Acta neurochirurgica. Supplement
-
At present, quality assurance in United States neurosurgery is based primarily on neurosurgeons meeting requirements for certification by the American Board of Neurological Surgery and residency training programs meeting requirements for approval by the neurosurgical Residency Review Committee. These organizations, plus a number of other private, autonomous, physician directed groups have assumed responsibility for assuring neurosurgical quality. ⋯ A more detailed review of the process of neurosurgical credentialing is also presented and a paradigm for evaluating and improving neurosurgical quality is proposed. It must be clearly stated that the opinions expressed in this article are those of the author and do not represent the official position of any neurosurgical organization.