scholarly journals Neurological Surgery Training Abroad as a Progression to the Final Year of Training and Transition to Independent Practice

2014 ◽  
Vol 6 (4) ◽  
pp. 715-720 ◽  
Author(s):  
Robert M. Starke ◽  
Ashok R. Asthagiri ◽  
John A. Jane ◽  
John A. Jane

Abstract Background Residents at the University of Virginia spend 1 year abroad at a neurological surgery program prior to their chief year. The Accreditation Council for Graduate Medical Education (ACGME) considers international rotations elective experiences and does not count them toward clinical accreditation. Objective We compared clinical training obtained in New Zealand (NZ) to data from US ACGME-accredited programs to see if it was reasonable to reconsider the former as clinical training. Methods We compared US national average chief case volumes to those performed by University of Virginia residents rotating in NZ over the past 3 years, using case volume comparisons and a survey of the residents' experience. Results The mean number of cases performed in NZ was above the 50th percentile for US averages for adult cranial cases, including the 70th to 90th percentile for aneurysms and 50th to 70th percentile for tumors. The average number of cases performed in 1 year in NZ satisfied the cranial case quota for 4 of 6 adult and 2 of 3 pediatric areas over the entire residency. The rotation doubled the cranial exposure of graduating residents at the chief level without diluting the experience of residents in the core program. All residents reported being “very satisfied” with the experience, noting it facilitated their transition to chief year and independent practice. Conclusions Clinical training obtained during an international rotation in NZ is comparable to that attained in the United States. The international experience in NZ facilitated advancement in all 6 competencies, and should be considered adequate for clinical neurological surgery education.

1983 ◽  
Vol 5 (1) ◽  
pp. 2-6

The general meeting of the Tocqueville Society-La Société Tocqueville held at the Birdwood Conference Center at the University of Virginia in October seems to have stimulated every aspect of the Society’s program. New memberships have been pouring in. The roster now stands at 367: 240 in the United States, 82 in France, and 45 in other countries. A membership campaign will be launched this spring and we expect by the end of the year to increase the size of the membership to around 450, very nearly the ideal size for a specialized learned society. The financial position of the Society, although not brilliant, is more secure than ever before.


1988 ◽  
Vol 9 (1) ◽  
pp. 3-4
Author(s):  
Roland Simon

On 29-31 May 1988 a French-American Bicentennial Conference was held at the University of Virginia to share in the spirit of commemoration of the Revolution on both sides of the Atlantic. The Tocqueville Review is pleased to publish here a selection of the papers that were presented and discussed among a group of about forty specialists in political science, history, sociology, civilization and literature from France and the United States. The conference and the publication of its proceedings would not have been possible without the generous support of the French Ministry of Foreign Relations and the Cultural Services of the French Chancelry in Washington, D.C., the United States Information Agency, and the Dean of the Graduate School of Arts and Sciences of the University of Virginia to all of whom we express our gratitude.


1986 ◽  
Vol 16 (1) ◽  
pp. 1-28 ◽  
Author(s):  
Sir Anthony Mason

The Australian National University, the Sir Robert Menzies Memorial Trust and the University of Virginia Law School have established an annual Menzies Lecture Series. The Lectures are held in honour of Sir Robert Menzies and mark his contribution to the law and public life. The Lectures are given in alternate years at the Law Schools of the University of Virginia and the Australian National University. The Lectures will be published in the “Federal Law Review”. The first Menzies Lecturer was The Honourable Sir Anthony Mason of the High Court of Australia who visited the University of Virginia in October 1985. The following article is based on Sir Anthony's lecture.


Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Shahjehan Ahmad ◽  
Bledi C Brahimaj

Abstract INTRODUCTION The Accreditation Council for Graduate Medical Education (ACGME) maintains self-reported logs of cases completed by US residents. This study analyzes trends in the operative experience of neurosurgical residents within the context of national case trends in neurosurgery over the past decade. METHODS ACGME case logs from 2013 to 2018 were reviewed. Operative domains were categorized as adult cranial, adult spinal, pediatrics, and epilepsy. Mean operative volume was recorded, as well as cases performed as senior or lead surgeon. As a measure of US national operative trends, the PearlDiver database was queried for operative volume between 2007 and 2016. Statistical analysis was performed using linear regression, and statistical significance was set at P < .05. RESULTS During the study period, the total case volume for neurological surgery residents increased by 61 cases every residency year (P < .001). Cases logged as lead surgeon increased by 173 cases every year, while cases logged as senior surgeon decreased by 112 cases every year (P < .05). The operative volume for adult spine and cranial increased (P < .05), while that for extracranial vascular and pediatric decreased (P < .05). Brain tumor, transsphenoidal, radiosurgery, shunting, and epilepsy volume remained stable over the study period (P > .05). These resident operative trends paralleled trends nationwide where there were increases in adult cranial, adult spine, and epilepsy (P < .001) but decreases in pediatric cases (P < .05). CONCLUSION Over the past decade, neurosurgical residents have been completing an increasing number of cases every year in the majority of operative domains. While an increased experience is beneficial, what is more important is that the resident operative experience appears to closely mirror trends for commonly performed operations in the United States. This is reassuring for surgical educators that tomorrow's neurosurgeons will have the competency to meet our nation's neurosurgical needs.


1992 ◽  
Vol 76 (5) ◽  
pp. 883-884
Author(s):  
Raymond C. Bice

✓ After retiring from the presidency of the United States, Thomas Jefferson concentrated his latter years on establishing The University of Virginia. He personally undertook the design of the buildings and directed the early days of the institution. The Rotunda, with its famous Dome Room and outside porticos, continues to receive critical acclaim for its architectural design.


2003 ◽  
Vol 72 (2) ◽  
pp. 333-360 ◽  
Author(s):  
Thomas E. Buckley

A hundred years ago Virginia drafted a new state constitution designed to disfranchise African American voters. That objective was transparent from the outset of the convention. As John Goode, the presiding officer, assumed his seat, he called black suffrage “a great crime against civilization and Christianity.” At the age of seventy-two, Goode was the grand old man of the convention. A graduate of the University of Virginia and life-long Democrat, he had served in the state legislature, the Secession Convention of 1861, the Confederate legislature, and the U.S. House of Representatives before his appointment as Solicitor General of the United States in 1885. Goode reflected the mentality of the vast majority of convention delegates when he stated that African Americans were incapable of education or citizenship. “The omniscient Ruler of the Universe … made [them] inferior,” he proclaimed, and sometime in the future, when the North knew better, the Fifteenth Amendment would be repealed.


2021 ◽  
Vol 35 (1) ◽  
pp. 132-136
Author(s):  
Jim Tucker

Erlendur Haraldsson, a prolific researcher who made a number of major contributions in various areas of parapsychology and survival research, died in Reykjavik on November 22, 2020 at the age of 89. Born near Reykjavik, Erlendur studied philosophy in college, but his interest in understanding more about the world began before that. When he was 15, he had an experience during a heavy storm when the sun suddenly shone through the clouds and lit up pebbles on the banks of the nearby shore. As the light reflected off the pebbles, Erlendur sensed being filled with light himself in a way that was immense and beyond words. In an interview with Michael Tymn (2015), he said that a vivid trace of that feeling stayed with him forever and that after that, he never doubted that there was a superior reality. Following college, he worked for three years, mostly as a journalist, before returning to school to study psychology, eventually earning a PhD under Hans Bender in Freiburg. After that, he spent a year working at J. B. Rhine’s parapsychology center in Durham, North Carolina, followed by an internship in clinical psychology at the University of Virginia, where he met Ian Stevenson. He and Stevenson studied an Icelandic medium together, introducing Erlendur to the topic of mediumship which he would return to in subsequent decades. Following his internship, he entered the field with a bang. Karlis Osis, the director of research of the American Society for Psychical Research, invited Erlendur to join him in a large study of deathbed visions. They surveyed hundreds of doctors and nurses in both the United States and India about events they had witnessed in their patients. What resulted was a landmark study, one that exemplified the best the field has to offer—detailed statistical analysis along with compelling individual reports. One striking example involved a two-and-a-half year old boy whose mother had died six months before. The respondent wrote, “He was lying there very quiet. He just sat himself up, and he put his arms out and said, ‘Mama,’ and fell back [dead]” (Osis and Haraldsson, 1977, p. 53).  Osis and Haraldsson found that the data did not support known medical or psychological causes of hallucinations. Likewise, the influences of religious or other cultural factors could not be used to explain away the phenomena.


Author(s):  
James G. Clawson ◽  
Greg Bevan

Link to Multimedia Whoosh, is that all there is? On the eve of becoming a partner at a well-known consulting firm (“the stuff MBA dreams are made of”), a senior executive starts to question what he is doing with his life. Walt Shill had graduated eight years earlier from the Darden Graduate School of Business Administration at the University of Virginia and had worked his way up at McKinsey Consulting to become the first American partner in the Japanese office. Shill and his family move back to the United States, where he starts to question his goals. For the first time, it seems that Shill has no target to aim for. Having had reached his goals, Shill sets out on an adventure to seek his own meaning of life. He gets into good-enough shape to take a cross-country bicycle ride, which he completes. This undisguised case tells Shill's story and what he learned along the way. It ends with Shill's promise to himself to be less judgmental and to start walking through life with eyes wide open. A teaching note is available to registered faculty.


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