No, I'm pretty serious. 58 is a lot different than 40-45.
No. In reality, that all depends on the individual. There is no place for ageism in medicine. The bias is bogus. It may not seem that way when you consider certain folks at 35, 45, or 55; but that is why you have to look at the whole person on a individual level and see if he or she fits the basic requirements needed for the rigors or medical school and medicine. Some folks at 20 or 30 have what it takes, and some don't. You have to look at the individual applicant.
And while general quantitative analysis in medicine looks at various things that include age, the wisest physicians look at the individual. Public health approaches are one thing. Everyday practice is another. And still, to some degree, in public health you look at individuals. Demographics have to be put in place with the whole picture. You miss that, and you have missed the boat in practicing IMHO.
Its a bit of an irksome topic; b/c it separates out people for things they cannot control--dates of birth----and in doing so, it rejects that in fact, for the particular person/candidate, it may not a real or legitimate issue--it may not affect the person's practice.
New medical schools are opening up all the time. The seats need to go those candidates that meet the essential requirements for becoming physicians, period. No one is stealing anything from anyone else. Plenty of folks drop out of medicine well before retirement--especially those that find out what a pain in the butt it can be.
The real issue is getting physicians to areas that are not nearly as densely populated by other physicians. These places need docs, and they could care less if one is more long in the touch than another.
No one knows what life is going to bring to them. And what is also true is the fact that in the absence of some kind of premature death--car accident for example--we will all get old--we are all aging. What will your perspective be when you are 40, 50, or 60? You may find that it might very well change.
If you are stuck in this kind of bias and ageism, do the right thing and avoid being a part of adcom committees or having some influence over them in some way. Your bias is highly problematic and far from objective, or even fair or beneficial for that matter.
I wish you well. This is just one lowly person's two cents.