SOSSUS REPORT AND ITS IMPACT ON NEUROSURGERY
SOSSUS REPORT AND ITS IMPACT ON NEUROSURGERY
复制标题
DOI：
10.3171/jns.1977.46.2.0135
复制
发表时间：
1977-01-01
影响因子：
4.1
通讯作者：
ZUIDEMA, GD
中科院分区：
文献类型：
--
作者：
ZUIDEMA, GD
最近完成的美国外科服务研究报告（SOSSUS）揭示了神经外科医生感兴趣的几个特征。目前在美国大约有2000人从事神经外科手术。其中四分之三是董事会认证，每年约有100名住院医生完成培训。神经外科培训率一直在以6-10倍于全国人口增长率的速度增长。尽管执业神经外科医生的区域地理分布存在适度差异，但没有真实的证据表明服务不足的地区。在人口75 000人以上的社区，分布情况也很均衡。实践的一个关键特征是工作负荷。诊断性研究占神经外科工作的很大一部分，SOSSUS区域研究表明，复杂的手术相对较少。这对保持临床能力，以及集中足够的临床经验来培养未来几代神经外科医生有着严重的影响。目前执业的神经外科医生的人数足以满足国家的需要。在培训计划中选择性地削减大约20%似乎是合适的，与其他外科专业的类似削减相协调。这应该伴随着调整到适度的增长率，大约每5年1%，每10万人口中神经外科医生的比例。需要有一个准确的数据收集系统，以便为今后根据国家需求的变化而进行的改革提供基础。
The recently completed report of the Study on Surgical Services for the United States (SOSSUS) reveals several features of interest of neurosurgeons. There are approximately 2000 individuals practicing neurosurgery in the United States at the present time. Three-fourths of them are board-certified, and about 100 residents complete their training each year. Neurosurgical training rates have been increasing at 6-10 times the growth rate for the nation''s population. Despite moderate variation in regional geographic distribution of practicing neurosurgeons, there is no real evidence of underserved areas. Distribution is even in communities with a population of 75,000 and greater. A critical feature of practice is that of work loads. Diagnostic studies make up a large portion of neurosurgical work, and the SOSSUS Area Studies reveal that complex operations are relatively infrequent. This has serious implications regarding the maintenance of clinical competence, and in concentrating sufficient clinical experience to train future generations of neurosurgeons. The number of neurosurgeons now in practice is sufficient to meet the nation''s needs. Selective cutbacks in training programs by approximately 20% seem to be in order, in coordination with similar cuts in the other surgical specialities as well. This should be accompanied by a readjustment to a modest growth rate, approximately 1% per 5 yr, in the ratio of neurosurgeons per 100,000 population. An accurate system of data collection is needed to provide the basis for future change in response to alterations in national needs.