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Cross-Post: How artificial intelligence is changing health care in treating stroke victims

By Digital Neurosurgery, StrokeNo Comments

On the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they may interest our readers. Today, we wanted to bring attention to a recent op-ed in Fox News titled, “How artificial intelligence is changing health care in treating stroke victims.” Neurosurgeon Paul S. Saphier, MD, FAANS, discusses the importance of early intervention and how artificial intelligence (AI) is helping surgeons save even more patients. Read More

Cross-Post: Gender Differences in Medicare Practice and Payments to Neurosurgeons

By Cross Post, Medicare, Women in NeurosurgeryNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they may interest our readers. Today, we wanted to bring attention to a recent publication in JAMA Surgery.​ The article — “Gender Differences in Medicare Practice and Payments to Neurosurgeons” by Temitope O. Oshinowo, AB, et al. compares practice metrics and earning potential between female and male neurosurgeons and examines gender disparity in Medicare reimbursement. Read More

Pathway to Neurosurgery Program: Creating the Next Generation of Neurosurgeons

By Career, MentoringNo Comments

Diversity, equity and inclusion (DEI) are vital components of strategic planning in a growing number of organizations across all sectors. The health care sector is especially relevant since DEI directly affects health outcomes. In the United States, most people are aware of the racial reckoning that has resulted in the necessary dialogue around implicit bias’s harmful effects. It has also drawn attention to the Black, indigenous, and people of color who are disproportionately impacted by long-standing systems that were not created with their whole personhood in mind. Together, we can foster equitable access to high-quality care for a wide range of people while building cultural competencies that increase a sense of belonging in spaces where people might not have been able to feel included before. Within neurosurgery, DEI initiatives that engage and educate teams have great potential. Read More

Training the Next Generation of Neurosurgeons: Inclusive Excellence in Neurosurgery

By Career, MentoringNo Comments

The Department of Neurosurgery at Stanford University is committed to inclusive excellence at all levels of education and training. Investing in outreach and pipeline programs exposes students to knowledge and opportunities otherwise unavailable. Our reach extends beyond Stanford and the surrounding community — we have reached students from all over the world who are interested in the neurosciences and are dedicated to learning. We are proud of the department’s work with outreach, including students locally, nationally and internationally. The future of neuroscience is bright. Read More

Cross-post: Fix the broken Medicare physician payment system that threatens patient access  

By Access to Care, Cross Post, MedicareNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting to items published elsewhere that we believe will interest our readers. Today’s post originally appeared in The Hill on Oct. 17. In the op-ed, Reps. Larry Bucshon, MD, (R-Ind.), Ami Bera, MD, (D-Calif.), Raul Ruiz, MD, (D-Calif.), and Mariannette Miller-Meeks, MD, (R-Iowa) state that the Medicare payment system fails to reimburse physicians adequately for the critical services they provide. Unlike other providers, the Medicare Physician Fee Schedule (MPFS) does not have an automatic inflationary update and physician payments declined by 26 percent from 2001 to 2023 when adjusted for inflation. Read More

Making and Maintaining a Neurosurgeon

By Career, MentoringNo Comments

“You need to see a neurosurgeon.” Those words would likely make any person pause. Unlike the quip, it is brain surgery. Neurosurgery is a critical medical specialty — treating everything from tumors to strokes, Parkinson’s to cerebral palsy, aneurysms to spine fractures. The average neurosurgeon has spent at least 15 years in school and training after graduating high school — four years in college, four years in medical school and seven years in a neurosurgical residency. And that is the bare minimum, not including extra years of schooling to get a second degree — such as a master’s or doctorate — and subspecialty fellowship training after residency.

So, what exactly is the process of becoming a neurosurgeon? How do we “make” a neurosurgeon? Once a neurosurgeon is done with training, how do we ensure they continue practicing lifelong learning to stay at the top of their field? Our field is committed to ensuring that patients who need neurosurgical treatment are cared for by competent, empathetic and qualified neurosurgeons, implementing initiatives throughout medical education to ensure these goals are achieved.

Through this series, we will discuss how we “make and maintain” a neurosurgeon. How do we recruit a qualified and diverse workforce? How do we break down barriers for residency applicants to ensure that students match into programs where they will succeed? How do we adapt our training programs to changes in science and technology and adapt to ever-changing regulations? How do we learn from mistakes and teach future generations always to ask how we can be better? What are we doing to verify the quality of subspecialty fellowships for those who want additional training in a neurosurgical subspecialty? Once a neurosurgeon finishes training, how do we assess them? Our first several blogs in this series will highlight the work across the country in these many avenues.

Neurosurgery is dedicated to the practice of lifelong learning. So even when the formal education is completed, we continue to grow in our practices and careers. The second half of this series will follow neurosurgeons who can share their experiences. This includes self-reflection and assessment and a focus on continuous lifelong learning, considerations of adding new procedures with innovations in the field, moving beyond neurosurgery into other roles in medicine and a continuous reflection on our profession. Hence, we continue to evolve and evaluate the needs within our specialty and recruitment and maintenance of diversity in neurosurgery.

Just as science evolves, so must our field to ensure that we continue to provide the best neurosurgical care to our patients, founded on a solid educational background and with a mindset for continuous improvement.

Editor’s Note: We hope you will share what you learn from our posts in the Making and Maintaining a Neurosurgeon series. We invite you to join the conversation on Twitter by following @Neurosurgery and using the hashtag #Neurosurgery.

Krystal L. Tomei, MD, MPH, FAANS, FACS, FAAP
Rainbow Babies and Children’s Hospital
Cleveland, Ohio