Private practice and spine work

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TheMightyAngus

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It is often stated that most neurosurgery residents go into private practice and most of private practice consists of spine work with little if any intracranial. Is this a gross overstatement or is it really the general trend?

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We see about:

60% Spine (Lamis, lumbar fusions, discectomies, ACDF's and trauma)
30% Intracranial (Trauma, tumor, bleeds, NPH, shunts)
10% Peripheral/Misc (Cubital/carpal tunnel, nerve/muscle bx)

-Mike
 
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We see about:

60% Spine (Lamis, lumbar fusions, discectomies, ACDF's and trauma)
30% Intracranial (Trauma, tumor, bleeds, NPH, shunts)
10% Peripheral/Misc (Cubital/carpal tunnel, nerve/muscle bx)

-Mike

how are your hours with that setup?
 
It's incredibly variable.

We have call for an entire week, every other week.

Off-call weeks average 7a-5p.

On-call weeks (god only knows) last week I don't think I got home before 8p and a few nights were 11p and one of them was past 3a.

Even call weeks vary a lot. Seems to come in waves. We might go 2-3 days with nothing and then end up with a couple of subdurals, spinal fractures, ICH's and 8 consults in one day.

Overall we probably average 60 hours a week.

-Mike
 
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