Getting old

Redfern, N.; Clyburn, Paul; Grigoraş, Ioana; Calleja, Paul; Mellin‐Olsen, Jannicke; Novak-Jankovič, Vesna; Bobek, Ilona; Hert, Stefan De; Zacharowski, Kai; Robertis, Edoardo De

doi:10.1097/eja.0000000000001266

Cited by 7 publications

(7 citation statements)

References 8 publications

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“…There is a reduction in the capacity to adapt to shift work with increasing age; older workers' cognitive performance may be more impaired during night work but they may be less aware of their degree of impairment. Older anaesthetists may be slower at recognising and managing new situations, but are just as quick to respond when they are not tired and are able to draw on previous experience [13].…”

Section: Potential Impact Of Age On Performancementioning

confidence: 99%

Age and the anaesthetist: considerations for the individual anaesthetist and workforce planning

Davies

Clyburn

Barker³

et al. 2022

Anaesthesia

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There is clear evidence of a growing workforce gap and this is compounded by demographic data that show the current workforce is ageing. Within the current workforce, more doctors are taking voluntary early retirement and the loss of these experienced clinicians from departments can have wide-ranging effects. Older doctors are at risk of age-related health problems (e.g. sight, musculoskeletal, menopause) and are more susceptible to the effects of fatigue, which may increase the risk of error and or complaint. The purpose of this working party and advocacy campaign was to address concerns over the number of consultants retiring at the earliest opportunity and whether a different approach could extend the working career of consultant anaesthetists and SAS doctors. This could be viewed as `pacing your career´. The earlier this is considered in a clinician's career the greater the potential mitigation on individuals.

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Section: Potential Impact Of Age On Performancementioning

confidence: 99%

Age and the anaesthetist: considerations for the individual anaesthetist and workforce planning

Davies

Clyburn

Barker³

et al. 2022

Anaesthesia

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“…The pandemic has brought into sharp focus the difficulties of excessive workload, understaffing and poor working conditions. Much has been written about impacts on staff wellbeing, there is increased public awareness of the challenges we face and, in many countries, there has been interest in trying to improve matters 13,15 …”

Section: Fatigue Risk Management Systemsmentioning

confidence: 99%

“…There should be specific initiatives to protect anaesthesiologists, intensivists and healthcare workers aged more than 55 years involved in overnight work, as the impact of fatigue can worsen with age. 15 Could we institute some of these measures and start to build up an FRMS that works in healthcare settings? Measures could be introduced such as making rest facilities and their usage the norm, minimising the chance of healthcare workers becoming impaired at work through thoughtful rota planning, providing enough staffing and providing education for individuals regarding the impact of fatigue on clinical practice, and additional team effort to detect staff who are overly tried and to support them in an appropriate way.…”

Section: Fatigue Risk Management Systemsmentioning

confidence: 99%

“…Karolinska Sleepiness Score and Epworth Sleepiness Scale) and fitness to drive home, places to sleep before going home at the end of a shift, and provision of other forms of transport, such as taxis. There should be specific initiatives to protect anaesthesiologists, intensivists and healthcare workers aged more than 55 years involved in overnight work, as the impact of fatigue can worsen with age 15 …”

Section: Fatigue Risk Management Systemsmentioning

confidence: 99%

“…Much has been written about impacts on staff wellbeing, there is increased public awareness of the challenges we face and, in many countries, there has been interest in trying to improve matters. 13,15 Conclusion Some will embrace the new; innovators and early adopters who welcome improvement. It only takes 20% of people altering behaviour to start and establish new norms.…”

Section: Fatigue Risk Management Systemsmentioning

confidence: 99%

See 2 more Smart Citations

Fatigue in anaesthesiology

Redfern

Bilotta

Abramovich

et al. 2023

European Journal of Anaesthesiology

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Setting a direction for continuing professional development in anesthesiology: A synthesis of the outcome from an Utstein style meeting

Petersen,

Østergaard,

Østergaard

et al. 2024

Acta Anaesthesiol Scand

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BackgroundAn Utstein style meeting of key stakeholders from the existing collaboration surrounding post‐graduate training was arranged to set a direction for continuing professional development (CPD) of anesthesiologists in Denmark. A 2‐day meeting was planned to guide discussions about competencies in anesthesiology, facilitate the development of a blueprint for a portfolio‐based CPD program and provide examples of how a portfolio can be used in practice.MethodsThe meeting agenda was based on an adaptation of Kern's six‐step approach to curriculum development. Twenty‐four participants from the university hospitals in Denmark were invited. Prior to the meeting participants were informed of the objectives and the Utstein style process.ResultsParticipants acknowledged a need for a more structured approach to CPD, preferably within the current organizational set up at the departmental level, and with a portfolio‐based, individualized curriculum. It was recognized that CPD should contain an array of possibilities to accommodate needs and wants of both the individual and the department. It was emphasized that, while anesthesiologists are used to give feedback to trainees, many are less familiar in providing the same to peers, and psychological safety was identified as a prerequisite to support a culture where specialists can reflect openly on each other's performance.ConclusionThe results provide an insight into the attitudes, opportunities, and challenges of anesthesiologists in relation to continuing professional development in Denmark. Generally, participant suggestions are in line with the shift in medical education toward workplace‐based learning, feedback and lifelong learning.

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Getting old

Cited by 7 publications

References 8 publications

Age and the anaesthetist: considerations for the individual anaesthetist and workforce planning

Age and the anaesthetist: considerations for the individual anaesthetist and workforce planning

Fatigue in anaesthesiology

Setting a direction for continuing professional development in anesthesiology: A synthesis of the outcome from an Utstein style meeting

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