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The NeuroLog database system is an internet-based data collection tool developed by the American Board of Neurological Surgery (ABNS) to facilitate gathering the information necessary for primary certification, resident case log accumulation, and Maintenance of Certification (MOC). It has also been adapted for use by Program Directors to accumulate the data required for accreditation. At each stage of neurosurgical training, certification, and practice, NeuroLog can track the necessary data elements to meet current documentation standards. The cataloging of data is streamlined and driven by a hierarchical "drill down" paradigm that can yield both the appropriate ABNS/RRC procedural categories and CPT codes. As an added advantage, users can thus learn the CPT code structure. The system is highly secure and HIPPA compliant.

Residents in Neurosurgical Training: The NeuroLog database system was designed to meet the needs of both neurosurgical training programs and residents in training. While the ABNS establishes the criteria for certification, the Residency Review Committee for Neurological Surgery (RRC) is responsible for accrediting training programs. This process requires extensive documentation and data, which is compared to national benchmarks established by the RRC. For this neurosurgical residents are required to maintain accurate logs of all procedures in which they are involved. NeuroLog provides the necessary tools to collect data each clinical year as required by the ABNS and RRC.

Program Directors: Residency program directors are responsible for documenting procedural data for RRC accreditation of their training programs. NeuroLog can generate global reports for procedures done within the entire residency program and at each affiliated institution. It can produce hardcopy PIF forms acceptable to the RRC and ACGME. The program not only provides the necessary mechanisms to generate these reports, but also provides program directors the ability to analyze individual residents, attendings, or institutions.

Applicants for for ABNS Certification: Once individuals complete residency training and enter neurosurgical practice, they can apply for certification. A component of this process is submission of 12-months of data on all in-patients, plus at least 3 months of follow-up. NeuroLog provides all the necessary data fields for candidates to complete the practice data documentation requirements and for review by the ABNS Professional Practice Data Committee. This electronic methodology streamlines the review process and lessens time delays.

Maintenance of Certification: Since 1999 ABNS Diplomates have been awarded ten-year time-limited certificates and are required to maintain their certification through a 10-year MOC process. Components of the process may include elements of key cases which can be fulfilled utilizing NeuroLog.

Diplomates certified by the ABNS prior to 1999 are not required to participate in MOC, but they would be free to use NeuroLog for their own purposes. The Board hopes, however, that all Diplomates will enter the MOC process.

Any ABNS Diplomate may also choose to use NeuroLog on an ongoing basis for his or her own routine practice assessment. The system gathers rudimentary demographics, as well as diagnostic, procedural, and simplified outcomes information.