Waxman Bruce Philip
Director of Education and Research, South East Sector, Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Dandenong, VIC, Australia
Australas Psychiatry. 2016 Apr;24(2):155-6. doi: 10.1177/1039856216632401. Epub 2016 Feb 24.
The Royal Australasian College of Surgeons (RACS) has been innovative in developing core competencies, which provide a framework for assessing performance and a 'Code of Conduct', for the lifelong journey of all surgeons. The older surgeon may face significant challenges, having passed their peak, with a lower volume of cases, and potentially increased complications. They also face the challenges of retiring from active clinical practice with its logistical and psychological dilemmas. The RACS has, therefore, put in place several initiatives to deal with these dilemmas.
The Senior Surgeons' Group, which conducts annual 'Building Towards Retirement' workshops, has been the driving force behind these initiatives. The group has a regular program in the RACS Annual Scientific Congress, including the multidisciplinary session 'The ageing specialist - challenges for regulators: hypothetical' which took place in 2014, and some of its members are part of a multidisciplinary team with an approach to adapting to ageing that encourages self-reflection and self-monitoring. It has also influenced the RACS Council to change the continuing professional development (CPD) regulations to include requirements for ageing surgeons regards health maintenance, peer reviews, and modified requirements to satisfy CPD completion. The RACS offers a variety of other opportunities for the ageing surgeon to remain active in college activities.
澳大利亚皇家外科学院(RACS)在制定核心能力方面具有创新性,这些核心能力为评估所有外科医生的终身职业表现提供了一个框架以及一部“行为准则”。年长的外科医生可能面临重大挑战,他们已过巅峰期,手术量减少,并发症可能增加。他们还面临从积极的临床实践中退休所带来的后勤和心理困境。因此,RACS已采取多项举措来应对这些困境。
开展年度“迈向退休”研讨会的资深外科医生小组是这些举措背后的推动力量。该小组在RACS年度科学大会上有定期活动安排,包括2014年举行的多学科会议“老龄化专家——监管者面临的挑战:假设情况”,其一些成员是一个多学科团队的一部分,该团队采取一种适应老龄化的方法,鼓励自我反思和自我监督。它还影响了RACS理事会修改继续职业发展(CPD)规定,将对年长外科医生在健康维护、同行评审方面的要求以及满足CPD完成的修改要求纳入其中。RACS为年长的外科医生提供了各种其他机会,使其能够继续积极参与学院活动。