Statement of Ethics in Neurosurgery of the World Federation of Neurosurgical Societies

“…Articles on ethics and conflicts of interest (COI) ranged from general discussions of ethics in neurosurgery to very specific ethical questions. 152-178 Furr et al and Suskin and Giordano reviewed the topic of human head transplantation. 173,175 Four authors discussed informed consent.…”

Section: Resultsmentioning

confidence: 99%

A Scoping Review of Professionalism in Neurosurgery

Mangham,

Parikh,

Motiwala

et al. 2023

Neurosurgery

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BACKGROUND AND OBJECTIVES: The Accreditation Council for Graduate Medical Education's Milestones provides a foundation for professionalism in residency training. Specific professionalism concepts from neurosurgery could augment and expand milestones for the specialty. We reviewed the current literature and identified professionalism concepts within the context of neurosurgical practice and training. METHODS: We used a scoping review methodology to search PubMed/MEDLINE and Scopus and identify English-language articles with the search terms “professionalism” and “neurosurgery.” We excluded articles that were not in English, not relevant to professionalism within neurosurgery, or could not be accessed. Non–peer-reviewed and qualitative publications, such as commentaries, were included in the review. RESULTS: A total of 193 articles were included in the review. We identified 6 professionalism themes among these results: professional identity (n = 53), burnout and wellness (n = 51), professional development (n = 34), ethics and conflicts of interest (n = 27), diversity and gender (n = 19), and misconduct (n = 9). CONCLUSION: These 6 concepts illustrate concerns that neurosurgeons have concerning professionalism. Diversity and gender, professional identity, and misconduct are not specifically addressed in the Accreditation Council for Graduate Medical Education's Milestones. This review could be used to aid the development of organizational policy statements on professionalism.

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“…Reasonable ethical doubts regarding this case might arise nowadays, as acquisition of medical knowledge currently requires strict adherence to prior informed consent. 42 Nonetheless, Cushing's decisions should be considered in their historical context; HW was treated when fewer than a dozen surgeons worldwide were operating on CPs, and most CP surgeries were doomed to fail. 30,45 Ethics were paramount for Cushing.…”

Section: Situations: Ethical Considerations and Lessons To Be Drawn From Cushing's Experiencesmentioning

confidence: 99%

Cushing’s dogged struggle against death: the astonishing case of a patient under cardiac arrest surviving craniopharyngioma surgery

Prieto

Pascual

2021

Journal of Neurosurgery

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The decisive role Dr. Harvey Cushing (1869–1939) played in medicine goes far beyond the development of neurosurgery. His scientific devotion and commitment to patient care made him an ethical model of strict professionalism. This paper seeks to analyze the decisions Cushing made with the challenging case of HW, an adolescent boy with a craniopharyngioma (CP) involving the third ventricle. Cushing’s earlier failure to successfully remove two similar lesions alerted him to the proximity of HW’s tumor and the hypothalamus. Consequently, he decided to use the chiasm-splitting technique for the first time, with the aim of dissecting the CP-hypothalamus boundaries under direct view. Unexpectedly, HW suffered cardiac arrest during the surgery, but Cushing did not give up. He continued with the operation while his assistants performed resuscitation maneuvers. Such determined and courageous action allowed Cushing to succeed in an apparently hopeless case. Cushing’s unwavering willingness to save patients’ lives, even under extreme circumstances, was a fundamental trait defining his identity as a neurosurgeon. Analyzing the way Cushing dealt with HW’s case provides valuable lessons for neurosurgeons today, particularly the importance of assuming proactive attitudes and, in certain cases, making painstaking efforts to overcome daunting situations to save a life.

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Statement of Ethics in Neurosurgery of the World Federation of Neurosurgical Societies

Cited by 22 publications

References 18 publications

Canine pancreatic lipase immunoreactivity concentrations associated with intervertebral disc disease in 84 dogs

Canine pancreatic lipase immunoreactivity concentrations associated with intervertebral disc disease in 84 dogs

A Scoping Review of Professionalism in Neurosurgery

Cushing’s dogged struggle against death: the astonishing case of a patient under cardiac arrest surviving craniopharyngioma surgery

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