A Code of Ethics

1986 ◽  
Vol 65 (3) ◽  
pp. 271-277 ◽  
Author(s):  
Russel H. Patterson

✓ More than 50 years after the founding of the American Association of Neurological Surgeons as the Harvey Cushing Society, the delineation of a Code of Ethics constitutes a milestone for neurosurgeons. The reasons for developing the Code, its historical basis, and the continuing need to reinterpret any code in view of continuing changes in neurosurgical practice and delivery of health care are discussed.

1974 ◽  
Vol 41 (4) ◽  
pp. 409-414
Author(s):  
Lyle A. French

✓ The president of the American Association of Neurological Surgeons (AANS) discusses the delivery of health care, its availability, accessibility, and affordability. He stresses the physician's responsibility for leadership in the various sociological aspects of health maintenance.


1994 ◽  
Vol 81 (5) ◽  
pp. 651-655 ◽  
Author(s):  
Julian T. Hoff

✓ The AANS was founded in 1931 as an educational and scientific organization whose principal purpose was to foster optimum neurosurgical care. Because socioeconomic and political pressures on medicine generally and neurosurgery specifically have escalated in recent years, the American Association of Neurological Surgeons (AANS) has been required to respond effectively to matters beyond its traditional role. However, the AANS has lacked an effective, focused policymaking process to deal with socioeconomic concerns despite existing expertise within the specialty. The AANS now needs to develop a comprehensive socioeconomic effort that is consistent with its more traditional educational and scientific activities. A Task Force on Governance has been appointed to address how the Association's governance structure can reflect all the needs of our specialty in times of economic uncertainty and health care reform.


1986 ◽  
Vol 65 (4) ◽  
pp. 435-438 ◽  
Author(s):  
Richard D. Lamm

✓ In this 199th year of constitutional government in the United States a careful evaluation of all our basic institutions is required if this country is to remain a great nation. The delivery of health care, a basic institution, must be included in the determination of how finite resources can be most effectively and efficiently used for what appears to be almost infinite needs.


1993 ◽  
Vol 79 (6) ◽  
pp. 807-809
Author(s):  
Merwyn Bagan

✓ The President of the American Association of Neurological Surgeons (AANS) discusses the present socioeconomic milieu, which has created anxiety in the neurosurgical community. The underlying factors are technological advances, hospital-physician relationships, medical liability, quality assurance reviews, and physician reimbursement. It is proposed that neurosurgeons be proactive in the development of health-care reform.


1992 ◽  
Vol 77 (5) ◽  
pp. 663-668 ◽  
Author(s):  
James T. Robertson

✓ The President of the American Association of Neurological Surgeons (AANS) validates the AANS as the national neurosurgical organization. He describes improved management of major committees of neurological surgery by the Joint Officers of the AANS and the Congress of Neurological Surgeons. A strong argument and proclamation are presented to expand the international role of the former Harvey Cushing Society.


1994 ◽  
Vol 81 (6) ◽  
pp. 950-955 ◽  
Author(s):  
Frank P. Smith

✓ Behind the scenes in the origin of the Harvey Cushing Society, now known as the American Association of Neurological Surgeons, there were many interesting political factors occurring, which appeared in correspondence and were preserved and later forwarded by William P. Van Wagenen to the Harvey Cushing Section of the Yale Medical Library. This correspondence, circa 1931, provides an interesting account of the aspirations of young neurosurgeons who wished to gain societal status, without offending the giants of the Society of Neurological Surgeons.


1989 ◽  
Vol 71 (4) ◽  
pp. 471-480 ◽  
Author(s):  
George T. Tindall

✓ This overview of neurosurgical practice examines patterns of case management, using several areas such as head injury, brain tumors, and the delivery of health care to illustrate the changes that have taken place over the past 40 years and the changes that might be expected in the next 40 years. The rapid pace of progress has indicated further exciting growth of this specialty into the 21st century; however, what remains constant is the dynamic character of the neurosurgeon. This view of the past and the possibilities for future innovation enables neurosurgeons of all generations to have a sense of pride in the achievements generated by their peers.


1997 ◽  
Vol 87 (6) ◽  
pp. 964-971 ◽  
Author(s):  
Samuel H. Greenblatt

✓ When Harvey Cushing announced his full-time commitment to neurological surgery in 1904, it was a discouraging and discouraged enterprise. Other surgeons' mortality rates for patients with brain tumors were 30 to 50%. By 1910 Cushing had operated on 180 tumors; he had a thriving practice, with a patient mortality rate of less than 13%. The three essential ingredients of his success were: 1) a new surgical conceptualization of intracranial pressure (ICP); 2) technical innovations for controlling ICP; and 3) establishment of a large referral base. In the years 1901 through 1905, the implications of his research on the “Cushing reflex” were quickly translated into surgical techniques for controlling ICP. In the period between 1906 and 1910, Cushing built up his referral practice by publishing widely, and especially by lecturing to medical audiences throughout the United States and Canada. His scientific work on ICP was essential to his clinical success, but without his professional and social ability to build a thriving practice, there would have been insufficient material for him to use to improve his approaches.


1994 ◽  
Vol 81 (3) ◽  
pp. 487-492
Author(s):  
Ib Søgaard ◽  
Bengt Ljunggren

✓ Hans Adolf Sølling (1879–1945), working completely on his own in the small town of Horsens, was Denmark's first neurosurgeon. Sølling was an admirable and talented man who performed major intracranial operations on more than 130 patients suffering from trigeminal neuralgia, as well as treating epilepsy, craniotrauma, brain tumors, glossopharyngeal neuralgia, and myelomeningoceles. Although not in the same league as Harvey Cushing (1869–1939), Vilhelm Magnus in Norway (1871–1929), and Herbert Olivecrona in Sweden (1891–1980), Sølling was a true Danish pioneer.


1981 ◽  
Vol 55 (3) ◽  
pp. 329-336 ◽  
Author(s):  
Robert B. King

✓ The President of the American Association of Neurological Surgeons (AANS) emphasizes the need to participate actively in the burgeoning field of neuroscience, and the unique opportunity of neurological surgeons to apply the new knowledge to the treatment of their patients. Clinician-investigators need to be trained in their formative years in the methodology and techniques of modern neurobiology. Diminishing governmental support for training poses a grave threat to carrying on the tradition of research in neurological surgery. To meet a critical need, the formation of a Research Foundation is announced as a function of the AANS. As Science is expanded and applied, the Art of neurosurgery will continue to be refined, along with the high tradition of Ethics which has been handed down over the years as part of the heritage of neurological surgeons.


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