1361. A Survey of Roles, Responsibilities and the Value of Neurosurgery Program Administrators

Authors: Brenden Ronna; Jian Guan, MD; Michael Karsy; Julie Service; Amy Ekins; Randy Jensen, MD, PhD (Salt Lake City, UT)

Introduction Neurosurgery residency program administrators play an important role in the function of residency and fellowship programs, but often work behind the scenes with program directors and chairman. In addition, administrators have significantly heterogeneous job roles from institution to institution. The aim of this study was to evaluate the training, responsibilities and contribution of residency program administrators within the field of neurosurgery. Methods An anonymous 24-question survey was submitted to 133 program administrators with 78 responses (59% response rate). Results Results showed that >80% of administrators have been in their current position for 3 or more years. Administrators identified 24 unique departmental responsibilities with an average of 85% of time devoted to residency program management. Among administrators, 82% reported no formal training, with 60% and 55% reporting inadequate training from their department and institution, respectively. Interestingly, 84% completely or partially agreed that their work is valued by residents, 91% by program directors, 78% by department chairman, 62% by other faculty and 56% by other departmental staff. Lastly, 50% of administrators reported that their department has not been receptive to receiving feedback on how to improve the roles of the position with 80% reporting no career advancement track. Conclusion Administrators reported a wide range of experience and responsibilities within their respective departments. The majority of administrators reported no formal training or inadequate training for their current position, and a significant number reported not feeling valued by members of their department. As administrators continue to play a larger role in the management and accreditation of their departments, strategies to optimize their role may be an important avenue of exploration.