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Frequently asked questions about choosing Neurosurgery career

Neurosurgeon

Contents




How much free time do you have as a neurosurgeon?

You can get the idea of the amount of free time based on the amount of work you will have to do as a neurosurgeon. It depends on the level of experience and the type of hospital of the Neurosurgeon.

In Neurosurgery Department of a Large Government Institute


Senior Resident (MCh Neurosurgery)- No free time. Less time to sleep, unlimited working hours, high workload including ICU, Elective OT and Emergency OT duties. Number of monthly duties in a typical busy institute are 10 to 15 duties per month. Each duty may last for 24-36 hours at a stretch.


Assistant Professor- On call emergency OT duties 1-2/ week with post duty off, Each emergency duty lasting for 24 hours, Elective OT duty days start at 8:00AM and ends at 5:00 PM to 8:00 PM depending on the workload. 


Professor-  All Elective OTs and OPD. Usually a regular day starts at 8:00AM and ends at 5:00 PM to 8:00 PM depending on the workload. 

In Neurosurgery Department of a large Private Hospital


Senior Resident (DNB Neurosurgery)- No free time. Less time to sleep, unlimited working hours, high workload including ICU, Elective OT and Emergency OT duties. Number of monthly duties in a typical busy institute are 10 to 15 duties per month. Each duty may last for 24-36 hours at a stretch.


Junior Consultant- On call emergency OT duties 2-3 nights/ week with post duty off, Each emergency duty lasting for 24 hours, Elective OT duty days start at 8:00AM and ends at 5:00 PM to 8:00 PM depending on the workload. 


Senior Consultant- Occasional emergency duties only for complicated cases, All Elective OTs and OPD. Usually a regular day starts at 8:00AM and ends at 5:00 PM to 8:00 PM depending on the workload. 

Own Neurosurgery Practice in a Small hospital

In own practice in a small hospital, the workload depends on the popularity of the neurosurgeon. He may start getting 3-4 elective cases a month and 5-6 emergency cases a month apart from OPD. As you get popular in your community, you will start getting call from other hospitals also. And as you gain experience, you can get 1 case per day on an average. 

How is the load of patients in Neurosurgery?


There is a good workload of trauma cases in neurosurgery for starters. For elective brain surgery cases and spine surgery, people go only to seasoned neurosurgeons who have good name in the community and good rapport with referring doctors in the city, state or across the country; depending on the popularity. 

Usually the most common mode of getting referrals in India is by word of mouth. These days, online and social media presence and publicity also contributes to a good number of cases. 

There is also good inflow of international cases especially in large metro cities from Middle eastern countries and African countries. The inflow of these international cases is usually driven by Medical tourism companies and International marketing department of the corporate hospitals.


How much time does it take to be a Neurosurgeon? 


The following calculation shows the years of training required to be a Neurosurgeon in India

  • Without any breaks and selection in NEET PG and NEET SS entrance in first attempt it takes 11.5 years
    • Common Pathway (via General Surgery) : 5.5 years (MBBS) + 3years (MS/ DNB General Surgery) + 3 years (MCh/ DNB Neurosurgery) = 11.5 years 
    • Uncommon Pathway (Integrated Neurosurgery course) : 5.5 years (MBBS) + 6 years (MCh/ DNB Neurosurgery Integrated) = 11.5 years

  • With average 1 year preparatory breaks for entrance it takes 13.5 years for Common pathway and 12.5 years for Uncommon pathway
    • Common Pathway (via General Surgery) : 5.5 years (MBBS) + 1 Year NEET PG preparation + 3years (MS/ DNB General Surgery) + 1 year NEET SS preparation + 3 years (MCh/ DNB Neurosurgery) = 13.5 years 
    • Uncommon Pathway (Integrated Neurosurgery course) : 5.5 years (MBBS) + 1 Year NEET/ AIIMS PG preparation + 6 years (MCh/ DNB Neurosurgery Integrated) = 12.5 years

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