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Vol. 34. Issue 2.
Pages 53-59 (March - April 2023)
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Vol. 34. Issue 2.
Pages 53-59 (March - April 2023)
Clinical Research
Focused selection of open cerebrovascular cases for residents interested in cerebrovascular neurosurgery
Selección enfocada de casos cerebrovasculares abiertos para residentes interesados en neurocirugía cerebrovascular
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Dimitri Laurent, Brandon Lucke-Wold
Corresponding author
, Kevin Pierre, Olgert Bardhi, Sijia Yue, Meghan Brennan, W. Christopher Fox, Nohra Chalouhi, Matthew J. Koch, Brian Hoh, Jamie S. Dow, Gregory J.A. Murad, Adam Polifka
Department of Neurosurgery, University of Florida, Gainesville, United States
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Abstract
Introduction

National and international trends continue to show greater emphasis on endovascular techniques for the treatment of cerebrovascular disease. The cerebrovascular neurosurgeon however must be adequately equipped to treat these patients via both open and endovascular techniques.

Methods

The decline in open cerebrovascular cases for aneurysm clipping has forced many trainees to pursue open cerebrovascular fellowships to increase case volume. An alternative strategy has been employed at our institution, which is early identification of subspecialty focus with resident driven self-selection of open cerebrovascular cases.

Results

This has allowed recent graduates to obtain enfolded endovascular training and a significant number of open cerebrovascular cases in order to obtain competence and exposure.

Discussion

We advocate for further self-selection paradigms supplemented with simulation training in order to obviate the need for extended post-residency fellowships.

Keywords:
Cerebrovascular neurosurgery
Residency training
Case volume
Self-selection paradigm
Resumen
Introducción

Las tendencias nacionales e internacionales continúan mostrando un mayor énfasis en las técnicas endovasculares para el tratamiento de la enfermedad cerebrovascular. Sin embargo, el neurocirujano cerebrovascular debe estar adecuadamente equipado para tratar a estos pacientes mediante técnicas tanto abiertas como endovasculares.

Métodos

La disminución de los casos cerebrovasculares abiertos por clipaje de aneurismas ha obligado a muchos alumnos a buscar becas cerebrovasculares abiertas para aumentar el volumen de casos. Se ha empleado una estrategia alternativa en nuestra institución, que es la identificación temprana del enfoque de subespecialidad con la autoselección impulsada por el residente de casos cerebrovasculares abiertos.

Resultados

Esto ha permitido a los recién graduados obtener una formación endovascular completa y un número significativo de casos cerebrovasculares abiertos para obtener competencia y exposición.

Discusión

Abogamos por nuevos paradigmas de autoselección complementados con capacitación en simulación para evitar la necesidad de becas extendidas posteriores a la residencia.

Palabras clave:
Neurocirugía cerebrovascular
Formación en residencia
Volumen de casos
Paradigma de autoselección

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