Neurosurgical education in a changing healthcare and regulatory environment: A consensus statement from 6 programs

Dong H. Kim, Ralph G. Dacey, Gregory J. Zipfel, Mitchel S. Berger, Michael McDermott, Nicholas M. Barbaro, Scott A. Shapiro, Robert A. Solomon, Robert Harbaugh, Arthur L. Day

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The purpose of neurosurgical education is to teach the clinical knowledge and surgical skills necessary to become a neurosurgeon. Another goal is to inculcate the principles of the scientific method. However, increasing expectations about attending involvement during surgery, duty hour requirements, and new curricular mandates have put programs under stress to ensure adequate training, in less time, in an environment of limited resident independence. More recently, the Accreditation Council for Graduate Medical Education has developed a new tracking process based on "milestones" or defined educational outcomes. At the same time, our healthcare system is undergoing a rapid socioeconomic transition in organization and payment models, which traditionally has not been a focus of formal teaching. A 2008 survey conducted by the Council of State Neurosurgical Societies found that graduating residents felt inadequately prepared in areas like contract negotiation, practice evaluation, and management.

Original languageEnglish (US)
Pages (from-to)S75-S82
JournalClinical neurosurgery
Volume80
Issue number4
DOIs
StatePublished - Apr 1 2017

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Keywords

  • Neurosurgery residency
  • Neurosurgical education
  • Neurosurgical milestones

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Kim, D. H., Dacey, R. G., Zipfel, G. J., Berger, M. S., McDermott, M., Barbaro, N. M., Shapiro, S. A., Solomon, R. A., Harbaugh, R., & Day, A. L. (2017). Neurosurgical education in a changing healthcare and regulatory environment: A consensus statement from 6 programs. Clinical neurosurgery, 80(4), S75-S82. https://doi.org/10.1093/neuros/nyw146