Show pageBacklinksCite current pageExport to PDFFold/unfold allBack to top This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong. ====== Neurosurgeon ====== {{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/12guA9dSu1tMGuMs5r0VlQc5KUCWU-az8KIjsPDJkIyGAGYkXp/?limit=15&utm_campaign=pubmed-2&fc=20230307111824}} ---- ---- A neurosurgeon is a [[physician]] who specializes in the diagnosis and [[surgical treatment]] of disorders of the [[central nervous system]] and [[peripheral nervous system]] including congenital anomalies, trauma, tumors, vascular disorders, infections of the brain or spine, stroke, or degenerative diseases of the spine. ---- As of recent estimates, there are approximately 72,967 neurosurgeons worldwide, equating to a global density of about 0.93 neurosurgeons per 100,000 people. However, this distribution is uneven, with [[high-income country]] averaging 2.44 neurosurgeons per 100,000 people, while [[low-income country]] has as few as 0.12 per 100,000. The [[World Federation of Neurosurgical Societies]] (WFNS) has developed an interactive Global Neurosurgical Workforce Map to highlight these disparities and identify regions most in need of neurosurgical support. Addressing the global neurosurgical workforce deficit is crucial, as an estimated 5 million essential neurosurgical [[case]]s go unmet each year, predominantly in low- and middle-income countries. To bridge this gap, strategies include expanding neurosurgical [[training program]]s, enhancing infrastructure, and implementing task-sharing models where non-specialist healthcare providers are trained to perform basic [[neurosurgical procedure]]s. Efforts to improve the neurosurgical workforce are ongoing, with organizations like the WFNS and the American Association of Neurological Surgeons ([[AANS]]) playing pivotal roles in promoting education, research, and policy development to ensure equitable access to neurosurgical care globally. ---- Being a neurosurgeon is a protracted, time-consuming, and labor-intensive occupation. It presupposes excellent, continuing physical and mental [[competence]], and a passion to always do better than the best. During the last two decades, the exponential deployment of operative [[technology]] has resulted in a radical transformation, making a neurosurgeon trained four decades ago, run the risk of being outdated. Expectations from patients have reached an all time high level. Socioeconomic and medicolegal aspects cannot be brushed aside. It is universally accepted that in spite of increasing longevity in the educated upper middle class, the process of ageing per se continues relentlessly. When is enough enough? Is there a risk that a "senior, experienced" neurosurgeon may even become a liability to his patients some day? Should there be a mandatory time point at which a neurosurgeon should necessarily stop operating. The author reviews the published literature and opines that after the age of 65 years, all seniors should agree to their operating privileges being formally reviewed regularly every 2 years ((Ganapathy K. Should neurosurgeons retire? Neurol India. 2019 Mar-Apr;67(2):370-374. doi: 10.4103/0028-3886.258036. PubMed PMID: 31085838. )). ---- The [[World Health Organization]] recommends one neurosurgeon for every 100,000 for adequate neurosurgical care. Whereas in the [[United States]], there is a neurosurgeon for every 63,000 inhabitants, in Sub-Saharan Africa, the rate is approximately one neurosurgeon to 10 million. Additionally, as the limited neurosurgical services are restricted to large urban centers, more than 90 percent of the population, with limited transportation means, may not have access to such care in some regions. ===== Neurosurgical education ===== [[Neurosurgical education]]. ===== Academic neurosurgeon ===== [[Academic neurosurgeon]] ===== Hybrid neurosurgeon ===== see [[Hybrid neurosurgeon]]. ===== Pediatric neurosurgeon ===== see [[Pediatric neurosurgeon]]. ===== Rating ===== see [[Online Ratings of Neurosurgeons]]. ====History==== In the early days of surgery of the nervous system the surgeon was purely an operator acting under the guidance of the [[neurologist]], who took the responsibility for the [[localization]] of the lesion and for the extent of the operative procedure. ====Challenges and opportunities for recruiting a new generation of neurosurgeons==== Several factors have converged to raise concern among program directors about attracting and training the next generation of neurosurgeons. These include the relatively new duty-hour regulations, the projected physician shortage, and the preference of many current medical students for controllable lifestyles. Attracting top talent into training programs may require innovations geared to Generation X such as policies supporting work-life balance, flexible work options, lots of feedback, mentoring programs, talented leadership, and standardized communication strategies during patient handoffs. Larger programmatic changes may also be needed such as "competency-based" training and additional years of training for mastery of highly specialized procedures ((Brown AJ, Friedman AH. Challenges and opportunities for recruiting a new generation of neurosurgeons. Neurosurgery. 2007 Dec;61(6):1314-9; discussion 1319-21. PubMed PMID: 18162912. )). ====Books==== **The Brain Surgeon By Oren Berkowitz** Dr. David Singer is a rising star brain surgeon. He did all the right things and made all the right sacrifices to get to where he is. Despite everything he has going for him, he finds himself struggling to balance his career with his newly growing family. His one-track focus is jarred by a budding friendship with a special patient who holds a mirror up to his own life. In the hypercompetitive, high stakes, and unforgiving world of neurosurgery, is it possible to find some kind of balance? Published on: 2016-11-13 About the Author Dr. Berkowitz is the Director of Research and afounding faculty member of the Boston University School of Medicine PhysicianAssistant Program. He holds a PhD in Epidemiology from the University ofPittsburgh and has practiced for many years as a PA in neurosurgery. Dr.Berkowitz is a researcher and a medical educator who has published numerousworks in neurosurgery and healthcare research journals. He lives with his wifeand son in Boston, Massachusetts. ===== Roles ===== [[Neurosurgeon]]s may have multiple [[role]]s including [[clinician]], [[educator]], [[researcher]], and [[administrator]]. [[Leader]]s in neurosurgery have the added responsibilities of setting a [[vision]], communicating the vision, implementing a [[plan]] to achieve it, and gaining [[commitment]] from the [[team]] and other [[stakeholder]]s. For success in the current era of U.S. health care, neurosurgical [[leader]]s must deliver despite challenges such as reduced [[resource]]s, increased protocolized [[care]], [[automation]], and [[depersonalization]]. Neal and Lyons described five empowering strategies that can help [[leader]]s perform best. The steps include deepening self-awareness, leading with [[honesty]], developing [[emotional intelligence]], improving [[coaching]] [[skill]]s, and becoming a better [[influencer]]. [[Leader]]s that take these steps to invest in their leadership skills will reap broad [[benefit]]s ((Neal MT, Lyons MK. Empowering qualities and skills for leaders in neurosurgery. Surg Neurol Int. 2021 Jan 5;12:9. doi: 10.25259/SNI_899_2020. PMID: 33500824; PMCID: PMC7827298.)). ===== Burnout ===== [[Burnout in neurosurgeons]]. ===== Arrogance ===== [[Neurosurgery]] requires certain personality traits to provide the best possible [[outcome]]s for [[patient]]s. This stems from the fact that neurosurgery is one of the most complex forms of surgery and therefore demands a high level of [[skill]], [[precision]], [[confidence]], and [[leadership]] capabilities. However, certain personalities and associated attitudes may be harmful to [[patient]]s and could result in inferior [[outcome]]s. The belief that certain [[personality]] traits could result in potentially dangerous [[outcome]]s was first recognized in aviation, as ‘‘[[Arrogance]] got more pilots in [[trouble]] than faulty [[equipment]]” ((Yeager C, Janos L. Yeager. New York, NY, USA: Bantam; 1985)). neurosurgeon.txt Last modified: 2025/05/04 18:32by administrador