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April 2021; 11 (2) Commentary

Cognitive Impairment in Aging Physicians

Current Challenges and Possible Solutions

Gayatri Devi, Darren R. Gitelman, Daniel Press, Kirk R. Daffner
First published March 13, 2020, DOI: https://doi.org/10.1212/CPJ.0000000000000829
Gayatri Devi
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.
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Darren R. Gitelman
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.
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Daniel Press
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.
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Kirk R. Daffner
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.
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Cognitive Impairment in Aging Physicians
Current Challenges and Possible Solutions
Gayatri Devi, Darren R. Gitelman, Daniel Press, Kirk R. Daffner
Neurol Clin Pract Apr 2021, 11 (2) 167-174; DOI: 10.1212/CPJ.0000000000000829

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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.

Footnotes

  • Funding information and disclosures are provided at the end of the article. Full disclosure form information provided by the authors is available with the full text of this article at Neurology.org/cp.

  • Editorial, page 89

  • Received November 15, 2019.
  • Accepted February 11, 2020.
  • © 2020 American Academy of Neurology
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