Factors Affecting Selection of TraineE for Neurointervention (FASTEN)

Author:

Elfil Mohamed1ORCID,Morsi Rami Z.2,Ghozy Sherief3ORCID,Elmashad Ahmed4,Siddiqui Adnan5ORCID,Al-Bayati Alhamza R.6ORCID,Alaraj Ali7ORCID,Brook Allan8,Kam Anthony W.9ORCID,Chatterjee Arindam Rano10,Patsalides Athos11,Waldau Ben12,Prestigiacomo Charles J.13,Matouk Charles14ORCID,Schirmer Clemens M.15ORCID,Altschul David16ORCID,Parrella David T.17,Toth Gabor18,Jindal Gaurav19,Shaikh Hamza A.20ORCID,Dolia Jaydevsinh N.21,Fifi Johanna T.22,Fraser Justin F.23,DO Justin Thomas24,Amuluru Krishna25ORCID,Kim Louis J.26,Harrigan Mark27,Amans Matthew R.28,Kole Max29,Mokin Max30,Abraham Michael31,Jumaa Mouhammad32,Janjua Nazli33,Zaidat. Osama34,Youssef Patrick P.35,Khandelwal Priyank36,Wang Qingliang Tony37,Grandhi Ramesh38ORCID,Hanel Ricardo39ORCID,Kellogg Ryan T.40,Ortega-Gutierrez Santiago41ORCID,Sheth Sunil42,Nguyen Thanh N.43ORCID,Szeder Viktor44ORCID,Hu Yin C.45,Yoo Albert J.46,Tanweer Omar47,Jankowitz Brian48,Heit Jeremy J.49ORCID,Williamson Richard50,Kass-Hout Tareq2,Crowley Richard W.51,El-Ghanem Mohammad52,Al-Mufti Fawaz53ORCID

Affiliation:

1. Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, USA

2. Department of Neurology, University of Chicago, Chicago, IL, USA

3. Department of Radiology, Mayo Clinic, Rochester, MN, USA

4. Department of Neurology, Yale University, New Haven, CT, USA

5. Neurosurgery and Radiology and Canon Stroke and Vascular Research Center, University of Buffalo, Buffalo, NY, USA

6. Department of Neurology and Neurosurgery, University of Pittsburg Medical Center, Pittsburg, PA, USA

7. Department of Neurosurgery, University of Illinois, Chicago, IL, USA

8. Department of Neurosurgery, Montefiore Medical Center and Children's Hospital at Montefiore (CHAM), Bronx, NY, USA

9. Department of Radiology, Loyola University Medical Center, Stritch School of Medicine, Maywood, IL, USA

10. Interventional Neuroradiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO, USA

11. Department of Neurosurgery, North Shore University Hospital, Donald and Barbara Zucker School of Medicine, Manhasset, NY, USA

12. Neurosurgery, University of California Davis, Sacramento, CA, USA

13. Department of Neurological Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH, USA

14. Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA

15. Neurosurgery, Geisinger Health System, Wilkes-Barre, PA, USA

16. Department of Neurosurgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA

17. Interventional Neurology, Ascension Saint Thomas Hospital West, Nashville, TN, USA

18. Cerebrovascular Center, Cleveland Clinic, Cleveland, OH, USA

19. Division of Interventional Neuroradiology, Department of Radiology, University of Maryland Medical Center, Baltimore, MD, USA

20. Department of Radiology, Cooper University Hospital, Camden, NJ, USA

21. Department of Neurology, Emory University, Atlanta, GA, USA

22. Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA

23. Department of Neurological Surgery, University of Kentucky, Lexington, KY, USA

24. Department of Neurosurgery, McLaren Northern Hospital, Petoskey, MI, USA

25. Interventional Neuroradiology, Goodman Campbell Brain and Spine, Indianapolis, IN, USA

26. Department of Neurological Surgery, University of Washington, Seattle, WA, USA

27. Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA

28. Departments of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA

29. Department of Neurosurgery, Henry Ford Hospital, Detroit, MI, USA

30. Neurosurgery, University of South Florida, Tampa, FL, USA

31. Department of Neurology, University of Kansas Medical Center, Kansas City, KS, USA

32. Department of Neurology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA

33. Asia Pacific Comprehensive Stroke Institute, Pomona Valley Hospital Medical Center, Pomona, CA, USA

34. Department of Endovascular Neurosurgery, Mercy Health St Vincent Medical Center, Toledo, OH, USA

35. Department of Neurosurgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA

36. Department of Neurosurgery, Rutgers New Jersey Medical School, Newark, NJ, USA

37. Departments of Neurology/Neurosurgery, Maimonides Medical Center/SUNY Downstate Health Sciences University, Brooklyn, NY, USA

38. Department of Neurosurgery, Clinical Neuroscience Center, University of Utah, Salt Lake City, UT, USA

39. Lyerly Neurosurgery, Baptist Medical Center Downtown, Jacksonville, FL, USA

40. Department of Neurosurgery, University of Virginia, Charlottesville, VA, USA

41. Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA

42. Department of Neurology, McGovern Medical School at UTHealth, Houston, TX, USA

43. Department of Neurology, Boston Medical Center, Boston, MA, USA

44. Department of Radiological Sciences, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA

45. Department of Neurosurgery, UH Cleveland Medical Center, Cleveland, OH, USA

46. Department of Radiology/Neurointervention, Texas Stroke Institute, Dallas-Fort Worth, TX, USA

47. Neurosurgery, Baylor College of Medicine, Houston, TX, USA

48. Neurosurgery, JFK University Hospital, Edison, NJ, USA

49. Department of Interventional Neuroradiology, Stanford Medical Center, Palo Alto, CA, USA

50. Department of Neurological Surgery, Allegheny Health Network, Pittsburgh, PA, USA

51. Department of Neurological Surgery, Rush University Medical Center, Chicago, IL, USA

52. Neuroendovascular Surgery, HCA Houston Northwest/University of Houston College of Medicine, Houston, TX, USA

53. Department of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA

Abstract

Background and importance Neurointervention is a very competitive specialty in the United States due to the limited number of training spots and the larger pool of applicants. The training standards are continuously updated to ensure solid training experiences. Factors affecting candidate(s) selection have not been fully established yet. Our study aims to investigate the factors influencing the selection process. Methods A 52-question survey was distributed to 93 program directors (PDs). The survey consisted of six categories: (a) Program characteristics, (b) Candidate demographics, (c) Educational credentials, (d) Personal traits, (e) Research and extracurricular activities, and (f) Overall final set of characteristics. The response rate was 59.1%. As per the programs’ characteristics, neurosurgery was the most involved specialty in running the training programs (69%). Regarding demographics, the need for visa sponsorship held the greatest prominence with a mean score of 5.9 [standard deviation (SD) 2.9]. For the educational credentials, being a graduate from a neurosurgical residency and the institution where the candidate's residency training is/was scored the highest [5.4 (SD = 2.9), 5.4 (SD = 2.5), respectively]. Regarding the personal traits, assessment by faculty members achieved the highest score [8.9 (SD = 1)]. In terms of research/extracurricular activities, fluency in English had the highest score [7.2 (SD = 1.9)] followed by peer-reviewed/PubMed-indexed publications [6.4 (SD = 2.2)]. Conclusion Our survey investigated the factors influencing the final decision when choosing the future neurointerventional trainee, including demographic, educational, research, and extracurricular activities, which might serve as valuable guidance for both applicants and programs to refine the selection process.

Publisher

SAGE Publications

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