The yin and yang of neurological surgery

1993 ◽  
Vol 79 (6) ◽  
pp. 807-809
Author(s):  
Merwyn Bagan
Keyword(s):  
Health Care ◽  
American Association ◽  
Medical Liability ◽  
Hospital Physician ◽  
Physician Reimbursement ◽  
Content Type ◽  
Technological Advances ◽  
Yin And Yang ◽  
Neurological Surgery ◽  
Fine Print

✓ 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.

Toward better balance

1994 ◽  
Vol 81 (5) ◽  
pp. 651-655 ◽  
Author(s):  
Julian T. Hoff
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
American Association ◽  
Task Force ◽  
Governance Structure ◽  
Scientific Organization ◽  
Economic Uncertainty ◽  
Traditional Role ◽  
Content Type ◽  
Fine Print

✓ 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.

Traditions, Transition, and the Torch

1981 ◽  
Vol 55 (3) ◽  
pp. 329-336 ◽  
Author(s):  
Robert B. King
Keyword(s):  
American Association ◽  
Content Type ◽  
New Knowledge ◽  
Governmental Support ◽  
Neurological Surgery ◽  
Fine Print ◽  
Formative Years

✓ 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.

Residency training in neurological surgery, 1934–1984: evolution over 50 years of trial and tribulation

1984 ◽  
Vol 61 (6) ◽  
pp. 999-1004 ◽  
Author(s):  
Byron Cone Pevehouse
Keyword(s):  
United States ◽  
Socioeconomic Factors ◽  
Residency Training ◽  
American Association ◽  
The United States ◽  
Neurosurgical Training ◽  
Professional Liability ◽  
Content Type ◽  
Neurological Surgery ◽  
Fine Print

✓ The President of the American Association of Neurological Surgeons (AANS) reviews formal neurosurgical training in the United States from its inception with one program in 1934 to 1984, with 94 programs and 650 residents. He reports on the 1st year's experience with a national neurosurgical residency matching plan. He presents realistic remedies for today's professional liability dilemma and analyzes socioeconomic factors that have led to the complex challenges facing neurosurgeons in this decade, relating the importance of the AANS mission and goals in resolving these issues.

Some issues in health education and delivery of health care

1974 ◽  
Vol 41 (4) ◽  
pp. 409-414
Author(s):  
Lyle A. French
Keyword(s):  
Health Care ◽  
Health Education ◽  
Delivery Of Health Care ◽  
American Association ◽  
Health Maintenance ◽  
Content Type ◽  
Fine Print

✓ 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.

The “future trends” in neurosurgery are here

1975 ◽  
Vol 43 (6) ◽  
pp. 651-660 ◽  
Author(s):  
Richard C. Schneider
Keyword(s):  
Medical Education ◽  
American Association ◽  
Medical Liability ◽  
Future Trends ◽  
Content Type ◽  
The Future ◽  
Fine Print

✓ The President of The American Association of Neurological Surgeons discusses the three major problems of his year in office — medical education, neurosurgical manpower, and professional medical liability — and the attempts that are being made to solve them.

The AANS: The national and international organization for neurological surgery

1992 ◽  
Vol 77 (5) ◽  
pp. 663-668 ◽  
Author(s):  
James T. Robertson
Keyword(s):  
American Association ◽  
International Organization ◽  
Strong Argument ◽  
Content Type ◽  
Harvey Cushing ◽  
International Role ◽  
Neurological Surgery ◽  
Fine Print

✓ 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.

A Code of Ethics

1986 ◽  
Vol 65 (3) ◽  
pp. 271-277 ◽  
Author(s):  
Russel H. Patterson
Keyword(s):  
Health Care ◽  
Delivery Of Health Care ◽  
American Association ◽  
Code Of Ethics ◽  
Content Type ◽  
Harvey Cushing ◽  
Historical Basis ◽  
Fine Print

✓ 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.

The crucial decade: modern neurosurgery's definitive development in Harvey Cushing's early research and practice, 1900 to 1910

1997 ◽  
Vol 87 (6) ◽  
pp. 964-971 ◽  
Author(s):  
Samuel H. Greenblatt
Keyword(s):  
Clinical Success ◽  
Surgical Techniques ◽  
Scientific Work ◽  
The United States ◽  
Full Time ◽  
Content Type ◽  
Social Ability ◽  
Harvey Cushing ◽  
Neurological Surgery ◽  
Fine Print

✓ 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.

The Mayo brothers and Harvey Cushing: a review of their 39-year friendship through their personal letters

2005 ◽  
Vol 102 (2) ◽  
pp. 391-396 ◽  
Author(s):  
Aaron A. Cohen-Gadol ◽  
J. Michael Homan ◽  
Edward R. Laws ◽  
John L. D. Atkinson ◽  
Ross H. Miller
Keyword(s):  
Mayo Clinic ◽  
Professional Association ◽  
Future Generations ◽  
Special Relationship ◽  
Content Type ◽  
Harvey Cushing ◽  
Neurological Surgery ◽  
Fine Print

✓ Mayo Clinic founders, William J. Mayo and Charles H. Mayo, and Harvey W. Cushing were among the most significant pioneers of modern American surgery. A review of their personal correspondence reveals a special relationship among these three individuals, particularly between William Mayo and Cushing. Their interactions within the Society of Clinical Surgery initiated their close personal and professional association, which would endure for 39 years. William Mayo strongly supported Cushing's efforts to develop the specialty of neurological surgery, and Cushing sought Mayo's advice in making important career-related decisions. Their supportive friendship and professional alliance remains an example for future generations of neurological surgeons.

William Osler and “the special field of neurological surgery”

1989 ◽  
Vol 70 (5) ◽  
pp. 759-766 ◽  
Author(s):  
D. J. Canale
Keyword(s):  
United States ◽  
The United States ◽  
Positive Influence ◽  
Johns Hopkins Hospital ◽  
Surgical Specialty ◽  
Content Type ◽  
Considerable Contribution ◽  
Neurological Surgery ◽  
William Osler ◽  
Fine Print

✓ Harvey Cushing's paper, “The special field of neurological surgery,” published in the Bulletin of The Johns Hopkins Hospital in 1905, constitutes a recognized milestone in the establishment of neurological surgery as a separate surgical specialty in the United States. The main point the author wishes to make here is that the very special friendship of Sir William Osler, influencing, encouraging, stimulating Cushing at the particular time that it did (1901 to 1905), was probably the primary positive influence that made it possible for Cushing to achieve specialization in neurological surgery and to make his considerable contribution in this field.

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