ISSN:
1433-0350
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Conclusion Almost all of the above has been stated in previous communications [3, 4, 6–8], but with regard to the current evolution in the European Community, it appears extremely important to make clear, emphasize, and repeat these issues again and again. In North America, the question has been raised whether a fellowship should be instituted for this subspeciality. In his paper, R. M. Scott discussed a 2-year fellowship, with 1 year of clinical experience, 3 months of pediatric neurology and 9 months in other subspecialities or research [9]. As a conclusion, he asked the question, “Where will these individuals practice?” Specialization is progress. This can be deduced from many examples, in the development of medicine, for example, in surgery developed by pioneers initially dealing with every thinkable surgical procedure. And, at present no one would seriously expect a cardiac surgeon to deal with surgical problems of the urinary tract. Pediatric neurosurgery is to be considered nothing else but genuine neurosurgery. The difference lies in the disease entities with malformations being treated in newborns and infants, on the one hand, and the special requirements of a very young individual on the other. The answer to this question is “yes”. As far as can be foreseen, pediatric neurosurgery could remain in very close relationship to the mother speciality of general neurosurgery, but should always be practiced in an environment compatible with the needs of a pediatric population by personnel with neurosurgical and pediatric expertise. Considerations and efforts must not be governed by selfish intentions, serving the purpose of self-promotion, but aimed exclusively at the benefit of our children. This aim will be best achieved by promotion of and education in pediatric neurosurgery and simultaneously.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00338431
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