Should we be re-evaluated for our skills at a certain age? Or following prolonged time out of the operating theatre? Lessons to learn from aviation medicine

Abstract

As the mother of a commercial pilot, I am fascinated by the strict rules and regulations in flight medicine and wonder what the surgical fraternity can learn from aviation protocols. Pilots undergo lifelong training. Even drone pilots must comply with the strict guidelines to prove continuous medical and skills competency, according to the South African Civil Aviation Authority (SACAA).¹ Orthopaedic surgeons qualify after comprehensive training and are then allowed to treat a community unsupervised, to the best of their ability. There is no set review to ensure you are still qualified to perform surgery at an advanced age or after a period of prolonged illness or disease.