scholarly journals Introduction. Military neurosurgery

2018 ◽  
Vol 45 (6) ◽  
pp. E1
Author(s):  
Randy S. Bell ◽  
Chris J. Neal ◽  
Randall McCafferty
2010 ◽  
Vol 28 (5) ◽  
pp. E16
Author(s):  
Yusuf Izci

The history of neurosurgery in the Turkish army is not long and complex. Neurosurgery was first practiced in the Ottoman army by Cemil Pasha, who was a general surgeon. After the fall of the Ottoman Empire, the Republic of Turkey was established and modern neurosurgical procedures were applied at the Gulhane Military Medical Academy (GMMA). Maj. Zinnur Rollas, M.D., was the founder of the Department of Neurosurgery at GMMA in 1957. A modern neurosurgical program and school was established in 1965 by Col. Hamit Ziya Gokalp, M.D., who completed his residency training in the US. Today, 26 military neurosurgeons are on active duty in 11 military hospitals in Turkey. All of these neurosurgeons work in modern clinics and operating theaters. In this paper, military neurosurgery in the Turkish army is reported in 3 parts: 1) the history of neurosurgery in the Turkish military, 2) the Department of Neurosurgery at the GMMA, and 3) the duties of a military neurosurgeon in the Turkish army.


Neurosurgery ◽  
2017 ◽  
Vol 83 (5) ◽  
pp. 1076-1081 ◽  
Author(s):  
Richard Menger ◽  
J Will Robbins ◽  
Randy Bell

2016 ◽  
Vol 158 (8) ◽  
pp. 1453-1463 ◽  
Author(s):  
Christophe Joubert ◽  
Renaud Dulou ◽  
Jean Marc Delmas ◽  
Nicolas Desse ◽  
Mathilde Fouet ◽  
...  

2010 ◽  
Vol 28 (5) ◽  
pp. E14 ◽  
Author(s):  
Uwe Max Mauer ◽  
Chris Schulz ◽  
Ronny Rothe ◽  
Ulrich Kunz

For many years, the experience of neurosurgeons from the German Armed Forces was limited to the peacetime care of patients in Germany. In 1995, German military neurosurgeons were deployed abroad for the first time. Since the beginning of the International Security Assistance Force mission, there has been a rapidly increasing number of opportunities for military neurosurgeons to broaden their experience during deployments abroad. Since the first deployment of a neurosurgeon to the German field hospital in Mazar-e-Sharif, Afghanistan, a total of 140 neurosurgical procedures have been performed there. Sixty-four surgeries were performed for cranial or spinal neurotrauma management. During the entire period, only 10 International Security Assistance Force members required acute or urgent neurosurgical interventions. The majority of neurosurgical procedures were performed in Afghan patients who received acute and elective treatment whenever the necessary infrastructure was available in the field hospital. Fifteen patients from the Afghan National Army and Police and 115 local patients underwent neurosurgery. Sixty-two procedures were carried out under acute or urgent conditions, and 78 operations were elective.


2002 ◽  
Vol 12 (4) ◽  
pp. 1-6 ◽  
Author(s):  
Ross R. Moquin ◽  
James M. Ecklund

Although the practice of neurosurgery in the United States (US) Armed Forces is in many ways similar to the civilian practice of neurosurgery, there are many differences as well. The unique challenges, duties, and opportunities US military neurosurgeons are given, both in peacetime and in times of conflict, are discussed, as are pathways for entering into service. The advantages of military service for neurosurgeons include sponsored training, decreased direct exposure to tort actions, little involvement with third-party payers, significant opportunities for travel, and military-specific experiences. The most appealing aspect of military practice is serving fellow members of the US Armed Forces. Disadvantages include the extreme gap between the military and civilian pay scales, lack of support personnel, and in some areas low surgery-related case volume. The greatest concern faced by the military neurosurgical community is the failure to retain experienced neurosurgeons after their obligated service time has been completed, for which several possible solutions are described. It is hoped that future changes will make the practice of military neurosurgery attractive enough so that it will be seen as a career in itself and not an obligation to endure before starting practice in the “real world.”


Neurosurgery ◽  
2016 ◽  
Vol 78 (6) ◽  
pp. 765-774 ◽  
Author(s):  
Richard P. Menger ◽  
Michael E. Wolf ◽  
Richard W. Lang ◽  
Donald R. Smith ◽  
Anil Nanda ◽  
...  

2019 ◽  
Vol 185 (Supplement_1) ◽  
pp. 583-589
Author(s):  
Richard Menger ◽  
Devon C LeFever ◽  
Scott L Zuckerman ◽  
J Will Robbins ◽  
Randy Bell

Abstract Introduction: The Defense Health Agency has shifted focus of military medicine to operational readiness. As such, neurosurgery remains a critical wartime specialty. We investigate the factors impacting recruitment and retention of military neurosurgeons. Methods: Survey of military neurosurgeons was performed via the American Association of Neurological Surgeons/Congress of Neurological Surgeons Joint Committee of Military Neurosurgeons and the Council of State Neurosurgical Societies. Retention and recruitment were queried. Results: 93/119 (78.2%) current or previously affiliated military neurosurgeons would recommend service as a military neurosurgeon to a colleague. Those who felt a sense of patriotism were 4.3 times more likely to recommend military service (P = 0.027, CI 1.19–16.82). Those who developed a sense of camaraderie showed a trend to recommending military neurosurgery (P = 0.058, CI 0.95–9.78). Those with a current military obligation were.28 times (P = 0.02, CI 0.09–0.85) as likely to recommend service. Military physicians who felt a need for reform to increase salary were 2.5 times less likely to be retained. Discussion: Service in the US military is a positive experience with camaraderie, patriotism, and unique military experiences predictive of recruitment. Meanwhile, focus on pay discrepancy can result in lost retention. These factors should be explored regarding recruitment and retention of military neurosurgeons.


2010 ◽  
Vol 28 (5) ◽  
pp. E15 ◽  
Author(s):  
Yavor Enchev ◽  
Tihomir Eftimov

After 45 years as a closest ally of the Soviet Union in the Warsaw Pact, founded mainly against the US and the Western Europe countries, and 15 years of democratic changes, since 2004 Bulgaria has been a full member of NATO and an equal and trusted partner of its former enemies. The unprecedented transformation has affected all aspects of the Bulgarian society. As a function of the Bulgarian Armed Forces, Bulgarian military medicine and in particular Bulgarian military neurosurgery is indivisibly connected with their development. The history of Bulgarian military neurosurgery is the history of the transition from the Union of Soviet Socialist Republics military system and military medicine to NATO standards in every aspect. The career of the military neurosurgeon in Bulgaria is in many ways similar to that of the civilian neurosurgeon, but there are also many peculiarities. The purpose of this study was to outline the background and the history of Bulgarian military neurosurgery as well as its future trends in the conditions of world globalization.


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