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.).
Stroke. 2017 Aug;48(8):2318-2325. doi: 10.1161/STROKEAHA.117.016560. Epub 2017 Jul 13.
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.
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.
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.
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.
神经血管外科学是一门医学亚专科，它使用微创的基于导管的技术和放射影像学来诊断和治疗中枢神经系统、头颈部、脊柱及其脉管系统的疾病。要进行这些手术，从业者需要广泛了解神经系统、脉管系统的解剖结构以及影响其生理学的病理状况。对放射生物学和安全的基本知识也是必不可少的。同样，需要有足够数量的临床和介入经验，首先作为受训者，然后作为从业者，以便能够安全有效地提供这些治疗。
本文件是在神经外科医师协会及其高级专科培训委员会的主持下，与美国神经外科医师协会和神经外科学会联合脑血管外科学分会、神经介入外科学会和血管与介入神经病学学会共同编写的。
本文概述了神经血管外科学培训计划的机构认证要求，以及获得个人专科认证所需的要求，这些要求是高级专科培训委员会、神经外科医师协会和上述学会同意的。本文还通过为那些在委员会制定高级专科培训标准之前接受培训的该亚专科现有从业者建立高级实践跟踪机制，阐明了认证途径。
上述学会代表神经外科学、神经放射学和神经病学的神经血管外科学医师，力求使神经血管外科学培训标准化，以确保在美国提供该亚专科的最高质量服务。
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