Focused selection of open cerebrovascular cases for residents interested in cerebrovascular neurosurgery

Abstract

Introduction

National and international trends continue to show greater emphasis on endovascular techniques for the treatment of cerebrovascular disease. The cerebrovascular neurosurgeon however must be adequately equipped to treat these patients via both open and endovascular techniques.

Methods

The decline in open cerebrovascular cases for aneurysm clipping has forced many trainees to pursue open cerebrovascular fellowships to increase case volume. An alternative strategy has been employed at our institution, which is early identification of subspecialty focus with resident driven self-selection of open cerebrovascular cases.

Results

This has allowed recent graduates to obtain enfolded endovascular training and a significant number of open cerebrovascular cases in order to obtain competence and exposure.

Discussion

We advocate for further self-selection paradigms supplemented with simulation training in order to obviate the need for extended post-residency fellowships.