How to approach a colleague who seems to be in cognitive decline

It isn't always clear whether impaired practice is caused by irreversible deterioration or acute fatigue-related error

Dr T is in his late 60s. He has been finding the demands of work more and more difficult since cardiac surgery last year. 

Talking to an elderly doctor

He runs further behind with each consulting session and has struggled to adapt to the new electronic medical record system.

He recently administered the wrong vaccine to a child, and blamed the practice nurse when questioned.

His colleagues are increasingly concerned about him and his patients. They are grappling with how to approach this