Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana.
88th Surgical Operations Squadron, Wright Patterson Air Force Base, Ohio.
Neurosurgery. 2018 Nov 1;83(5):1076-1081. doi: 10.1093/neuros/nyx550.
Military conflict and neurosurgery date back to antiquity. Neurosurgery's development is intimately linked with Harvey Cushing's military experience. Previous papers highlighted unique opportunities and socioeconomic challenges facing military neurosurgeons. Here, we provide objective data from military neurosurgeons surrounding these issues.Internet survey responses were solicited from current, separated, and retired military neurosurgeons regarding workforce issues and their perception of military neurosurgery.A total of 80.9% (98/121) of respondents enjoyed their military experience, 63.6% (77/121) were very pleased with their service; 97.4% (114/117) enjoyed treating military patients, and 78.2% (93/119) would recommend military service. Positives included feelings of patriotism (87.4%), development of camaraderie (71.4%), and deployment experience (93.8%).However, 76.5% of respondents noted concerns regarding military and civilian pay disparity. 37.5% were overwhelmed with administrative responsibilities, and over 50% desired higher case volume.Multivariate analysis showed those who failed to develop a sense of camaraderie were more likely to be dissatisfied (P = .02). Those still currently serving trended towards dissatisfaction (P = .08), and current military neurosurgeons were only 0.29 times as likely to recommend military service to another neurosurgeon as compared to those who were retired or separated (P < .024).Service as a military neurosurgeon is an overwhelmingly positive experience but opportunities exist for mechanisms to increase operative case load, reduce administrative responsibilities, and reduce military-civilian income disparity. Addressing these issues is important as current military neurosurgeons were more likely to be dissatisfied with their military experience and less likely to recommend military service to another neurosurgeon.
军事冲突与神经外科学的历史可以追溯到古代。神经外科学的发展与 Harvey Cushing 的军事经历密切相关。之前的论文强调了军事神经外科医生面临的独特机会和社会经济挑战。在这里，我们提供了来自现役、退役和离职的军事神经外科医生围绕这些问题的客观数据。
我们通过互联网向现役、退役和离职的军事神经外科医生征集了有关劳动力问题及其对军事神经外科学看法的调查问卷。共有 80.9%（98/121）的受访者对他们的军队经历感到满意，63.6%（77/121）非常满意他们的服务；97.4%（114/117）喜欢治疗军人患者，78.2%（93/119）会推荐他人从事军事服务。积极的方面包括爱国主义情感（87.4%）、团队合作精神（71.4%）和部署经历（93.8%）。
然而，76.5%的受访者表示关注军队和民用薪酬差距。37.5%的人被行政职责压得喘不过气来，超过 50%的人希望增加手术量。
多变量分析显示，那些没有建立团队合作精神的人更有可能感到不满（P =.02）。那些仍在现役的人则倾向于不满（P =.08），而现役的军事神经外科医生向另一位神经外科医生推荐军队服务的可能性仅为退休或离职的神经外科医生的 0.29 倍（P <.024）。
作为一名军事神经外科医生，服务经历总体上是积极的，但存在一些机会可以增加手术量、减少行政职责并缩小军队和民用收入差距。解决这些问题很重要，因为现役的军事神经外科医生更有可能对他们的军队经历感到不满，并且不太可能向另一位神经外科医生推荐军队服务。
