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老年医生的认知障碍:当前挑战与可能的解决方案

Cognitive Impairment in Aging Physicians: Current Challenges and Possible Solutions.

作者信息

Devi Gayatri, Gitelman Darren R, Press Daniel, Daffner Kirk R

机构信息

Park Avenue Neurology (GD), New York City, NY; Advocate Lutheran General Hospital (DRG), Chicago, IL; Beth Israel Deaconess Medical Center (DP), Boston, MA; and Brigham and Women's Hospital (KRD), Boston, MA.

出版信息

Neurol Clin Pract. 2021 Apr;11(2):167-174. doi: 10.1212/CPJ.0000000000000829.

Abstract

Aging physicians are at a higher risk of cognitive impairment, undermining patient safety and unraveling physicians' careers. Neurologists, occupational health physicians, and psychiatrists will participate in both health system policy decisions and individual patient evaluations. We address cognitive impairment in aging physicians and attendant risks and benefits. If significant cognitive impairment is found after an appropriate evaluation, precautions to confidentially support physicians' practicing safely for as long as possible should be instituted. Understanding that there is heterogeneity and variability in the course of cognitive disorders is crucial to supporting cognitively impaired, practicing physicians. Physicians who are no longer able to practice clinically have other meaningful options.

摘要

年长的医生认知功能受损的风险更高,这会危及患者安全并断送医生的职业生涯。神经科医生、职业健康医生和精神科医生将参与卫生系统政策决策和个体患者评估。我们探讨年长医生的认知功能受损情况以及相关风险和益处。如果经过适当评估发现存在明显的认知功能受损,应采取预防措施,在确保保密的前提下,尽可能长期支持医生安全执业。认识到认知障碍病程存在异质性和变异性,对于支持仍在执业但认知功能受损的医生至关重要。不再能够临床执业的医生还有其他有意义的选择。

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