Division of Neurosurgery, Walter Reed National Military Medical Center, Bethesda , Maryland , USA.
Department of Neurosurgery, University of North Carolina Hospitals, Chapel Hill , North Carolina , USA.
Neurosurgery. 2023 Dec 1;93(6):e153-e158. doi: 10.1227/neu.0000000000002595. Epub 2023 Jul 14.
Military-civilian partnerships have built the foundation for US neurosurgery as we see it today. Each conflict throughout history has led to expansion within the field of neurosurgery, benefiting civilian patients and those in uniform. Despite the field's growth during wartime, military neurosurgical case volume declines during peacetime, and as a result, important knowledge gained is at risk of being lost. The current landscape of military neurosurgery reflects the relative peacetime for the US-World relationship. Because of this peacetime, the surgical case volume and experience of the military neurosurgeon are declining rapidly. In addition to providing a history of military-civilian partnerships in neurosurgery, we have analyzed the declining case volume trends at a single military treatment facility with neurosurgical capabilities. We compared the case volume of a military neurosurgeon at a civilian partnered location with their previous volume at a military treatment facility and analyzed current trends in wartime readiness by Neurosurgery Knowledge, Skills and Abilities metrics. We believe that military civilian partnerships hold the key to scaffolding the experience to maintain the wartime readiness in the military neurosurgical community.
军民合作奠定了当今美国神经外科学的基础。历史上的每一次冲突都导致了神经外科学领域的扩张，使平民患者和军人受益。尽管在战争期间该领域有所发展，但在和平时期，军事神经外科的病例数量会下降，因此，获得的重要知识有丢失的风险。当前的军事神经外科学状况反映了美国与世界关系的相对和平时期。由于这种和平时期，军事神经外科医生的手术病例数量和经验正在迅速减少。除了提供神经外科学中军民合作的历史外，我们还分析了一家具有神经外科能力的军事治疗机构的病例数量下降趋势。我们比较了一位在军民合作地点工作的军事神经外科医生与他们之前在军事治疗机构的病例数量，并通过神经外科技能、知识和能力指标分析了战时准备的当前趋势。我们认为，军民合作是为维持军事神经外科学领域的战时准备提供经验的关键。
