By unanimous ABNS Director vote, the ABNS is pursuing, under the American Board of Medical Specialists (ABMS) auspices, two additional focused practice areas crucial for neurological surgery recognition. The ABNS has applied for the CAST Central Nervous System Endovascular Surgery (CNS ES) and Neuro Critical Care Focused Practice (NCC) recognition.
It should be noted that the 1 st ABNS Focused Practice application was for Pediatric Neurological Surgery and was approved and recognized by the ABMS in 2017.
The Focused Practice Issue in Neuro Critical Care (NCC) was discussed in detail at the ABNS Fall Meeting with members of the SNS and AANS in attendance. It was a very lively discussion in which ultimately a unanimous consensus/vote was reached among ABNS Directors and Neurological Surgery Leadership that ABNS pursue a Focused Practice in NCC under the ABMS’s focused practice guidelines.
The agreement was the ABNS would support two pathways for NCC certification through the ABMS focused practice route. The first, would be the SNS CAST proposal to provide neurological surgery with a non- ACGME pathway for our diplomates to receive a Focused Practice Certificate in Neuro Critical Care. This could be an enfolded year as a resident as part of their 30-month elective period.
In addition, the Neurologists of the ABPN asked the ABNS if they would support the ABPN’s request to develop an ACGME focused practice NCC fellowship that would utilize an ACGME pathway. This second pathway would be a two-year fellowship that would permit the neurological surgical resident to complete within their 7 –year residency, with one year being constructive credit for completing the residency. The two-pathway approach will require both the ABNS and the ABPN to apply for separate focused practice pathways from the ABMS in 2018 which was done and is now out for public discussion.
American Association of Neurological Surgeons
American Board of Medical Specialties
The Society of Neurological Surgeons (SNS) aka “The Senior Society”
American Board of Pediatric Neurological Surgery