Challenges in contemporary academic neurosurgery

Neurosurgery
Peter M Black

Abstract

Traditionally, the ideal academic neurosurgeon has been a "quadruple threat," with excellence in clinical work, teaching, research, and administration. This tradition was best exemplified in Harvey Cushing, who developed the field of neurosurgery 90 years ago. This paradigm will probably have to change as academic neurosurgeons face major challenges. In patient care, these include increasing regulatory control, increasing malpractice costs, consolidation of expensive care in academic centers, and decreasing reimbursement; in resident teaching, work hour limitations and a changing resident culture; in research, the increasing dominance of basic scientists in governmental funding decisions and decreased involvement of neurosurgeons in scientific review committees; and in administration, problems of relationships in the workplace, patient safety, and employment compliance in an increasingly bureaucratic system. To meet these challenges, the new academic neurosurgeon will probably not be a quadruple threat personally but will be part of a quadruple threat in a department and institution. Neurosurgeons in such a setting will have to work with hospital, medical school, and national and international groups to address malpractice, rei...Continue Reading

References

Nov 5, 1999·Neurosurgery·P M Black

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Citations

May 20, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Anna ConenAndrej Trampuz
Jan 18, 2007·Neurosurgery·Kartik G Krishnan
Apr 27, 2007·Neurosurgery·Michael T LawtonAlfredo Quiñones-Hinojosa
Aug 22, 2008·Neurosurgery·Juan C Fernández-MirandaEvandro P de Oliveira
Sep 28, 2010·Neurosurgery·Jean-Philippe LangevinNeil Martin
Dec 8, 2010·Neurosurgery·Jeffrey E PettitJeremy D Greenlee
Jun 3, 2009·Neurosurgical Focus·Erdem GüresirJürgen Beck
May 10, 2011·Journal of Neurosurgery·Ana Rodríguez-HernándezMichael T Lawton
Oct 4, 2011·Journal of Neurosurgery·Jason S HauptmanMichael W Itagaki
Jul 4, 2012·Neurosurgical Focus·Shelly D Timmons, Steven A Toms
May 7, 2014·BioMed Research International·Wellingson Silva PaivaManoel Jacobsen Teixeira
Dec 24, 2013·Journal of Neurosurgery·Bryan D ChoiJohn H Sampson
Sep 10, 2014·BioMed Research International·Iuri Santana NevilleAlmir Ferreira de Andrade
Nov 10, 2010·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Lukas H KusNeil Duggal
Dec 21, 2016·World Neurosurgery·Youssef Fares, Jawad Fares
Jan 6, 2018·Journal of Neurosurgery·Patrick M FlaniganManish K Aghi
Jun 22, 2013·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Fady Girgis

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