Abstract
The number of neurosurgeons per million population is much lower in Europe than in the USA, where the point prevalence of neurosurgeons doubled between 1963-87. Results of a 1987 survey of USA neurosurgical practice show that surgery filled 25% of total time in professional activity. Of all cases treated, 64% were spinal disorders and 24% were intracranial disorders. Use of a relative value scale for neurosurgical procedures makes possible a rough and ready estimate of a neurosurgeon's weekly aggregate workload. However, the concept of a mean surgical workload must be examined within the context of the known variation of case mix and volume of surgical services in different practices.
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Selected References
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- Drake C. G. Neurosurgery: considerations for strength and quality. The 1978 AANS presidential address. J Neurosurg. 1978 Oct;49(4):483–501. doi: 10.3171/jns.1978.49.4.0483. [DOI] [PubMed] [Google Scholar]
- Etzel S. I., Egan R. L., Shevrin M. P., Rowley B. D. Graduate medical education in the United States. JAMA. 1989 Aug 25;262(8):1029–1037. [PubMed] [Google Scholar]
- Hopkins A., Menken M., DeFriese G. A record of patient encounters in neurological practice in the United Kingdom. J Neurol Neurosurg Psychiatry. 1989 Apr;52(4):436–438. doi: 10.1136/jnnp.52.4.436. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hughes E. F., Fuchs V. R., Jacoby J. E., Lewit E. M. Surgical work loads in a community practice. Surgery. 1972 Mar;71(3):315–327. [PubMed] [Google Scholar]
- Kurtzke J. F., Bennett D. R., Berg B. O., Beringer G. B., Goldstein M., Vates T. S., Jr On national needs for neurologists in the United States. Neurology. 1986 Mar;36(3):383–388. doi: 10.1212/wnl.36.3.383. [DOI] [PubMed] [Google Scholar]
- Kurtzke J. F., Murphy F. M., Smith M. A. On the production of neurologists in the United States: an update. Neurology. 1991 Jan;41(1):1–9. doi: 10.1212/wnl.41.1.1. [DOI] [PubMed] [Google Scholar]
- Maurice-Williams R. S. Enough British neurosurgeons? Br J Neurosurg. 1987;1(3):301–304. doi: 10.3109/02688698709023770. [DOI] [PubMed] [Google Scholar]
- Menken M. Postgraduate training in neurology. Education for what? Arch Neurol. 1983 Jun;40(6):329–332. doi: 10.1001/archneur.1983.04050060029003. [DOI] [PubMed] [Google Scholar]
- Menken M. Sounding Boards. Consequences of an oversupply of medical specialists: the case of neurology. N Engl J Med. 1983 May 19;308(20):1224–1226. doi: 10.1056/NEJM198305193082011. [DOI] [PubMed] [Google Scholar]
- Schutte J. E. "We're not ostriches anymore!". Med Econ. 1989 Sep 18;66(18):131, 135-6, 139. [PubMed] [Google Scholar]
- Wrenn F. R., DeFriese G. H., Sullivan R. Neurosurgery in the Carolinas and its relation to national neurosurgical manpower requirements. Clin Neurosurg. 1975;22:526–565. doi: 10.1093/neurosurgery/22.cn_suppl_1.526. [DOI] [PubMed] [Google Scholar]
