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We Must Do Better

By CareerNo Comments

Nelson “Nick” Hopkins, III, MD, FAANS(L) is revered as the father of endovascular neurosurgery. In addition to his many accolades and leadership positions in neurosurgery, he was a SUNY Distinguished Professor of Neurosurgery and Chair at the University at Buffalo (UB) from 1989 to 2013. Best venerated for his pioneering achievements in the field of endovascular neurosurgery, he innovated catheter-based minimally invasive treatment of vascular diseases in the brain and spine. He was my esteemed mentor and has trained countless other neurosurgeons throughout his career, many of whom have held the highest leadership positions in departments and academic organizations nationally and worldwide. Read More

Cross-Post: Neurosurgeon Advocates for Spina Bifida Prevention in Alabama’s Hispanic Community

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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. We wanted to bring to your attention a recent article featuring Michael J. Feldman, MD, a pediatric neurosurgery fellow at the University of Alabama at Birmingham and a former American Association of Neurological Surgeons/Congress of Neurological Surgeons Washington Committee alternate resident fellow. Dr. Feldman is leading efforts to reduce spina bifida rates in Alabama’s Hispanic community through folic acid fortification of corn masa flour. Read More

What makes a neurosurgeon?

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“Excellence is a continuous process and not an accident.”
P. J. Abdul Kalam

When I was in medical school, a question frequently asked by friends and family was, “How do you decide what kind of doctor to become?” I eventually developed an answer in the form of a metaphor: imagine you are at a gourmet ice cream shop. There is a wide variety of amazing flavors to choose from. The shopkeeper is very generous and gives you the opportunity to sample every flavor. However, at the end of this sampling, you can only leave the store with one flavor. And you have to eat that flavor of ice cream for the rest of your life.

Reactions to this metaphor vary — it may seem exciting to try the samples. It may seem fraught to make such a lasting decision based on a small sample size. It may seem like a very arbitrary way to determine a future career course in a highly specialized profession. Whatever the strengths or weaknesses in the decision to become a neurosurgeon, the process of becoming a neurosurgeon has, especially in recent years, not been left to chance.

Historically, surgical training was an advanced, multi-year apprenticeship. Trainees would identify a mentor from whom they would master the art and skill of surgery. Many surgical training programs were set up as a ‘pyramid’ with multiple trainees beginning a residency but only 1-2 completed, as the grueling nature of the work would naturally create attrition. This often inculcated a cutthroat culture where one ‘fatal’ mistake would result in dismissal. It’s no wonder that many surgeons developed an unrelenting mentality and personality that often endured long after they finished training.

The process of training neurosurgeons today has changed dramatically. Medicine, more broadly, and neurosurgery, in particular, have co-opted techniques from various industries to make residency a much more predictable, measurable and just educational experience. It is no longer sink-or-swim. Residency program directors have adopted innovations from education and quality science and industrial processes to create a more holistic training rubric that prepares neurosurgical trainees to thrive in 21st-century health care delivery systems. Surgeons can no longer be lone wolves doing their own thing; they must be captains of health care teams where teamwork and a just culture are the touchstones of patient care.

The training of neurosurgeons is not the only aspect of the process that has changed dramatically. The substrate of neurosurgical training is transforming as well. Returning to our ice cream metaphor, the ingredients of neurosurgical training are changing to reflect more completely the society in which we practice medicine. Neurosurgery has made it a key priority to recruit a more diverse body of trainees from a variety of cultural backgrounds. Because we work in teams and care for patients across the spectrum of society, our team members should more closely mirror that spectrum.

If I asked you to close your eyes and think of a neurosurgeon, you would probably conjure up a certain mental image (and please don’t tell me it’s Dr. McDreamy!). However, the old image reflects a way of training that is impractical and non-viable. Neurosurgery has rapidly adapted over the past few decades to create a new process to train the next generation of neurosurgeons. No process is perfect, but neurosurgical leaders realize that and so this process continues to evolve. Perfecting this process will never be completed, but the practice of reviewing and improving the process improves us not only as physicians and educators, but even more as people.

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.

Kristopher T. Kimmell, MD, FAANS
Rochester Regional Health
Rochester, N.Y.

Mark J. Kubala, MD, FAANS(L) Awarded TMA Foundation “Heart of Gold” Award

By Career, TraumaNo Comments

The Texas Medical Association Foundation (TMA Foundation) recently awarded neurosurgeon Mark J. Kubala, MD, FAANS(L) their highest honor, the Heart of Gold Award. The foundation presents the award to outstanding individuals who embody a “gold standard” of volunteerism and have made a measurable impact on the foundation’s mission through gifts and leadership. Read More

Cross-Post: First Female Neurosurgeon to Become a Medical School Dean: Julie G. Pilitsis Shares Her Path to Success

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Our current series on Making and Maintaining a Neurosurgeon discusses how one transitions from student to resident to practicing neurosurgeon. This cross-post highlights the second chapter after practicing neurosurgery. Eleven years ago, Julie G. Pilitsis, MD, PhD, FAANS, set a goal to become a dean for a college of medicine.

To achieve this goal, Dr. Pilitsis worked toward gaining experience in the clinical, educational and research aspects of medicine at Albany Medical College. After a national search, she became the chair of The Department of Neuroscience and Experimental Therapeutics. Subsequently, she obtained additional leadership training through the Harvard course for chairs, Executive Leadership in Academic Medicine and earned a Masters in Business Administration. To help garner institutional budget experience, she joined the system’s finance committee. To gain philanthropy experience, she obtained formal training and worked closely with her institutional foundation.

In 2022, Dr. Pilitsis became the dean and vice president of medical affairs at Schmidt College of Medicine at Florida Atlantic University (FAU). She is the first female neurosurgeon to become a medical school dean. “A community is essential for all of us to get to where we are going. The central tenet of my time at FAU will echo that spirit of developing a health care workforce ‘of the community, for the community.’ I am proud to be a part of the neurosurgical community,” states Dr. Pilitsis.

Click here to read the full article in the AANS Neurosurgeon.

Editor’s Note: Effective Jan. 8, Dr. Pilitsis is now the of the Department of Neurosurgery at the University of Arizona College of Medicine.

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.

Embracing Innovation: Adapting to New Surgical Technologies

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During my residency training at the University of Pennsylvania, M. Sean Grady, MD, FAANS, repeatedly counseled that residency is intended to teach us how to incorporate innovations in neurosurgery into our practice. Then, we can keep up with the pace of research and technology and, thus, always offer our patients the cutting-edge. My first year out of training was at Stanford University, and I was asked to take on a neurosurgical leadership role in the transcranial focused ultrasound program. I had come from a background where the reversibility and adjustability of deep brain stimulation would always supersede the permanence of an ablation technique.

However, when I saw the magic of focused ultrasound showing immediate relief of tremors following a real-time thalamotomy under magnetic resonance imaging guidance, I knew the field would never be the same. I then embraced this new technology, as Dr. Grady would have insisted. I was privileged to continue to lead this program at Stanford during my time there and work with terrific colleagues such as Pejman Ghanouni, MD, PhD; Jaimie M. Henderson, MD, FAANS; Kim Butts-Pauly, PhD and an international team of experts to get this treatment FDA-approved.

Now, we are using this method to treat Parkinson’s disease and contralateral tremors. We have even applied this incredible technology to temporal lobe epilepsy and hypothalamic hamartoma, though much work is needed to develop these indications. Patients travel to my clinic from far and wide for this therapy, and the outcomes speak for themselves.

Deep brain stimulation remains commonplace in my practice, but offering treatment options is key to program-building and patient care. I liken this optionality to brain aneurysm management. There was a time when neurosurgery could have lost control of this space due to interventional radiology’s offering of incisionless coil procedures. However, the sub-specialty of endovascular neurosurgery was created, and our necessary role in both the angiography suite and operating room was solidified. Stereotactic and functional neurosurgeons must embrace ablation techniques using focused ultrasound in much the same way. Patients want options, and finally they have them.

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.

Casey H. Halpern, MD, FAANS
Penn Medicine
Philadelphia, Pa.