行了为期6年的研究。一个自我报告的调查，也管理，以评估主观认知的变化和状态的手术实践和退休decisions.RESULTS：预期的年龄相关的认知能力下降表现在所有措施，虽然测量的反应时间是显着优于年龄适当的规范。自我报告的主观认知变化与退休状态之间存在显著关系，但与手术实践的变化无关。然而，主观认知变化和客观认知测量之间没有显著关系。有显着的年龄和退休的决定或状态之间的关系，年龄和手术practice.CONCLUSIONS的变化：这些结果表明，虽然自我感知的认知变化发挥了作用，在决定退休，他们不相关的认知变化的客观措施，是不可靠的决定退休。发展容易获得的措施，认知变化与老龄化可能有助于决定继续手术实践或退休。
BACKGROUND: Because individuals age cognitively at different rates, there is considerable interest in ways to assure that older surgeons have the physical and mental stamina, coordination, reaction time, and judgment to provide appropriate care. To clarify potential relationships between cognitive changes related to aging, the decision to retire, and changes in patterns of surgical practice, this study aimed to identify specific parameters of cognitive change among senior surgeons.STUDY DESIGN: Computerized cognitive tasks measuring sustained attention, reaction time, visual learning, and memory were administered to 359 surgeons at the annual meetings of the American College of Surgeons over a 6-year period. A self-report survey was also administered to assess subjective cognitive changes and the status of surgical practice and retirement decisions.RESULTS: Expected age-related cognitive decline was demonstrated on all measures, although measured reaction time was notably better than age-appropriate norms. There was a marked relationship between self-reported subjective cognitive change and retirement status, but not to changes in surgical practice. There was no notable relationship, however, between subjective cognitive change and objective cognitive measures. There were marked relationships between age and retirement decision or status and between age and changes in surgical practice.CONCLUSIONS: These results suggest that although self-perceived cognitive changes play a role in the decision to retire, they are not related to objective measures of cognitive change, and are not reliable in the decision to retire. The development of readily accessible measures of cognitive changes related to aging may serve to assist decisions either to continue surgical practice or to retire.