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Table of Contents    
Year : 2019  |  Volume : 67  |  Issue : 2  |  Page : 618-619

Campus placements for neurosurgical jobs: An idea whose time has come?

Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

Date of Web Publication13-May-2019

Correspondence Address:
Dr. George C Vilanilam
Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum - 695 011, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.257987

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How to cite this article:
Vilanilam GC, Shivhare P. Campus placements for neurosurgical jobs: An idea whose time has come?. Neurol India 2019;67:618-9

How to cite this URL:
Vilanilam GC, Shivhare P. Campus placements for neurosurgical jobs: An idea whose time has come?. Neurol India [serial online] 2019 [cited 2021 Jan 17];67:618-9. Available from:

'The secret of my success is that we have gone to exceptional lengths to hire the best people in the world'.

Steve Jobs

“Practical and pertinent” would be a most appropriate description of Sankhla and Shah's commentary about negotiating a contract in private neurosurgical practice.[1] It is sad to note that “the Healer” who was placed next to “the Creator” by our forefathers, has now been reduced to a “Contract negotiator” in today's consumerist world. It is no longer a doctor–patient equation anymore, rather a service provider–consumer relationship, in the era of the Consumer Protection Act. The need for contract negotiation for a service-oriented profession (like a neurosurgeon's) arises out of a doctor's worry about undue commercialization and workforce exploitation.[1]

As more and more skilled neurosurgeons are being added every year to the existing pool, optimum utilization of their skills and services seems a daunting challenge. To place the right person at the right place is a responsibility of the training centers, professional associations, and the government, at large.[2],[3],[4] To ensure that the skilled neurosurgical professional is compensated adequately for the services, is also a larger responsibility. Hence, we decided to explore the viability of the concept of campus placement for neurosurgical jobs, just as it happens in business-schools and elite engineering institutions.

  Neurosurgeon Demographics Top

India has nearly 1950 neurosurgeons serving a population of 1.3 billion people. About 120 neurosurgeons freshly graduate every year and are added to this pool of expertise.[2] But sadly, even after being trained from the country's best institutes, most freshly graduating neurosurgeons have to scout around for a suitable employment opportunity.[4] The endless debate on service to mankind with a government hospital practice versus a private practice constantly crops up in the mind of the freshly graduating neurosurgeon, confounding the job selection process.

  Ethos of Campus Placements Top

Campus placements are recruitment programs conducted within educational institutes to provide jobs to students pursuing or in the stage of completing a course of study.[5] The prospective employers visit the training institutes/teaching hospitals, and in collaboration, select the candidates depending on their abilities. This is a common practice in other professional colleges and we feel that the time has come for it to happen in neurosurgery too. Scouting for job advertisements in the print media, recruitment websites, hearsay information, etc., has been the traditional modus operandi of the fresh neurosurgical graduate in search of a job. This, sadly, leaves room for creating future neurosurgical job misfits, work dissatisfaction, and exploitation by the employer.

  Proposed Campus Placement Models Top

With burgeoning corporate hospitals and newer super-specialty government centers coming up, there is no dearth of neurosurgical employment opportunities. Private hospital jobs or academic government hospital practice is an individual neurosurgeon's prerogative. The challenge of fitting the right person to the right job, however, still exists.[5]

  1. Fit the job to the person: Every neurosurgeon has a unique skill set and subspecialty expertise. Additional expertise like administrative skills, research expertise, etc., may also be an added asset to the job that a neurosurgeon is recruited for. “To each as per the skills” would be any ideal policy for the employer to get the best productivity from the recruitee. Hence, it would be best for hospitals to mold their needs based upon the freshly recruited neurosurgeon's skills and tap his/her best abilities
  2. Fit the person to the job: Most hospitals/institutions have their own specific needs and skill-set requirements. Hence, the responsibilities and needs are clearly defined prior to recruitment and the newly placed neurosurgeon is expected to adapt accordingly, retraining himself as necessary, acquiring more skills and qualifications.

In reality, the ideal neurosurgeon employee and the ideal employer are difficult to find and it is best to strike a balance between the needs of both sides. That is when the need for a contract becomes essential. Private hospitals usually have a written contract while academic institutes have an implied contract where performance is reviewed periodically at the time of promotion interviews.

  The Way Ahead Top

A campus placement/recruitment cell for neurosurgeons is the need of the hour. It is imperative on the government and the professional bodies to work in tandem to develop this. It may also help to avoid “brain drain,” thus losing surgical talent to other nations. A skilled professional desperately looking out for a job, is an easy prey for unfair contracts and professional exploitation by employers.

It may be a wishful thinking to believe that campus placements could find each freshly graduating neurosurgeon an ideal job. It would not be a panacea to neurosurgical employment problems. However, it may be a small step ahead to make a huge difference in finding the right neurosurgeon/neurologist for the right job. This, in the long run, could create a wonderful neurosurgical workplace, motivated surgeons, enhanced neurosurgical care, and optimum clinical output.

As Maxim Gorky said, “When work is a pleasure, life is a joy….”

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Conflicts of interest

There are no conflicts of interest.

  References Top

Sankhla S, Shah GR. Considerations for young neurologists/neurosurgeons on how to negotiate a contract in a private hospital. Neurol India 2018;66:1276-8.  Back to cited text no. 1
[PUBMED]  [Full text]  
Dewan MC, Rattani A, Fieggen G, Arraez MA, Servadei F, Boop FA, et al. Global neurosurgery: The current capacity and deficit in the provision of essential neurosurgical care. Executive summary of the global neurosurgery initiative at the program in global surgery and social change. J Neurosurg 2018;27:1-10.  Back to cited text no. 2
Vilanilam GC, Easwer HV, Menon GR, Karmarkar V. “Magister neurochirurgiae”: A 3-year 'crash course' or a 5-year 'punctilious pedagogy'? Neurol India 2017;65:434-7.  Back to cited text no. 3
[PUBMED]  [Full text]  
Shivhare P, Vilanilam GC. The 'Uberisation'of neurosurgery and its fallacies. Neurol India 2018;66:1528-30.  Back to cited text no. 4
[PUBMED]  [Full text]  
Available from: [Last assessed on 2018 Nov 11].  Back to cited text no. 5


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