➤ Aging is associated with well-documented neurocognitive and psychomotor changes.➤ These changes can be expected to impact the skill with which orthopaedic surgeons continue to perform surgical procedures.➤ Currently, there is no standardized approach for assessing the changes in surgical skills and clinical judgment that may occur with aging.➤ Oversight by the U.S. Equal Employment Opportunity Commission, the impact of the Age Discrimination in Employment Act, and the current legal climate make it difficult to institute a mandatory assessment program.➤ The regularly scheduled credentialing process that occurs at each institution can be the most effective time to assess for these changes because it utilizes an established process that occurs at regularly scheduled intervals.➤ Each department of orthopaedic surgery and institution should determine an approach that can be utilized when there is concern that a surgeon’s surgical skills have shown signs of deterioration.

中文翻译：

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外科手术和老龄化骨科医生


➤ 衰老与有据可查的神经认知和精神运动变化有关。 ➤ 这些变化预计将影响骨科医生继续执行外科手术的技能。 ➤ 目前，还没有标准化的方法来评估随着年龄增长可能发生的手术技能和临床判断的变化。 ➤ 美国平等就业机会委员会的监督、《就业年龄歧视法》的影响以及当前的法律环境使得制定强制性评估计划变得困难。 ➤ 每个机构定期进行的认证流程可能是评估这些变化的最有效时间，因为它利用了定期进行的既定流程。 ➤ 每个骨科手术部门和机构都应确定一种当担心外科医生的手术技能出现恶化迹象时可以使用的方法。