Each vascular neurosurgeon averages about 50 to 70 major intracranial vascular cases per year. The neurointerventionalists annually perform approximately 200 endovascular procedures. ING's present policy is to recruit fellowship-trained physicians who are willing to focus on their area of expertise and to accept some limitations on the scope of their practice. Other physicians also serve on administrative, financial, education and research, marketing, and quality improvement committees. An elaborate voice mail system to facilitate rapid communication between physicians and staff has been indispensable for efficient practice.
Night call is brutal but is shared equally.
Older surgeons who have opted off night and weekend call accept a stiff financial penalty. On-call physicians take the following day off. No surgeon has ever left the practice. Activities Lack of intra-group competition has fostered physician camaraderie, frequent informal consultations, joint care of patients and operating together. It is our belief that this relationship improves patient care and makes neurosurgery more enjoyable.