The medical profession’s silent challenge—how to handle declining skills in experienced surgeons—is becoming increasingly visible. A recent case at a Southern hospital illustrates a growing trend: even highly skilled doctors can experience cognitive impairment that compromises their ability to perform complex surgeries.
The Case: Hesitation in the Operating Room
A 78-year-old surgical oncologist raised red flags among his colleagues. His performance in the O.R. showed hesitation and a reliance on assistants for guidance, prompting the chief of surgery to demand a formal evaluation before renewing his practice credentials. This isn’t an isolated incident.
Sinai Hospital’s Aging Surgeon Program
Since 2015, Sinai Hospital in Baltimore has been running a program to screen surgeons over 75. The program includes a rigorous two-day physical and cognitive assessment. Roughly 30 surgeons nationwide have undergone these tests. The case in question was not self-referred; the doctor was compelled to participate.
Mild Cognitive Impairment and Career Adjustments
The evaluation revealed mild cognitive impairment —a condition that doesn’t always lead to dementia, but can still affect complex surgical skills. The neuropsychologist concluded that the surgeon’s difficulties would likely impact his ability to perform high-stakes procedures. However, the hospital didn’t force retirement. Instead, the surgeon was removed from the O.R. but allowed to continue seeing patients in a clinic setting, leveraging his decades of accumulated knowledge.
This approach reflects a growing recognition that experience remains valuable even as cognitive abilities decline. The question is no longer if doctors will age, but how to ensure patient safety while respecting the contributions of seasoned professionals. This case is a reminder that the medical system must adapt to the reality of an aging workforce, and the need for proactive evaluation and thoughtful transition plans.
