Surviving Neurosurgery: Vignettes of Resilience

Foreword
Preface
Contents
Contributors
Abbreviations
Part I: Resident Experience
	1: The Black Box: A Privilege and a Calling
	2: The Two A’s of Neurosurgery: A Subintern’s Experience
		The Sub-I Experience
		Selecting Subinternships
		Pearls and Pitfalls: Perspectives from a (Very) Recent Subintern
		Parting Thoughts
		A Faculty’s Perspective: What We Look for from a Subintern
	3: Into the Zone of Action: Neurosurgical Sub-internship
	4: The Right Stuff: What Program Directors Look for in Residency Applicants
		What Do PDs Want to See in Residency Applicants?
		References
	5: So We Beat On, Boats Against the Current: Overcoming Challenges to Match
		Short Story
	6: Behind the Curtain: Residency Interviews
		Have a Cohesive Story
		The Five Ps: Proper Preparation Prevents Poor Performance
		Don’t Forget, You Are also Interviewing Them
		30 Interviews Are Not Better Than 15
		Always Be Smiling
	7: Living in Two Worlds: Dual Degree
		Short Story
	8: Matching Plus One
	9: Lessons for New Interns
		Fear Is Nothing to Fear
		Respect Other Services
		Remember Yourself
	10: Chief Year Story: Day 2946
	11: Hail Mary: Surviving Call as a Junior Resident
	12: Preparing for the Written Boards
		Background
		Content
		Scoring
		Tools Available
		How I Prepared
		References
			Books for Studying
	13: A Knot in the Heart: Junior Resident Experience
	14: Stoking the Fire: Consult Story
	15: The Maserati: Choosing the Ideal Mentor
	16: To Washington and Back: My Thoughts on Healthcare Activism
		Introduction
		Practical Experience
		Role of a White House Fellow (Neurosurgeon in the White House)
		Lessons Learned
		Application to a Career in Neurosurgery
	17: A Bridge, but No River: The Fellow-ish Experience
Part II: Attending Experience
	18: Becoming the Theologian and the Priest: Advice for Residents
		Good Character: What You Do When You Think No One Is Looking: Is Essential
		First, Be a Good Doctor
		Be Humble
		It Is a Privilege to Be a Neurosurgeon
		References
	19: A Stroke of Change: Changes in My Practice
		References
	20: My Greatest Mentor
	21: Advancing Academically in Neurosurgery: Harnessing the Sweet Spot While Minimizing the Sweat Spot
		Reference
	22: Life Beyond Neurosurgery
	23: A New Job: A Steep Learning Curve
	24: Negotiating Your Way to a Fulfilling Neurosurgery Career: Clinical Contract
		References
	25: Negotiating a Research Contract
		Research the Position, Institution, and the Boss
		Be Aware of the Interpersonal Complexity Among Negotiation Stakeholders
		Mentally Prepare, Know Yourself
		Stay Hungry, Stay Foolish, and Work Hard
		You Cannot Have the Cake and Eat It Too
		Aim High and Anchor First
		Final Words of Advice
	26: Surviving Medicaid, Medicare, Private Payors, Billing, and Collections in 2020
		References
	27: How to Choose a Team
	28: Advice to Recent Residency Graduates
	29: Neurosurgical Leadership: Altruism and Aequanimitas
		Reference
	30: Directing a Neurosurgery Residency Training Program
		Reference
	31: Lessons on Leadership from a Society President
	32: AANS/CNS Washington Committee: Ensuring Neurosurgery Survival
		History
		Committee Structure
			Washington Committee External Relationships and Appointments
			Legislative Agenda
			Communications
		Get Involved
	33: Team Management: Lessons from Establishing a Neurointerventional Service
		Recognize Existing Resources and Opportunities
		Lead by Example and Delegate Effectively
		Empower Your Team and Cultivate a Growth Mindset
		References
	34: PArtner in Neurological Surgery
	35: Cost-Cutting Without Quality-Cutting
		Reference
	36: Neurosurgery Across the Globe
		References
	37: Lessons Learned: Life in Neurosurgery
		Reference
	38: Global Neurosurgery: How Best to Be Involved
		Introduction
		Education
		Research
		Clinical Activity
		References
	39: Preparing for the Oral Board Exam
	40: Challenges of Coding and Reimbursement
		References
	41: Sponsor for Trainees
		References
	42: The Neuroendovascular Surgery Odyssey
		References
Part III: Operating Room
	43: My Worst Complication
	44: Judgment, Teams, and Hands: Beyond Technical Skills in the Operating Room
		Surgical Decision Making
		The Team, the Team, the Team
		It’s All About the Patient
		Summary
		References
	45: Supporting Future Generations of Neurosurgeons: Passing the Torch
	46: The “Tail” of the Intraneural Ganglion Cyst: My Most Fascinating Case
		References
	47: Morbidity and Mortality
	48: Preparing for the OR: From the Lab to the OR
		References
	49: Intraoperative Teamwork: Two-Surgeon Model
		Communication
		Knowledge of Personal Strengths
		Humility and Trust
		References
	50: Gaining Competence in Neurological Surgery: Is It Enough?
	51: A Critical Portion of the Case Occurs in the Clinic
		References
Part IV: Choosing A Subspecialty
	52: Why I Chose to Be a Neurosurgeon
	53: A Subspecialty at a Glance: Endovascular Neurosurgery
		References
	54: No Longer Gentleman Hands: Choosing Spine Surgery
	55: The Modern-Day Skull Base Surgeon
		References
	56: Choosing Neurosurgical Oncology
		References
	57: From Cajal to Talairach: A Journey to Epilepsy Surgery
	58: Choosing Pediatric Neurosurgery
	59: A Focus on Stereotactic Radiosurgery in Neurosurgery
		References
	60: Bench and Bedside: The Path to Becoming a Physician-Scientist
	61: Private Practice
	62: Neurological Sports Medicine: Choosing a Subspecialty Which is Both Practical and Useful
	63: Neurotrauma: Endlessly Rewarding
		Reference
	64: Rewiring the Peripheral Nervous System
		References
Part V: Research
	65: Research Year Story
		References
	66: The MD/PhD and the Neurosurgeon/Neuroscientist
		References
	67: How to Give a Great Presentation
	68: The Job of Editor-in-Chief of a Neurosurgery Journal
		My “Writing and Publication Story” in a Nutshell
		World Neurosurgery Workflow: How It All Gets Done
		Narrative Regarding My Day-to-Day Journal Activities
		Would I Do It Again?
	69: Neurosurgery and the Pursuit of Fundamental Neuroscience
		References
	70: How to Get Research Funding (AKA, How to Successfully Bang Your Head Against the Wall)
		Strike Early, Strike Often
		Diversify Your Portfolio
		Find Your Niche (50 + 75 = 100)
		Identify Great Collaborators
		Make Time
	71: A Podcast for Neurosurgeons: Conception, Creation, Continuation
	72: AANS Neurosurgeon: Creativity Outside of the Operating Room
	73: Getting Started in Research: Testimonial From a “Late Bloomer”
	74: The “Keys” to Starting Your Research Laboratory
		Sell Yourself as a Specialist
		Find Your Support System
		Create Your Scientific Network
		Your Path to Success
		References
	75: Technophilia and Neurosurgery
		References
	76: How to Conduct Meaningful Research: How Not to Reinvent Just Another Wheel
		Reference
Part VI: Humanity in Neurosurgery
	77: Work–Life Balance: Preserving Soul and Sanity
	78: Having Children During Residency
	79: The @Graffeo 10 Commandments for #NSGY Twitter
		Introduction
			#NSGY #SoMe: Anatomy of the Digital Landscape
			All the News That’s Fit to Tweet
			The World’s Biggest Journal Club
			Future Present Tense: Learning in the Digital Epoch
			Neurosurgery, Professionalism, and the New Social Networks
			Additional Resources
		References
	80: Public Service in Neurosurgery
		References
	81: Diversity in Neurosurgery
		Diversity Issues in Neurosurgery
		Lessons Learned From Other Professions
		Benefits of Diversity: Biological and Economic Perspectives
		Conclusion
		References
	82: Military Neurosurgery
	83: Thriving in a Two-Surgeon Household
	84: Surviving a Malpractice Lawsuit
		References
	85: Engagement and Leadership in Organized Neurosurgery
	86: Being a Woman in a Male-Dominated Field
		Introduction
		Tips for Women Interested in Neurosurgery
		Societal Norms and Gender Dynamics
		Family Planning
		Sexual Harassment and Gender-Based Discrimination
		Microaggressions, Self-Fulfilling Prophecies, and Career Tracking
		How Do We Continue Making Progress?
		References
	87: In the Eyes of Chiari
	88: Mindfulness, and Coping with the Inevitable Tragedies of Neurosurgery
		Personal Story
			Burnout
			Mindfulness
		References
	89: How to Build a Successful Academic Innovation Program and Why Innovation Should Be a Core Neurosurgical Competency
		References
	90: Art of Neurosurgery: The Commissure
		References
	91: Mission Trips: How Outreach Changed My Life
		References
	92: The Family Is an Extension of the Patient
	93: A Personal Journey
Part VII: Not Always a Straight Road
	94: Switching Programs
		Introduction
		Finding a Program Vacancy
		Orphaned Residents
		Concluding Statements
		References
	95: Applying to Neurosurgery: Do’s and Don’ts
		A Comment About the Merger
	96: Changing Neurosurgery Programs
	97: The Only Way to Survive Falling out of an Airplane Is to Go Limp
	98: Flipping Burgers Due to Career Burnout
	99: So You Didn’t Match
		References
	100: Overcoming Frustration: Grind My Gears, Butter My Bread
	101: Chasing the American Dream
		Short Story
Index