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Published on: October 17, 2017
Neurosurgical Coverage for Emergency and Trauma Call
Maya A Babu1, Ann R Stroink2, Shelly D Timmons3
1Department of Neurological Surgery, Ryder Trauma Center/Jackson Memorial Hospital, University of Miami, Miami, Florida.
Neurosurgical trauma call coverage is widespread, but financial pressures and liability concerns are significant. Understanding these factors is crucial for workforce planning and ensuring patient access to emergency neurosurgical care.
Area of Science:
- Neurosurgery
- Health Economics
- Medical Practice Management
Background:
- Neurosurgical practice traditionally includes providing emergency call coverage as a professional duty.
- Increasing financial pressures and regulatory mandates necessitate formal remuneration for trauma call services.
Purpose of the Study:
- To survey neurosurgical trauma call coverage patterns, scope, schedules, compensation, liability, and cessation.
- To provide transparency regarding the provision of emergency neurosurgical services.
Main Methods:
- A survey was distributed to all practicing neurosurgeon members of the American Association of Neurological Surgeons and Congress of Neurological Surgeons.
- A 24% response rate was achieved, providing data on current call coverage practices.
Main Results:
- 86% of respondents provide 24/7/365 trauma coverage.
- 29% have faced lawsuits from emergency department patients.
- 20% plan to retire within two years, impacting future coverage.
Conclusions:
- Understanding the dynamics of neurosurgical trauma call, including remuneration and barriers, is essential for workforce planning.
- Ensuring access to timely, acute neurosurgical care requires addressing financial and liability issues related to call coverage.
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