TY - JOUR
T1 - Neurosurgery residency and fellowship education in the United States
T2 - 2 decades of system development by the One Neurosurgery Summit organizations
AU - Selden, Nathan R.
AU - Barbaro, Nicholas M.
AU - Barrow, Daniel L.
AU - Batjer, H. Hunt
AU - Branch, Charles L.
AU - Burchiel, Kim J.
AU - Byrne, Richard W.
AU - Dacey, Ralph G.
AU - Day, Arthur L.
AU - Dempsey, Robert J.
AU - Derstine, Pamela
AU - Friedman, Allan H.
AU - Giannotta, Steven L.
AU - Grady, M. Sean
AU - Harsh IV, Griffith R.
AU - Harbaugh, Robert E.
AU - Mapstone, Timothy B.
AU - Muraszko, Karin M.
AU - Origitano, Thomas C.
AU - Orrico, Katie O.
AU - Popp, A. John
AU - Sagher, Oren
AU - Selman, Warren R.
AU - Zipfel, Gregg J.
N1 - Funding Information:
Summit organizations also support various mechanisms to fund neurosurgical research experience for trainees and early-career faculty, including the flagship National Institutes of Health (NIH) K12 Neurosurgeon Research Career Development Program (NRCDP) that provides grant funding and structured mentorship to select junior faculty. The first NRCDP scholars were funded in 2013 and the program was expanded in 2016 when the CNS committed to providing ongoing grant support to fund an additional awardee via the National Institute of Neurological Disorders and Stroke (NINDS)/CNS K12 Getch Scholar Award. In 2018, the AAcNS Emerging Investigator Mentoring Program was established to complement the K12 program by providing intensive longitudinal grant writing and research mentoring by established neurosurgical clinician scientists to a broader group of promising junior faculty investigators. The AANS also funds numerous training and early-career research opportunities through its Neurosurgical Research and Education Foundation (NREF), some of which are cosponsored by the AAcNS.
Publisher Copyright:
© AANS 2022.
PY - 2022/2
Y1 - 2022/2
N2 - The purpose of this report is to chronicle a 2-decade period of educational innovation and improvement, as well as governance reform, across the specialty of neurological surgery. Neurological surgery educational and professional governance systems have evolved substantially over the past 2 decades with the goal of improving training outcomes, patient safety, and the quality of US neurosurgical care. Innovations during this period have included the following: creating a consensus national curriculum; standardizing the length and structure of neurosurgical training; introducing educational outcomes milestones and required case minimums; establishing national skills, safety, and professionalism courses; systematically accrediting subspecialty fellowships; expanding professional development for educators; promoting training in research; and coordinating policy and strategy through the cooperation of national stakeholder organizations. A series of education summits held between 2007 and 2009 restructured some aspects of neurosurgical residency training. Since 2010, ongoing meetings of the One Neurosurgery Summit have provided strategic coordination for specialty definition, neurosurgical education, public policy, and governance. The Summit now includes leadership representatives from the Society of Neurological Surgeons, the American Association of Neurological Surgeons, the Congress of Neurological Surgeons, the American Board of Neurological Surgery, the Review Committee for Neurological Surgery of the Accreditation Council for Graduate Medical Education, the American Academy of Neurological Surgery, and the AANS/ CNS Joint Washington Committee. Together, these organizations have increased the effectiveness and efficiency of the specialty of neurosurgery in advancing educational best practices, aligning policymaking, and coordinating strategic planning in order to meet the highest standards of professionalism and promote public health.
AB - The purpose of this report is to chronicle a 2-decade period of educational innovation and improvement, as well as governance reform, across the specialty of neurological surgery. Neurological surgery educational and professional governance systems have evolved substantially over the past 2 decades with the goal of improving training outcomes, patient safety, and the quality of US neurosurgical care. Innovations during this period have included the following: creating a consensus national curriculum; standardizing the length and structure of neurosurgical training; introducing educational outcomes milestones and required case minimums; establishing national skills, safety, and professionalism courses; systematically accrediting subspecialty fellowships; expanding professional development for educators; promoting training in research; and coordinating policy and strategy through the cooperation of national stakeholder organizations. A series of education summits held between 2007 and 2009 restructured some aspects of neurosurgical residency training. Since 2010, ongoing meetings of the One Neurosurgery Summit have provided strategic coordination for specialty definition, neurosurgical education, public policy, and governance. The Summit now includes leadership representatives from the Society of Neurological Surgeons, the American Association of Neurological Surgeons, the Congress of Neurological Surgeons, the American Board of Neurological Surgery, the Review Committee for Neurological Surgery of the Accreditation Council for Graduate Medical Education, the American Academy of Neurological Surgery, and the AANS/ CNS Joint Washington Committee. Together, these organizations have increased the effectiveness and efficiency of the specialty of neurosurgery in advancing educational best practices, aligning policymaking, and coordinating strategic planning in order to meet the highest standards of professionalism and promote public health.
KW - curriculum
KW - education
KW - governance
KW - history
KW - milestones
KW - neurosurgery
KW - professional societies
UR - http://www.scopus.com/inward/record.url?scp=85126682108&partnerID=8YFLogxK
U2 - 10.3171/2020.10.JNS203125
DO - 10.3171/2020.10.JNS203125
M3 - Article
C2 - 34359022
AN - SCOPUS:85126682108
SN - 0022-3085
VL - 136
SP - 565
EP - 574
JO - Journal of neurosurgery
JF - Journal of neurosurgery
IS - 2
ER -