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Current Trends in Subspecialty Fellowship Training for 1691 Academic Neurological Surgeons.
Arjun Gupta1, Vamsi Reddy2, Awinita Barpujari3
1Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
World Neurosurgery
|November 20, 2022
Summary
Young neurosurgeons increasingly pursue fellowship training, often in multiple subspecialties. This trend impacts career decisions and postgraduate education delivery in neurosurgery.
Area of Science:
- Neurosurgery
- Medical Education
- Surgical Subspecialties
Background:
- Neurosurgical subspecialty fellowship training has gained significant traction.
- Recent trends in postgraduate neurosurgical education require evaluation.
Purpose of the Study:
- To analyze trends and demographics in neurosurgical subspecialty fellowship completion.
- To provide a cross-sectional overview of U.S. academic neurosurgeons' fellowship training.
Main Methods:
- Included 1691 academic neurosurgeons from 125 institutions.
- Collected demographic, career, and fellowship data from profiles and the American Association of Neurological Surgeons (AANS) database.
- Utilized NIH iCite tool for relative citation ratio (RCR) scores.
Main Results:
- 79.13% of neurosurgeons completed fellowships, with higher rates among recent graduates and those pursuing multiple subspecialties.
- Spine (16.04%), Pediatrics (11.18%), and Cerebrovascular (9.46%) were the most common fellowships.
- Fellowship training correlated with higher RCR scores for associate and full professors.
Conclusions:
- Younger neurosurgeons show a growing preference for additional, often multiple, subspecialty fellowships.
- Findings aim to inform professional choices and enhance postgraduate neurosurgical education.

