A Consensus Study: Generational Differences in Neurosurgeons' Perception of Retirement and Practice Limits

Area of Science:

• Neurosurgery
• Medical Workforce Demographics
• Surgical Career Progression

Background:

• Concerns exist regarding the aging neurosurgical workforce in the U.S.
• The demanding nature of neurosurgery necessitates evaluating career workload adjustments.
• This study addresses neurosurgeons' expectations for their late-career work demands.

Purpose of the Study:

• To assess U.S. neurosurgeons' perceptions of late-career call and operative responsibilities.
• To understand expectations regarding workload changes in the later stages of a neurosurgical career.

Main Methods:

• A survey was distributed to 3317 U.S. board-certified neurosurgeons.
• The survey assessed perceptions of late-career call and operative duties.
• Statistical analysis was performed using R version 3.6.1.

Main Results:

• 659 neurosurgeons responded, with 77% advocating for reduced call burden later in practice.
• 66% planned to decrease their own call burden, with most retiring between 65-69 years.
• Younger surgeons who recently completed residency favored earlier workload reduction and mandatory retirement ages.

Conclusions:

• Neurosurgical professionals hold diverse views on late-career workload adjustments.
• Younger neurosurgeons are more inclined towards earlier workload decreases or mandatory operating cessation.
• Findings offer insights into future neurosurgical workforce trends and turnover, aiding practice planning.