Hoff J T, Eisenberg H M
Section of Neurosurgery, University of Michigan Medical Center, Ann Arbor, USA.
Acta Neurochir Suppl. 1997;69:83-8. doi: 10.1007/978-3-7091-6860-8_22.
Board certification and accreditation of training programs began as measures of quality in the United States. Both functions were done initially by the American Board of Neurological Surgery (ABNS). In 1954, certification of trainees and accreditation of programs became separate functions in order to eliminate potential conflicts of interest. Currently, the ABNS certifies trainees who have completed neurological surgery training in an accredited program whose curriculum includes operative and nonoperative experience, have the endorsement of the training program director, and have passed the written in-training examinations and a final oral examination. Accreditation of training programs is a separate function administered by the Residency Review Committee (RRC) of the Accreditation Council for Graduate Medical Education. Individual programs are reviewed on a periodic basis for quality of the curriculum, facilities, faculty, and patient volume. The ABNS and the RRC are separate groups, both comprised of neurosurgeons with a strong commitment to the educational process.
在美国，培训项目的委员会认证和机构认证最初是作为质量衡量标准开展的。这两项职能最初均由美国神经外科委员会（ABNS）负责。1954年，为消除潜在的利益冲突，学员认证和项目认证成为了独立的职能。目前，ABNS对已在经认证项目中完成神经外科培训的学员进行认证，该项目的课程包括手术和非手术经验，学员需获得培训项目主任的认可，并通过在职笔试和最终口试。培训项目的认证是由毕业后医学教育认证委员会的住院医师评审委员会（RRC）负责的一项独立职能。会定期对各个项目的课程质量、设施、师资和患者数量进行审查。ABNS和RRC是两个独立的团体，均由对教育过程高度负责的神经外科医生组成。
