1359. A National Assessment of Neurosurgery Resident Knowledge of Socioeconomic Principles

Authors: Remi A. Kessler; Raj Shrivastava, MD; Sabrina Chen, BA; Joshua Loewenstern, BA; Karan Kohli, BS; Costantinos Hadjipanayis, MD, PhD; Deborah Benzil, MD (New York, NY)

Introduction: Socioeconomic (SE) topics such as federal mandates/regulations, conflict of interest, and practice management have become increasingly important for all neurosurgeons. Graduating residents immediately need a host of skills to successfully navigate neurosurgical practice. Surgical and medical skills are closely evaluated through the ABNS, however little has been done to evaluate neurosurgery resident awareness of socioeconomic and medicolegal principles from the perspective of readiness to practice. The purpose of this study was to assess the SE knowledge of ACGME neurosurgical residents.

Methods: Neurosurgery resident members of the American Association of Neurological Surgeons (N = 1385) were sent a Survey Monkey of 10-questions. The survey covered the most basic of SE principles. Initial survey responses were collected across a one-month period from April to May 2018.

Results: The response rate was 14% (194/1385). Overall, neurosurgery residents would have received a grade of “D,” with an average score of 67% on the survey. For seven of the ten questions, the majority (>50%) of neurosurgery residents answered correctly. Furthermore, for three questions, over 90% of residents selected the correct answer. However, for half of all questions, residents averaged a score of less than 65%. Less than one third of residents correctly answered a basic question about the Controlled Substances Act of the Drug Enforcement Administration (DEA).

Conclusion: 
With the increasing complexity of neurosurgery practice, solid knowledge of SE topics is essential. The study confirms suspected deficiencies in SE knowledge among neurosurgery residents. This gap will likely impact career success and satisfaction. Results indicate a need for improvement in resident training in these areas through focused educational initiatives. More comprehensive evaluation of resident neurosurgeons in these socioeconomic topics is important for tracking progress.