Life-course trajectories of working conditions and successful ageing.

AIMS: As populations are ageing worldwide, it is important to identify strategies to promote successful ageing. We investigate how working conditions throughout working life are associated with successful ageing in later life. METHODS: Data from two nationally representative longitudinal Swedish surveys were linked (n=674). In 1991, respondents were asked about their first occupation, occupations at ages 25, 30, 35, 40, 45 and 50 years and their last recorded occupation. Occupations were matched with job exposure matrices to measure working conditions at each of these time points. Random effects growth curve models were used to calculate intra-individual trajectories of working conditions. Successful ageing, operationalised using an index including social and leisure activity, cognitive and physical function and the absence of diseases, was measured at follow-up in 2014 (age 70 years and older). Multivariable ordered logistic regressions were used to assess the association between trajectories of working conditions and successful ageing. RESULTS: Intellectually stimulating work; that is, substantive complexity, in the beginning of one's career followed by an accumulation of more intellectually stimulating work throughout working life was associated with higher levels of successful ageing. In contrast, a history of stressful, hazardous or physically demanding work was associated with lower levels of successful ageing. CONCLUSIONS: Promoting a healthy workplace, by supporting intellectually stimulating work and reducing physically demanding and stressful jobs, may contribute to successful ageing after retirement. In particular, it appears that interventions early in one's employment career could have positive, long-term effects.

When should surgeons retire?

BACKGROUND: Retirement policies for surgeons differ worldwide. A range of normal human functional abilities decline as part of the ageing process. As life expectancy and their population increases, the performance ability of ageing surgeons is now a growing concern in relation to patient care. The aim was to explore the effects of ageing on surgeons' performance, and to identify current practical methods for transitioning surgeons out of practice at the appropriate time and age. METHODS: A narrative review was performed in MEDLINE using the terms 'ageing' and 'surgeon'. Additional articles were hand-picked. Modified PRISMA guidelines informed the selection of articles for inclusion. Articles were included only if they explored age-related changes in brain biology and the effect of ageing on surgeons' performance. RESULTS: The literature search yielded 1811 articles; of these, 36 articles were included in the final review. Wide variation in ability was observed across ageing individuals (both surgical and lay). Considerable variation in the effects of the surgeon's age on patient mortality and postoperative complications was noted. A lack of neuroimaging research exploring the ageing of surgeons' brains specifically, and lack of real markers available for measuring surgical performance, both hinder further investigation. Standard retirement policies in accordance with age-related surgical ability are lacking in most countries around the world. CONCLUSION: Competence should be assessed at an individual level, focusing on functional ability over chronological age; this should inform retirement policies for surgeons.

The ageing practitioner: ANZCA's recommendations.

OBJECTIVES: The aim is to present recommendations of the Australian and New Zealand College of Anaesthetists (ANZCA) with respect to practice implications for ageing specialists, together with brief discussion of effects of ageing on professional medical capabilities and recommendations on preparing to retire from medical practice. CONCLUSIONS: Practitioners should recognise that planning for retirement is part of good management of a medical career, and that the ageing process will inevitably compromise their ability to treat patients safely unless they retire at the appropriate time. Planning should include adequate financial preparation, and cultivation of interests and friends outside medicine. Practitioners should also realise that insight is likely to be compromised, so that they should seek colleagues who are trusted to advise them if/when they begin to lose competency. Lastly all practitioners should ensure that they consult a General Practitioner frequently, and that they have arranged all the proper legal instructions such as a Will, a Power of Attorney and an Advanced Health Directive.The ANZCA recommendations concerning ageing specialists have wide application to all medical specialties, not just for anaesthetists, and therefore all Medical Colleges should generate their own specific recommendations for ageing practitioners and the general effects of fatigue particularly for aged practitioners.

Road to Retirement: Not Necessarily the Road Less Traveled--Part I.

This article is the first of a three-part series that discusses the steps toward a successful retirement. This part reviews Social Security benefits, provides suggestions for selecting the timing for accepting Social Security benefits, and offers an explanation of individual retirement accounts. The article also acts as a checklist for retirement.

Caring and retirement: crossroads and consequences.

As older workers move closer to retirement, they are more likely to take on caring roles. This may affect their health, retirement plans, and income security. Retired men and women experience the caring role differently, with men less likely to be adversely affected and more likely to accept services and to derive satisfaction from caring. Carers make an important contribution to the lives of the people they care for and to the community. Caring is a productive role that can be sustained into older age, as long as the carer's health and well-being are maintained. More research is needed on the relationship between retirement and caring, to explore the extent of caring and its impact on retirement plans, income, and the physical and mental health of retired carers. This information could then be built into retirement planning to better prepare older workers for this important role. Caring roles and retirement intersect in several ways. About 6 million Americans, 2.6 million Australians, and 6 million people in the United Kingdom are informal carers. People (especially men) are more likely to take on caring roles as they get older and leave the paid workforce. The need to care for a spouse or older relative can be an unanticipated outcome or a precipitator of retirement. Retirement may coincide with illness or disability of a parent or spouse, or may be forced by the demands of caring. Caring may bring about major changes to retirement plans. The financial impact of having been a carer during one's working life may also be felt most keenly on retirement, through the lack of opportunities for savings and retirement fund co-contributions.

Making the End as Good as the Beginning: Financial Planning and Retirement for Women Plastic Surgeons.

Financial planning is critically important to ensure financial security both during a plastic surgical career and in retirement. Unfortunately, plastic surgery training includes very little in the way of financial planning. The information that is available in the literature is mostly geared toward men. Women, with longer lifespans and more family care responsibilities, have unique needs when it comes to financial planning. Adequate attention must also be paid to life after retirement. A plastic surgical career can be all-encompassing, and thus women need to carefully plan volunteer activities, new hobbies, and even a second career to make their retirement years fulfilling and enjoyable. Key points regarding financial planning during the various phases of a woman plastic surgeon's career are discussed. Options for retirement are presented.

Retirement issues for radiologists: consensus statement on successful planning by the Commission on Human Resources of the ACR.

Successful retirement planning requires a determination of which activities and relationships may replace those associated with the current full-employment position. Next, there must be acceptance of leaving the profession behind. Finally, the individual must determine the specific decisions and actions that must be made to transition to successful retirement in the future. To be successful, the entire process should occur over a period of several years. Alternatively, bridge employment may play a significant role in the transition from full-employment to full-time retirement.

Twenty questions for retirement.

In the course of my citywide peregrinations over the past six years I have encountered many retired colleagues. Oddly, their response to retirement has been mixed; that prompted me to survey this group to get some sense of how they are dealing with such a dramatic change in lifestyle. A set of twenty questions was mailed to 80 individuals from varying specialties in the Oklahoma County area; 56 (70%) were completed and returned. Here is a list of the questions and a summary of the answers. The answers vary widely but do reveal some trends.

At the end of the match: exploring retirement of Italian football players / Al final del partido: Explorando la retirada de los jugadores de fútbol italianos

Retirement of Italian football players is unknown, thus, after analysing current literature about leaving from sport and using a Phenomenological-Interpretative approach we develop an explorative study on Italian former football players’ experience of withdrawal. We interview 14 former players that competed in the highest level of Italian football Championship, to better understand their lived experience of retirement and compare it with literature. It emerges that the minority of football players choose voluntary to retire - except in the case when they enter into their Clubs as coaches or manager - and cannot plan retirement in advance; they share a strong athletic identity but the risk of identity foreclosure seems to be moderated by social support, especially from families and partners, while less from sport context (coach and teammates). Implications for future research in Italy and the work of sport psychologists and professional Clubs of football are discussed (AU)

La retirada de jugadores de fútbol en Italia es desconocida. Así, después de analizar la literatura actual y usando un enfoque fenomenológico-interpretativo, desarrollamos un estudio exploratorio sobre esta experiencia de los ex-jugadores de fútbol italiano. Entrevistamos a 14 ex-jugadores, que compitieron en el más alto nivel del Campeonato de Fútbol italiano, para comprender su experiencia de jubilación y compararla con la literatura. La minoría de jugadores de fútbol eligen voluntariamente retirarse - excepto en el caso de que entren a sus clubes como entrenadores o gestores - y no quieren planificar la jubilación anticipadamente. Comparten una fuerte identidad atlética, pero el riesgo de exclusión de identidad parece ser moderado por el apoyo social, especialmente de las familias, pero menos del contexto deportivo (entrenador y compañeros de equipo). Se discuten las implicaciones para futuras investigaciones en Italia y el trabajo de psicólogos deportivos y clubes profesionales de fútbol (AU)