Neurosurgical Provider Proficiency: Clairification of Readiness and Management Implications
Abstract
This research project used qualitative research methods to clarify the concept of surgical proficiency among U.S. Army neurosurgeons. The purpose is to assist effective management decisions and policies through a greater understanding of the complexities of defining, measuring, and influencing proficiency. The data collection included focused interviews with 23 military and civilian experts designed to clarify the concept of proficiency and semi-structured interviews with 9 of 19 active duty neurosurgeons to understand their perspective and concerns. The results found, with very high consistency, that the established proxies of credentialing, board certification, and accreditation are what an organization can and should consider at this time. Additionally, the interviewees expressed that the evaluation of physicians is, at its core, a local function best conducted by peers. In this regard the Army Medical Department has the proper structure and processes that encourage proficiency. Concerning the management of neurosurgeons, the results articulated the persistent dissatisfaction with pay, support staff, and assignments. The management of human resources, including retention and career management, is a critical obstacle in maintaining and improving proficiency in this specialty. This research strongly supports the neurosurgical consultant s recommendations submitted to the U.S. Army Surgeon General concerning consolidating assignments, encouraging resource sharing agreements with the Veteran s Affairs, and issues of morale. In addition, this research indicates that significant research and changes are necessary to align the Army s use of this specialty with the critical elements of surgical proficiency.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 01, 2001
- Accession Number
- ADA421024
Entities
People
- Mark J. Dole
Organizations
- Academy of Health Sciences