Academic Productivity of Spine Surgeons at United States Neurological Surgery and Orthopedic Surgery Training Programs

2019 ◽  
Vol 121 ◽  
pp. e511-e518 ◽  
Author(s):  
Alexander F. Post ◽  
Adam Y. Li ◽  
Jennifer B. Dai ◽  
Akbar Y. Maniya ◽  
Syed Haider ◽  
...  
2019 ◽  
Author(s):  
Andrew D. Sobel ◽  
Davis Hartnett ◽  
David Hernandez ◽  
Adam E. M. Eltorai ◽  
Alan H. Daniels

Medical and orthopaedic training varies throughout the world. The pathways to achieve competency in orthopaedic surgery in other countries differ greatly from those in the United States. This review summarizes international educational requirements and training pathways involved in the educational development of orthopaedic surgeons. Understanding the differences in training around the world offers comparative opportunities which may lead to the improvement in education, training, and competency of individuals providing orthopaedic care.


2019 ◽  
Vol 69 (6) ◽  
pp. e58-e59
Author(s):  
Matthew L. Carnevale ◽  
John Phair ◽  
Jeffrey Indes ◽  
Issam Koleilat

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Benjamin S Hopkins ◽  
Nathan A Shlobin ◽  
Kartik Kesavabhotla ◽  
Zachary A Smith ◽  
Nader S Dahdaleh

ABSTRACT BACKGROUND Neurological surgery resident applicants seek out certain aspects of training, including case volume. While graduating Accreditation Council for Graduate Medical Education (ACGME) summary data are available yearly, they are not program specific and drawing conclusions is difficult. OBJECTIVE To model general benchmarks for resident case volume across US programs to increase transparency and allow comparison of programs. METHODS ACGME neurosurgical resident national reports from 2017 to 2019 were downloaded. Averages, standard deviations, and medians were recorded from each of the 27 procedural categories. Monte Carlo simulations were performed. Each distribution was run independently 1 to 4 times to represent the number of residents in a given program per year. Cases were divided into different categories: endovascular, open vascular, tumor, spine, and pediatrics. RESULTS Average derived graduating case volumes were 1558 cases in 2017, 1599 cases in 2018, and 1618 cases in 2019. Programs with 3 residents per year averaged 4755 cases per year, with 90th percentile of 5401 cases per year. After removing endovascular cases, radiosurgery cases, and critical care procedures, the average was 3794 cases, with 90th percentile of 4197 cases per year. Categorically, the 90th percentile was 241 for open vascular, 373 for endovascular, 1600 for spine, 769 for tumor, and 352 for pediatrics. CONCLUSION Case volume is an important part of neurosurgical training and a major factor in determining applicant residency program ranking. Through Monte Carlo simulation, the average case volume for programs with 3 residents per year was determined. Metrics and benchmarking remain an important part of applicant and program growth.


2011 ◽  
Vol 115 (2) ◽  
pp. 380-386 ◽  
Author(s):  
Peter G. Campbell ◽  
Olatilewa O. Awe ◽  
Mitchell G. Maltenfort ◽  
Darius M. Moshfeghi ◽  
Theodore Leng ◽  
...  

Object Factors determining choice of an academic career in neurological surgery are unclear. This study seeks to evaluate the graduates of medical schools and US residency programs to determine those programs that produce a high number of graduates remaining within academic programs and the contribution of these graduates to academic neurosurgery as determined by h-index valuation. Methods Biographical information from current faculty members of all accredited neurosurgery training programs in the US with departmental websites was obtained. Any individual who did not have an American Board of Neurological Surgery certificate (or was not board eligible) was excluded. The variables collected included medical school attended, residency program completed, and current academic rank. For each faculty member, Web of Science and Scopus h-indices were also collected. Results Ninety-seven academic neurosurgery departments with 986 faculty members were analyzed. All data regarding training program and medical school education were compiled and analyzed by center from which each faculty member graduated. The 20 medical schools and neurosurgical residency training programs producing the greatest number of graduates remaining in academic practice, and the respective individuals' h-indices, are reported. Medical school graduates of the Columbia University College of Physicians and Surgeons chose to enter academics the most frequently. The neurosurgery training program at the University of Pittsburgh produced the highest number of academic neurosurgeons in this sample. Conclusions The use of quantitative measures to evaluate the academic productivity of medical school and residency graduates may provide objective measurements by which the subjective influence of training experiences on choice of an academic career may be inferred. The top 3 residency training programs were responsible for 10% of all academic neurosurgeons. The influence of medical school and residency experiences on choice of an academic career may be significant.


Hand ◽  
2017 ◽  
Vol 13 (5) ◽  
pp. 547-551 ◽  
Author(s):  
Julia A. Cook ◽  
Sarah E. Sasor ◽  
Sunil S. Tholpady ◽  
Arash Momeni ◽  
Michael W. Chu

Background: The National Institutes of Health, American Medical Association, and US National Library of Medicine recommend that educational material for patients be written at a sixth-grade reading level. The purpose of this study is to assess the complexity of hand surgery information on academic plastic and orthopedic surgery websites. Methods: An online search was performed for all hand surgery patient education materials provided by institutions with plastic and orthopedic surgery training programs. Readability analyses were conducted using the Flesch-Kincaid Reading Ease, Flesch-Kincaid Grade Level, Simple Measure of Gobbledygook Index, Gunning Fog Score, Automated Readability Index, and Coleman-Liau Index. A 2-tailed z test was used to compare means. Results: Seventy-six institutions with both plastic and orthopedic surgery training programs were identified; 42 had educational material available online. The average readability for all hand-related information was at the 11.92 grade reading level. Information regarding de Quervain tenosynovitis had the highest grade level for all plastic surgery procedures (13.45). Hand arthritis had the highest grade level for all orthopedic surgery procedures (12.82). Ganglion cysts had the lowest grade level for both plastic and orthopedic surgery (10.15 and 11.01, respectively; P = .12). Carpal tunnel release was the most commonly described procedure overall. There were no differences in text complexity among geographic regions. Conclusions: Online patient resources for common hand ailments are too complex for the average patient to understand. Efforts should be made to provide materials at the recommended sixth-grade reading level to improve patient education and improve the physician-patient relationship.


2020 ◽  
Vol 67 ◽  
pp. 115-122 ◽  
Author(s):  
Matthew L. Carnevale ◽  
John Phair ◽  
Jeffrey E. Indes ◽  
Issam Koleilat

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Martin H Pham ◽  
Andre M Jakoi ◽  
Arvin Raj Wali ◽  
Lawrence Lenke

Abstract INTRODUCTION Spine surgery training in the United States currently involves residency training in neurological or orthopedic surgery. Due to different core residency surgical requirements, volume of spine surgery procedures may vary between the two residencies. METHODS The Accreditation Council of Graduate Medical Education resident case logs for both orthopedic surgery and neurological surgery were reviewed for exposure to spine surgery procedures for the graduating years of 2009 to 2018. RESULTS The average number of spine surgery procedures performed during that 10-yr period was 433.8 for neurosurgery residents and 119.5 for orthopedic surgery residents (P < .01). From 2009 to 2018, neurosurgery residents saw an increase of 26.5% in spine surgery procedures from 389.6 to 492.9 procedures whereas orthopedic surgery residents saw a decrease of 41.3% from 141.1 to 82.8 procedures. The 10-yr average percentage of total spine procedures of all total surgical cases was 33.5% for neurosurgery residents compared to 6.2% for orthopedic surgery residents (P < .01). This percentage decreased both for neurosurgery residents (35.8% in 2009 to 31.3% in 2018) and orthopedic surgery residents (7.2% in 2009 to 4.9% in 2018). Neurosurgical residents performed on average 3.6 times more total spine procedures than orthopedic surgery residents, a number that increased from 2.8-fold in 2009 to 6.0-fold in 2018. CONCLUSION Case volume of spine surgery procedures vary greatly with higher rates for neurological and lower for orthopedic surgery residencies, with an enlarging increasing discrepancy over time. Although case volume alone cannot solely determine quality of training, it is one measure to assess opportunities to develop optimal spine education around a certain accepted volume of surgical patient care. The results found here may help to explore various needs and differences between residents seeking to pursue careers in spine, and the role of spine surgery fellowships currently and in the future.


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