Barriers to conversations about deactivation of implantable defibrillators in seriously ill patients: results of a nationwide survey comparing cardiology specialists to primary care physicians.

摘要

Several countries 0apan, Germany, and so on) have addressed this issue by arbitrarily requiring that leadership positions be vacated at age 65 years: a form of enforced retirement. Individual institutions have implemented time-limited appointments to positions of authority. Thus far, these systems seem to have been acceptable to all and have functioned adequately. However, as time goes by I sense a growing impatience among younger individuals as existing leaders hold their positions longer. In addition, there seems to be an increasing reluctance among individuals who enjoy their jobs and remain effective to vacate them merely because of age. Moreover, the loss to society of this talent and experience seems a tragic waste of a valuable asset.