Honoring Those Who Have Served

By Military Faces of NeurosurgeryNo Comments

Each year on Veterans Day, the American Association of Neurological Surgeons (AANS) and the Congress of Neurological Surgeons (CNS) pay tribute to the contributions of the many military neurosurgeons who have made significant contributions and sacrifices. Whether on the battlefield, in the operating room or research lab, neurosurgeons have served our country with distinction and grace throughout history. Read More

Twenty years from now you will be more disappointed by the things that you didn't do than by the ones you did do. So throw off the bowlines. Sail away from the safe harbor. Catch the trade winds in your sails. Explore. Dream. Discover.

Deborah L. Benzil, MD, FAANS, FACS

Medicolegal Issues in Neurosurgery

By CSNS Spotlight, Guest Post, Medical LiabilityNo Comments

Virtually all neurosurgeons will have to deal with a medicolegal issue by the end of their career. Neurosurgeons have the highest annualized rate of lawsuits at >19%. Perhaps shockingly, even by age 45, approximately 88% of surgeons in high-risk subspecialties will have been involved in a lawsuit. This number elevates to >99% by age 65. The concern about professional liability lawsuits is, without a doubt, the highest profile medicolegal issue for neurosurgeons — even though many more issues other than litigation affect our daily medical practices. Medicolegal and socioeconomic topics such as neurosurgical workforce, contracting and employment, and payor/insurance issues such as coverage policies, reimbursement and prior authorization regularly impact each neurosurgeon’s practice in multiple ways — even if it is not immediately apparent. Read More

WINS: Celebrating Women in Neurosurgery

By Career, Guest Post, Women in NeurosurgeryNo Comments

Gender diversity is not just good for women; it’s good for anyone who wants results.”

Melinda A. Gates

Modern neurosurgery recently crossed the century threshold as a medical discipline. The profession has a rich history, and women have played critical roles throughout the development of the specialty. The role of women in neurosurgery began with Louise Eisenhardt, MD, who was at the side of Harvey Cushing, MD, through much of his career. Ruth K. Jakoby, MD became the first woman diplomate of the American Board of Neurological Surgery in 1961. Later, Frances K. Conley, MD, achieved several ‘firsts’ as a woman in academic neurosurgery, culminating in a promotion to a full professorship at Stanford University in 1986. Read More

Cross-Post — Neurosurgery Publishes Updated Return-to-Play Recommendations for Collision Athletes After Cervical Spine Injury: A Modified Delphi Consensus Study With the Cervical Spine Research Society

By CNS Spotlight, Spine Care, TraumaNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they hit the mark on an issue. We wanted to bring attention to these recommendations compiled by Alexander R. Vaccaro MD, PhD and Gregory D. Schroeder, MD and others at the Cervical Spine Research Society (CSRS) meeting in New York City. This article recently appeared in Neurosurgery, the official journal of the Congress of Neurological Surgeons, which publishes research on clinical and experimental neurosurgery covering the very latest developments in science, technology and medicine. Read More

Cross-Post — Neurosurgery Publishes Decompressive Craniectomy Update to the Guidelines for the Management of Severe Traumatic Brain Injury

By CNS Spotlight, Cross Post, TBI, Traumatic Brain InjuryNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they hit the mark on an issue. Clinical guidelines have widespread impact and practical utility for practitioners. We want to bring attention to these updates, which recently appeared in Neurosurgery, the official journal of the Congress of Neurological Surgeons, which publishes research on clinical and experimental neurosurgery covering the very latest developments in science, technology and medicine. Read More

Physicians Suffer From Moral injury, Not Burnout

By Burnout, Guest Post, HealthNo Comments

Burnout has come to be defined as a workplace syndrome from chronic exposure to job-related stress. It is the constellation of emotional exhaustion, depersonalization and reduced personal accomplishment. More than half of physicians report at least one of these symptoms. The consequences of burnout are not just detrimental to physicians themselves, but also the people around them. Loss in productivity, high-risk behavior, disregard for safety procedures, more referrals, additional diagnostic tests and poor care are among the manifestations of physician burnout. Additionally, substance abuse, family breakups, poor health, depression and even suicide may also be extreme consequences of burnout. Burnout does not have to manifest by these catastrophic events; it can show up in small ways. Some of the subtler indicators of burnout include anger, aggression, nastiness, snide comments and disrespect for other physicians and health care professionals. Read More