Trends in Resident Operative Teaching Opportunities for Treatment of Intracranial Aneurysms

Abstract Objective The International Subarachnoid Aneurysm Trial heralded a paradigm shift in the treatment of intracranial aneurysms. During this same time frame neurosurgical training programs increased in size and scope. The present study examines the impact of trends in surgical clipping and the...

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Bibliographic Details
Published in:World neurosurgery 2017-07, Vol.103, p.194-200
Main Authors: Piazza, Matthew, MD, Nayak, Nikhil, MD, Ali, Zarina, MD, Heuer, Gregory, MD, PhD, Sanborn, Matthew, MD, Stein, Sherman, MD, Schuster, James, MD, PhD, Grady, M. Sean, MD, Malhotra, Neil R., MD
Format: Article
Language:English
Subjects:
Aneurysm clipping
Aneurysm, Ruptured - surgery
Craniotomy - education
Databases, Factual
Education, Medical, Graduate
Endovascular aneurysm treatment
Endovascular Procedures - education
Humans
Internship and Residency
Intracranial aneurysm
Intracranial Aneurysm - surgery
Neurosurgery
Neurosurgery - education
Neurosurgical Procedures - education
Resident education
Rupture, Spontaneous
Surgical Instruments
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Summary:Abstract Objective The International Subarachnoid Aneurysm Trial heralded a paradigm shift in the treatment of intracranial aneurysms. During this same time frame neurosurgical training programs increased in size and scope. The present study examines the impact of trends in surgical clipping and the endovascular treatment of intracranial aneurysms, over one decade, and the neurosurgical resident complement on the resident teaching environment using the Nationwide Inpatient Sample (NIS). Methods The NIS was used to estimate the number of aneurysms treated with either surgical clipping and endovascular methods from 2002 through 2011 at teaching institutions. Teaching opportunities per year per resident or chief resident were calculated as the ratio of number of specified case/average number of neurosurgical trainees by year. Annualized trends were assessed. Results Over the study period, the percent change in odds of occurrence of a clipped ruptured aneurysm was -15.6% per year (p
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2017.03.124