title: The aging psychiatrist: lessons from our colleagues in surgery and anaesthesia.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Director of Education and Research, South East Sector, Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Dandenong, VIC, Australia Bruce.Waxman@monashhealth.org.
authors.forename: Bruce Philip
authors.initials: BP
authors.lastname: Waxman
mesh_terms: D000375:Aging / Q000523:psychology*; D000776:Anesthesiology / Q000592:standards*; D002983:Clinical Competence / Q000592:standards*; D006801:Humans; D011570:Psychiatry / Q000592:standards*; D012179:Retirement / Q000523:psychology* / Q000592:standards*; D066231:Surgeons / Q000592:standards*
keywords: ageing; cognitive function; surgeons