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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
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Workforce planning in neurosurgery.

Saurabh Sinha1, Grainne McKenna2, Peter Whitfield3

  • 1Department of Neurosurgery, Royal Hallamshire Hospital, Sheffield, UK.

British Journal of Neurosurgery
|November 23, 2019
PubMed
Summary
This summary is machine-generated.

The UK neurosurgery workforce has grown, but trainee numbers are falling, leading to more neurosurgeons without consultant posts. Regular workforce data collection and planning are essential for sustainable consultant expansion and recruitment management.

Keywords:
ConsultantNeurosurgeryRegistrarSpecialist trainingWorkforce

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Area of Science:

  • Medical Workforce Planning
  • Neurosurgical Training
  • Healthcare Policy

Background:

  • UK Neurosurgery introduced run-through training in 2007 without limits on trainee posts.
  • The training model assumed trainee recruitment would match consultant posts eight years later.
  • A formal survey of the UK neurosurgical workforce had not been conducted for several years.

Purpose of the Study:

  • To conduct a survey to measure the current UK Neurosurgical workforce.
  • To estimate optimal trainee recruitment numbers to align with future consultant positions.
  • To address the imbalance between training output and available consultant roles.

Main Methods:

  • A survey was conducted by the Specialist Advisory Committee to assess the current neurosurgical workforce.
  • Data were collected from public bodies including the General Medical Council (GMC), NHS Jobs, and the Joint Committee on Surgical Training (JCST).
  • Analysis focused on consultant numbers, trainee recruitment, training completion rates, and post-training employment status.

Main Results:

  • The number of consultant neurosurgeons (whole time equivalents) in the UK and Ireland increased from 132.5 in 1993 to 389.
  • Registered neurosurgical trainees decreased by 9% between 2012 (278) and 2017 (248).
  • The number of neurosurgeons completing training (CCT holders) without substantive consultant posts rose from 26 in 2015 to 43 in 2018.

Conclusions:

  • Regular collection of neurosurgical workforce data and implementation of workforce planning are critical.
  • Expansion of consultant posts is necessary to accommodate the increasing number of CCT holders.
  • The specialty should cap trainee recruitment and consider a marginal reduction in intake to balance workforce needs.