Training Standards in Neuroendovascular Surgery: Program Accreditation and Practitioner Certification

doi:10.1161/STROKEAHA.117.016560

Review

. 2017 Aug;48(8):2318-2325.

doi: 10.1161/STROKEAHA.117.016560. Epub 2017 Jul 13.

Training Standards in Neuroendovascular Surgery: Program Accreditation and Practitioner Certification

Arthur L Day¹, Adnan H Siddiqui¹, Philip M Meyers¹, Tudor G Jovin¹, Colin P Derdeyn¹, Brian L Hoh¹, Howard Riina¹, Italo Linfante¹, Osama Zaidat¹, Aquilla Turk¹, Jay U Howington¹, J Mocco¹, Andrew J Ringer¹, Erol Veznedaroglu¹, Alexander A Khalessi¹, Elad I Levy¹, Henry Woo¹, Robert Harbaugh¹, Steven Giannotta²

Affiliations

¹ From the Department of Neurosurgery, Mischer Neuroscience Institute, University of Texas Health Science Center, Houston (A.L.D.); Departments of Neurosurgery and Radiology, School of Medicine and Biomedical Sciences and Toshiba Stroke and Vascular Institute, University at Buffalo, State University of New York (A.H.S., E.I.L.); Jacobs Institute, Buffalo, NY (A.H.S., E.I.L.); Departments of Radiology and Neurological Surgery, College of Physicians and Surgeons, Columbia University, New York, NY (P.M.M.); Departments of Neurology and Neurosurgery, University of Pittsburgh Medical Center, PA (T.G.J.); Departments of Radiology, Neurology, and Neurosurgery, University of Iowa Hospitals and Clinics (C.P.D.); Department of Neurosurgery, University of Florida, Gainesville (B.L.H.); Department of Neurosurgery, NYU Langone Medical Center (H.R.); Departments of Radiology and Neuroscience, Miami Cardiac and Vascular Institute and Baptist Neuroscience Institute, FL (I.L.); Mercy Endovascular-Neuroscience, Toledo, OH (O.Z.); Department of Neurosurgery, Medical University of South Carolina, Charleston (A.T.); Department of Neurosurgery, Neurological Institute of Savannah, GA (J.U.H.); Department of Neurosurgery, Mount Sinai Health System, New York, NY (J.M.); Department of Neurosurgery, Mayfield Clinic and University of Cincinnati College of Medicine, OH (A.J.R.); Department of Neurosurgery, Capital Health System, Trenton, NJ (E.V.); Department of Neurosurgery, University of California, San Diego (A.A.K.); Departments of Neurosurgery and Radiology, Stony Brook School of Medicine, East Setauket, NY (H.W.); Department of Neurosurgery, Penn State University-Milton S. Hershey Medical Center, Hershey, PA (R.H.); and Department of Neurosurgery, Keck School of Medicine of the University of Southern California, Los Angeles (S.G.).
² From the Department of Neurosurgery, Mischer Neuroscience Institute, University of Texas Health Science Center, Houston (A.L.D.); Departments of Neurosurgery and Radiology, School of Medicine and Biomedical Sciences and Toshiba Stroke and Vascular Institute, University at Buffalo, State University of New York (A.H.S., E.I.L.); Jacobs Institute, Buffalo, NY (A.H.S., E.I.L.); Departments of Radiology and Neurological Surgery, College of Physicians and Surgeons, Columbia University, New York, NY (P.M.M.); Departments of Neurology and Neurosurgery, University of Pittsburgh Medical Center, PA (T.G.J.); Departments of Radiology, Neurology, and Neurosurgery, University of Iowa Hospitals and Clinics (C.P.D.); Department of Neurosurgery, University of Florida, Gainesville (B.L.H.); Department of Neurosurgery, NYU Langone Medical Center (H.R.); Departments of Radiology and Neuroscience, Miami Cardiac and Vascular Institute and Baptist Neuroscience Institute, FL (I.L.); Mercy Endovascular-Neuroscience, Toledo, OH (O.Z.); Department of Neurosurgery, Medical University of South Carolina, Charleston (A.T.); Department of Neurosurgery, Neurological Institute of Savannah, GA (J.U.H.); Department of Neurosurgery, Mount Sinai Health System, New York, NY (J.M.); Department of Neurosurgery, Mayfield Clinic and University of Cincinnati College of Medicine, OH (A.J.R.); Department of Neurosurgery, Capital Health System, Trenton, NJ (E.V.); Department of Neurosurgery, University of California, San Diego (A.A.K.); Departments of Neurosurgery and Radiology, Stony Brook School of Medicine, East Setauket, NY (H.W.); Department of Neurosurgery, Penn State University-Milton S. Hershey Medical Center, Hershey, PA (R.H.); and Department of Neurosurgery, Keck School of Medicine of the University of Southern California, Los Angeles (S.G.). Steven.Giannotta@med.usc.edu.

PMID: 28706116
DOI: 10.1161/STROKEAHA.117.016560

Review

Training Standards in Neuroendovascular Surgery: Program Accreditation and Practitioner Certification

Arthur L Day et al. Stroke. 2017 Aug.

. 2017 Aug;48(8):2318-2325.

doi: 10.1161/STROKEAHA.117.016560. Epub 2017 Jul 13.

Authors

Affiliations

¹ From the Department of Neurosurgery, Mischer Neuroscience Institute, University of Texas Health Science Center, Houston (A.L.D.); Departments of Neurosurgery and Radiology, School of Medicine and Biomedical Sciences and Toshiba Stroke and Vascular Institute, University at Buffalo, State University of New York (A.H.S., E.I.L.); Jacobs Institute, Buffalo, NY (A.H.S., E.I.L.); Departments of Radiology and Neurological Surgery, College of Physicians and Surgeons, Columbia University, New York, NY (P.M.M.); Departments of Neurology and Neurosurgery, University of Pittsburgh Medical Center, PA (T.G.J.); Departments of Radiology, Neurology, and Neurosurgery, University of Iowa Hospitals and Clinics (C.P.D.); Department of Neurosurgery, University of Florida, Gainesville (B.L.H.); Department of Neurosurgery, NYU Langone Medical Center (H.R.); Departments of Radiology and Neuroscience, Miami Cardiac and Vascular Institute and Baptist Neuroscience Institute, FL (I.L.); Mercy Endovascular-Neuroscience, Toledo, OH (O.Z.); Department of Neurosurgery, Medical University of South Carolina, Charleston (A.T.); Department of Neurosurgery, Neurological Institute of Savannah, GA (J.U.H.); Department of Neurosurgery, Mount Sinai Health System, New York, NY (J.M.); Department of Neurosurgery, Mayfield Clinic and University of Cincinnati College of Medicine, OH (A.J.R.); Department of Neurosurgery, Capital Health System, Trenton, NJ (E.V.); Department of Neurosurgery, University of California, San Diego (A.A.K.); Departments of Neurosurgery and Radiology, Stony Brook School of Medicine, East Setauket, NY (H.W.); Department of Neurosurgery, Penn State University-Milton S. Hershey Medical Center, Hershey, PA (R.H.); and Department of Neurosurgery, Keck School of Medicine of the University of Southern California, Los Angeles (S.G.).
² From the Department of Neurosurgery, Mischer Neuroscience Institute, University of Texas Health Science Center, Houston (A.L.D.); Departments of Neurosurgery and Radiology, School of Medicine and Biomedical Sciences and Toshiba Stroke and Vascular Institute, University at Buffalo, State University of New York (A.H.S., E.I.L.); Jacobs Institute, Buffalo, NY (A.H.S., E.I.L.); Departments of Radiology and Neurological Surgery, College of Physicians and Surgeons, Columbia University, New York, NY (P.M.M.); Departments of Neurology and Neurosurgery, University of Pittsburgh Medical Center, PA (T.G.J.); Departments of Radiology, Neurology, and Neurosurgery, University of Iowa Hospitals and Clinics (C.P.D.); Department of Neurosurgery, University of Florida, Gainesville (B.L.H.); Department of Neurosurgery, NYU Langone Medical Center (H.R.); Departments of Radiology and Neuroscience, Miami Cardiac and Vascular Institute and Baptist Neuroscience Institute, FL (I.L.); Mercy Endovascular-Neuroscience, Toledo, OH (O.Z.); Department of Neurosurgery, Medical University of South Carolina, Charleston (A.T.); Department of Neurosurgery, Neurological Institute of Savannah, GA (J.U.H.); Department of Neurosurgery, Mount Sinai Health System, New York, NY (J.M.); Department of Neurosurgery, Mayfield Clinic and University of Cincinnati College of Medicine, OH (A.J.R.); Department of Neurosurgery, Capital Health System, Trenton, NJ (E.V.); Department of Neurosurgery, University of California, San Diego (A.A.K.); Departments of Neurosurgery and Radiology, Stony Brook School of Medicine, East Setauket, NY (H.W.); Department of Neurosurgery, Penn State University-Milton S. Hershey Medical Center, Hershey, PA (R.H.); and Department of Neurosurgery, Keck School of Medicine of the University of Southern California, Los Angeles (S.G.). Steven.Giannotta@med.usc.edu.

PMID: 28706116
DOI: 10.1161/STROKEAHA.117.016560

Abstract

Background and purpose: Neuroendovascular surgery is a medical subspecialty that uses minimally invasive catheter-based technology and radiological imaging to diagnose and treat diseases of the central nervous system, head, neck, spine, and their vasculature. To perform these procedures, the practitioner needs an extensive knowledge of the anatomy of the nervous system, vasculature, and pathological conditions that affect their physiology. A working knowledge of radiation biology and safety is essential. Similarly, a sufficient volume of clinical and interventional experience, first as a trainee and then as a practitioner, is required so that these treatments can be delivered safely and effectively.

Methods: This document has been prepared under the aegis of the Society of Neurological Surgeons and its Committee for Advanced Subspecialty Training in conjunction with the Joint Section of Cerebrovascular Surgery for the American Association of Neurological Surgeons and Congress of Neurological Surgeons, the Society of NeuroInterventional Surgery, and the Society of Vascular and Interventional Neurology.

Results: The material herein outlines the requirements for institutional accreditation of training programs in neuroendovascular surgery, as well as those needed to obtain individual subspecialty certification, as agreed on by Committee for Advanced Subspecialty Training, the Society of Neurological Surgeons, and the aforementioned Societies. This document also clarifies the pathway to certification through an advanced practice track mechanism for those current practitioners of this subspecialty who trained before Committee for Advanced Subspecialty Training standards were formulated.

Conclusions: Representing neuroendovascular surgery physicians from neurosurgery, neuroradiology, and neurology, the above mentioned societies seek to standardize neuroendovascular surgery training to ensure the highest quality delivery of this subspecialty within the United States.

Keywords: cerebrovascular disorders; certification; education; neurosurgery; stroke.

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Comment in

Endovascular Thrombectomy and Stroke Physicians: Equity, Access, and Standards.
Davis SM, Campbell BCV, Donnan GA. Davis SM, et al. Stroke. 2017 Aug;48(8):2042-2044. doi: 10.1161/STROKEAHA.117.018208. Epub 2017 Jul 13. Stroke. 2017. PMID: 28706115 No abstract available.

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Training Standards in Neuroendovascular Surgery: Program Accreditation and Practitioner Certification

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Training Standards in Neuroendovascular Surgery: Program Accreditation and Practitioner Certification

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